Bronchoscopic cryotherapy in the treatment of endobronchial typical carcinoid العلاج بالتبريد باستخدام المنظار القصبي في حالات السرطان داخل القصبه الهوائيه

Faculty Medicine Year: 2023
Type of Publication: ZU Hosted Pages:
Authors:
Journal: The Egyptian Journal of Hospital Medicine Pan Arab League of Continuous Medical Education Volume:
Keywords : Bronchoscopic cryotherapy , , treatment , endobronchial typical carcinoid العلاج    
Abstract:
Background: Lung carcinoid tumors are low grade cancerous tumours that develop from neuroendocrine cells that have become more common recently. Endobronchial bronchoscopic cryotherapy has gained interest by cardiothoracic surgeons as an alternative to the surgical bronchotomy. Objective: To assess the efficacy of bronchoscopic cryotherapy in the treatment of endobronchial typical carcinoid. Patients and Methods: A prospective comparative study, included 30 patients presented with endobronchial typical carcinoid from the January 2021to the August2022. Patients were randomly divided into two equal groups. Group (A) patients who had excision of the endobrochial mass using bronchscopic cryotherapy, and group(B) patients who had excision of the endobrochial mass using open surgical bronchotomy. Follow up of the patients was performed on regular basis clinically, radiologically and by bronchoscopic evaluation. Results: The final analysis included 30 patients divided in 2 groups. Hospitalization period was shorter in group (A) (6±2hours), than in group(B) (8±3hours) showing a statistically significant difference. There was a high statistically significant difference between both groups regarding the postoperative scar presence (0% in group A vesurs 100% in group B). Intraoperative and peri-operative data showed a non-significant difference (p>0.05) between both studied groups. Conclusion: Bronchoscopic cryotherapy is an efficient and safe procedure for the excision of endobronchial typical carcinoid.
   
     
 
       

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