Diode laser in the endoscopic treatment of obstructive airway disease: two years experience in Istanbul

Thorac Cardiovasc Surg. 2012 Mar;60(2):140-4. doi: 10.1055/s-0030-1270996. Epub 2011 Apr 21.

Abstract

Aim: Laser therapy is a well-known technique which has been safely used for almost thirty years to treat endobronchial obstruction. Nd : YAG and Nd : YAP lasers are commonly used lasers, whose safety and efficacy have been investigated in several large series. Diode laser is a new laser system which has been mainly used in urology, endovascular surgery, ENT, and dermatology. In recent years it has been effectively used in endobronchial treatments.

Material and method: In this study, 61 patients who underwent endobronchial treatment with a diode laser in the Interventional Pneumology Unit of our hospital were retrospectively evaluated. Fifty-one patients were male. Mean age was 54.72 ± 13.81 years, and a total of 90 laser applications were given. In 39 cases, palliation of a malign obstruction was achieved while cure was achieved in 19 cases with benign obstruction. No major complication other than minor hemorrhage in 4 cases and temporary hypoxia in 2 cases was observed.

Conclusion: Diode laser can be used as an effective and safe modality for endobronchial treatment.

MeSH terms

  • Adult
  • Aged
  • Airway Obstruction / diagnosis
  • Airway Obstruction / etiology
  • Airway Obstruction / mortality
  • Airway Obstruction / surgery*
  • Bronchoscopy* / adverse effects
  • Bronchoscopy* / mortality
  • Female
  • Humans
  • Laser Therapy / adverse effects
  • Laser Therapy / instrumentation*
  • Laser Therapy / mortality
  • Lasers, Semiconductor* / adverse effects
  • Male
  • Middle Aged
  • Palliative Care
  • Retrospective Studies
  • Survival Analysis
  • Time Factors
  • Treatment Outcome
  • Turkey