Laser Assisted Endoscopic Removal of Lower Tracheal Tumour

Video Type: CVideo
Author: John Russell
Published: January 9, 2016
Specialties: Global Surgery, Otolaryngology
Schools: Our Ladys Hospital for sick Children Dublin Ireland

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Basic Info

This video shows a KTP laser assisted endoscopic excision of a myofibroblastic lower tracheal tumour.

Advanced

Procedure

Laser Assisted Endoscopic Removal Of Lower Tracheal Tumour

Indications

Increasing Dyspnoea and Airway obstruction

Contraindications

Vascular Tumour
Tracheal Tumour extending outside trachea

Instrumentation

Setup

Supine On Operating table / Total Intravenous Anaesthesia /Cannulation for potential ECMO
KTP Laser 5 watts continuous mode

Preoperative Workup

CT Scan with Contrast to assess extent and vascularity
ECMO /Cardiothoraic surgeon on standby in case of significant tracheal bleeding

Anatomy and Landmarks

Total Intravenous Anaesthesia important to maintain smooth anaesthesia and oxygenation during the laser removal

Advantages/Disadvantages

Avoidance of Thoracotmy / Open surgery
Very Difficult to control haemorrhage in distal trachea if it develops

Complications/Risks

Laser Fire
Severe blood loss
laser fire Death inadequate removal tumour

Disclosure of Conflicts

no conflicts no disclosures

Acknowledgements

none

References

none

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