Laser Assisted Endoscopic Removal of Lower Tracheal Tumour
Video Type: CVideo- 2-5 min videos of a particular surgery or technique. These again show major events in the surgery
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Author: John Russell
Published:
Specialties: Global Surgery, Otolaryngology
Schools: Our Ladys Hospital for sick Children Dublin Ireland
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Loading...This video shows a KTP laser assisted endoscopic excision of a myofibroblastic lower tracheal tumour.
Editor Recruited By: Sanjay Parikh, MD, FACS
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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