Bronchoscopy Unit and Interventional Procedures
Bronchoscopy is an imaging method to display the trachea and bronchus guided by a lighted system and to collect, when necessary, samples from tissues and cells. It can be applied in two different ways: Flexible fiberoptic bronchoscopy and rigid bronchoscopy.
It is a type of endoscopy methods that has been employed since 1967 and can be easily applied with advancing technology and highly developed current video imaging technologies. It allows imaging of reachable sections of bronchial tree and collecting samples. Fiberoptic bronchoscopy can easily and safely be applied at our center under local anesthesia using light sedative drugs.
Differently from flexible bronchoscopy, it is performed under general anesthesia. It is mostly chosen for therapeutic bronchoscopy applications. However, it can also be used for diagnostic purposes in tumors at high risk of bleeding, patients that require removal of a foreign body, or in patient groups that may develop some critical shortness of breath.
It is a treatment approach develop by French Doctor Dumon and widely used since midst eighties. Malignant and benign obstructions of main airway are basic indications of endobronchial treatment methods. Interventional bronchoscopic methods are widely used for a vast range of clinical benefits in any lesions obstructing the airway from post-intubation tracheal stenosis (tracheal stenosis after intensive care) to benign tumors or malignant obstruction of tracheobronchial tree.
Particularly, recovery can be achieved in post-intubation and post-tracheostomy stenosis, benign tumors of trachea and bronchial tree. The primary requirement to safely and effectively work on these patients is to be familiar with and perform rigid bronchoscopy. However, it is required to have control over both of the bronchoscopes and technical and personal knowledge for switching from one to the other rapidly and skillfully when necessary in order to correctly and safely advance in interventional procedures.
Depending on the quality of healthcare organization, being acquainted with limits of a wide range of applications from a fully equipped interventional bronchoscopy to fiberoptic bronchoscope and electrocautery may be life saving for many patients. However, the basic requirement is a robust unit with which we can easily and readily use a fully equipped rigid bronchoscopy when necessary such as procedures that we need to consider patient safety first, e.g. stent insertions and laser.
Identification of early stage bronchial malignant lesions is another field of diagnostic interventional bronchoscopy practices.
The teams of interventional bronchoscopy, thoracic surgery, radiation, and medical oncology work in cooperation and perform very successful operations for any tracheal stenosis. In many patients with tracheal stenosis following intensive care stay, common opinion of surgical and bronchoscopy teams may provide cure where tracheal cannula cannot be terminated.
Our Interventional Bronchoscopy Unit is able to perform laser applications and stent deployment with rigid bronchoscopy, bronchoscopic volume reduction, and treat emphysema and COPD. With proven success in thoracic surgeries, our center is a candidate to become a global center by combining both of the approaches to tracheal procedures. Our hospital serves as a solution center particularly for post-intubation and post-tracheostomy stenosis, tracheal cannulas that cannot be terminated, and benign tumors of trachea
Whole Lung Lavage
In some lung diseases, the alveoli are filled with a substance containing protein, resulting in respiratory syndrome. Alveolar proteinosis or acute silicosis is example of this case. The lungs must be flushed by a specific method under general anesthesia to empty alveoli. This procedure is called “whole lung lavage”. Our center performs whole lung lavage in cooperation with Intensive Care and Anesthesia Units.