An Eight-Year-Old Experience Of A University Thoracic Surgery Department Of Casablanca
Main Article Content
Abstract
Purpose: Rigid bronchoscopy contributes a great deal in insuring survival for malignant airway obstruction and airway restoration for benign airway stenosis.
Methods: We retrospectively studied 101 RBs done for 73 patients during the 8-year period between 2016 to 2023 in the University Hospital of Ibn Rochd Of Casablanca.
Results: Benign airway stenosis was slightly more frequent than Malignant airway stenosis (n=56 vs n=46). The tracheal lesion was more frequent at 55.3 %. Pulmonary cancer was the more dominant malignant etiology and stenosis post-prolonged intubation was dominant in the benign airway category. A Dumon stent was placed in 30 cases. 16.43% of patients had a minimum second Rigid Bronchoscopy where Granulation tissue removal was the more frequent indication. Complications were few with 3 cases of tracheostomy and 2 cases of tracheal resection
anastomosis.
Conclusion: Rigid Bronchoscopy is a safe procedure and very proceduralist-dependent. However, the demand for it is still very low even though its indications are current.
Downloads
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
This is an open-access journal, which means that all content is freely available without charge to the user or his/her institution. Users are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles, or use them for any other lawful purpose, without asking prior permission from the publisher or the author. This is under the BOAI definition of open access.
The journal is adopting the Creative Commons International Attribution 4. CC Attribution-NonCommercial 4.0CC BY-NC 4.0]
You are free to:
- Share— copy and redistribute the material in any medium or format
- Adapt— remix, transform, and build upon the material
- for any purpose
- The licensor cannot revoke these freedoms as long as you follow the license terms.
Under the following terms:
-
- Attribution — You must give appropriate credit , provide a link to the license, and indicate if changes were made . You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- NonCommercial — You may not use the material for commercial purposes .
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
Notices:
You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation.
No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.
- https://creativecommons.org/licenses/by-nc/4.0/
References
Verma A, Tai DYH, Goh SK, Goyal R, Kor AC, Ng AWK. Review of a 10-year experience of rigid bronchoscopy at a tertiary centre in Singapore. Precis Future Med. 2020 Sep 30;4(3):99–106.
Petrella F, Borri A, Casiraghi M, Cavaliere S, Donghi S, Galetta D, et al. Operative rigid bronchoscopy: indications, basic techniques and results. Multimed Man Cardiothorac Surg MMCTS. 2014 May 27;2014:mmu006.
Paradis TJ, Dixon J, Tieu BH. The role of bronchoscopy in the diagnosis of airway disease. J Thorac Dis. 2016 Dec;8(12):3826–37.
Shin B, Chang B, Kim H, Jeong BH. Interventional bronchoscopy in malignant central airway obstruction by extra-pulmonary malignancy. BMC Pulm Med. 2018 Dec;18(1):46.
Jeong BH, Um SW, Suh GY, Chung MP, Kwon OJ, Kim H, et al. Results of interventional bronchoscopy in the management of postoperative tracheobronchial stenosis. J Thorac Cardiovasc Surg. 2012 Jul;144(1):217–22.
Ost DE, Ernst A, Grosu HB, Lei X, Diaz-Mendoza J, Slade M, et al. Complications Following Therapeutic Bronchoscopy for Malignant Central Airway Obstruction: Results of the AQuIRE Registry. Chest. 2015 Aug;148(2):450–71.
Palacios JM, Bellido DA, Valdivia FB, Ampuero PA, Figueroa CF, Medina C, et al. Tracheal stenosis as a complication of prolonged intubation in coronavirus disease 2019 (COVID-19) patients: a Peruvian cohort. J Thorac Dis [Internet]. 2022 Apr [cited 2023 May 4];14(4). Available from: https://jtd.amegroups.com/article/view/62496
Semaan R, Yarmus L. Rigid bronchoscopy and silicone stents in the management of central airway obstruction. J Thorac Dis [Internet]. 2015 Dec [cited 2023 May 11];7(Suppl 4). Available from: https://jtd.amegroups.com/article/view/5778
Ortiz-Comino RM, Morales A, López-Lisbona R, Cubero N, Diez-Ferrer M, Tebé C, et al. Silicone Stent Versus Fully Covered Metallic Stent in Malignant Central Airway Stenosis. Ann Thorac Surg. 2021 Jan 1;111(1):283–9.
Chung FT, Chen HC, Chou CL, Yu CT, Kuo CH, Kuo HP, et al. An outcome analysis of self-expandable metallic stents in central airway obstruction: a cohort study. J Cardiothorac Surg. 2011 Dec;6(1):46.
Ost DE, Shah AM, Lei X, Godoy MCB, Jimenez CA, Eapen GA, et al. Respiratory Infections Increase the Risk of Granulation Tissue Formation Following Airway Stenting in Patients With Malignant Airway Obstruction. Chest. 2012 Jun;141(6):1473–81.