Author of

• 16722

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  P1.04 - Poster Session with Presenters Present (ID 456)

  • Event: WCLC 2016
  • Type: Poster Presenters Present
  • Track: Pulmonology
  • Presentations: 1
  • Moderators:
  • Coordinates: 12/05/2016, 14:30 - 15:45, Hall B (Poster Area)

  • 16726

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    P1.04-004 - Bronchocopic Cryosurgery with Carbon Dioxide; Experience in an Oncology Clinic in Colombia (ID 5528)

    14:30 - 14:30  |  Author(s): J.C. Rojas Puentes
    • Abstract

    Background:
    The bronchoscopic cryosurgery with carbon dioxide is a groundbreaking tool in the diagnostic treatment of respiratory diseases. It has shown to be of great usefulness at a reasonable cost, with multiple indications and few side effects. We described the experience in an oncology institution in Colombia.
    
    Methods:
    Medical histories, Bronchoscopies and images were reviewe from patients subjected to Bronchoscopic Cryosurgery. The procedures were performed at the "High-Tech Western Oncologist Clinic" in Pereira, Colombia with a highly trained medical staff from this clinic and from Neumovida Clinic from Armenia. Rigid and flexible Bronchoscopy video was made, and the equipment used in the cryotherapy was the Erbe Cryo 2 with the cryoprobe of 1.9 and 2.4 mm.
    
    Results:
    71 patients were found, 44 men, 27 women. Tracheal Recanalization to 11 patients, Bronchial Cryorecanalization to 24, Bronchial Cryobiopsy to 13, Tracheal Cryobiopsy to 7 and Pulmonary Cryobiopsy to 16 patients. Cryorecanalization was performed to 15 patients with tumors in the right lung and 9 in the left lung. Permeabilization of the Bronchial lumen was achieved to 22 patients at the same time the Bronchoscopy was being done. In 2 patients with Bronchial Obstruction the same procedure was achieved a week later. Pulmonary re-expansion and symptomatic control were achieved in 31 patients. Permeabilization of the bronchial lumen was achieved in 2 patients but not pulmonary re expansion. Silicone prosthesis were implanted to 9 patients with Tracheal lesions and 18 patients with Bronchial lesions. Differences between genders were not shown. There were not any important clinical complications associated with the procedures. Moderate bleeding with the pulmonary biopsy was control locally. In general the post operative evolution of the patients was satisfactory.
    
    Conclusion:
    The Bronchoscopic Cryosurgery has clear indications in patients with Central Airway Tumors, just as the diagnostic, therapeutic and palliatives purposes and in patients with interstitial compromise of presumable neoplasic or infectious origin. In our casuistry, the objective was achieved in all the patients that underwent the procedures such as tracheobronchial recanalization and extraction of tracheal, bronchial or pulmonary tissue with a significant symptomatic improvement with a low risk and low morbidity