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KMID : 1140320200040030099
Precision and Future Medicine
2020 Volume.4 No. 3 p.99 ~ p.106
Review of a 10-year experience of rigid bronchoscopy at a tertiary centre in Singapore
Verma Akash

Tai Dessmon Y. H.
Goh Soon-Keng
Goyal Rajiv
Kor Ai Ching
Ng Alan W. K.
Abstract
Purpose: No report of rigid bronchoscopy (RB) has been described from Singapore.

Methods: We did a retrospective review of medical records of patients undergoing RB between November 2009 and November 2019 at Tan Tock Seng Hospital.

Results: 135 patients underwent 203 RB. RB was done for malignant central airway obstruction (MCAO) in 91 and benign diseases in 44 patients. The techniques used were Nd: YAG laser (n= 56), stenting (n= 63), transbronchial needle aspiration (n= 5), clot removal (n= 9), ballooning (n= 15), argon plasma coagulation (n= 5), and electrocautery (n= 37). Procedural complications occurred in three (2.2%). Median survival was 10.1 months (interquartile range [IQR], 2.2 to 45.3) in the whole group, 7.8 (IQR, 2 to 18.3) in MCAO and 42.6 (IQR, 8.9 to 77.5) in benign diseases respectively. Twenty-two (16.3%) patients requiring intensive care unit survived for 7.1 months (IQR, 1.6 to 9.8) after RB. Twenty-eight (21%) patients required repeat RB 68 times. Of these 34 (50%) were for granulation tissue removal.

Conclusion: RB was safe and improved survival however, the demand was low. The most common indications were re-canalization of MCAO and granulation tissue removal. The later was the most resource consuming indication for repeat RB. Future research should focus on minimization of granulation tissue formation.
KEYWORD
Bronchoscopy, Central airway obstruction, Lasers, Lung neoplasms, Stents
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