Study objectives: Advances in bronchoscopic
electrosurgery have allowed its application in the outpatient setting
in patients who otherwise would have required Nd-YAG laser
photoresection (LPR) in the operating room. We intended to evaluate the
impact of endobronchial electrosurgery (EBES) on the need for Nd-YAG
LPR on patients with symptomatic airway lesions.
Design: Prospective observational case series.
Participants: One hundred eighteen evaluations for LPR were
performed. Forty-seven evaluations (40%) were considered to be
amendable to EBES and were treated during the initial bronchoscopy. The
remaining patients underwent LPR.
bronchoscopy suite at the Cleveland Clinic Foundation, Cleveland,
Results: Of the 47 procedures, 42 (89%) were
successful in alleviating the obstruction, thus eliminating the need
for LPR. No major complications were encountered.
Conclusion: EBES can be performed safely in the outpatient
setting and is an effective procedure in treating select endobronchial
lesions. EBES eliminated the need for LPR in 36% of such procedures
with a potential for significant time and cost