Skip to main content

Bronchoscopy: Rigid and Flexible

  • Chapter
  • First Online:
Tips and Tricks in Thoracic Surgery

Abstract

Bronchoscopy is an essential skill all practicing thoracic surgeons should acquire during their training. The interpretation of findings of bronchoscopy and therapeutic bronchoscopy has significant implications in the management and outcome of many parenchymal and diseases of tracheobronchial tree. Flexible bronchoscopy allows assessments of airways as well as some therapeutic manoeuvres that are mainly performed by the physicians. The advancement in minimally invasive endoscopic surgery has taken place in recent years allowing many additional bronchoscopic procedures such as endobronchial ablation, stenting of the airways and endobronchial valve placements for emphysema.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Warren W, Faber P. Bronchoscopic evaluation of the lungs and tracheobronchial tree. In: Shields T, LoCicero J, Reed C, Fiens R, editors. General thoracic surgery. Philadelphia: Lippincott Williams & Wilkins; 2009. p. 286–7.

    Google Scholar 

  2. Ikeda S, Yanai N, Ishikawa S. Flexible bronchofiberscope. Keio J Med. 1968;17:1–16.

    Article  PubMed  CAS  Google Scholar 

  3. Abbas AE. Endoscopy: bronchoscopy and esophagoscopy. In: Kaiser LR, Kron IL, Spray TL, editors. Mastery of cardiothoracic surgery. Philadelphia: Lippincott-Raven; 2013. p. 4–13.

    Google Scholar 

  4. Grillo H. Diagnostic endoscopy. In: Grillo H, editor. Surgery of trachea and bronchi. London: BC Decker; 2004. p. 162–70.

    Google Scholar 

  5. Du Rand IA, Blaikley J, Booton R, Chaudhuri N, Gupta V, Khalid S, Mandal S, Martin J, Mills J, Navani N, Rahman NM, Wrightson JM, Munavvar M. British Thoracic Society guideline for diagnostic flexible bronchoscopy in adults: accredited by NICE. Thorax. 2013;68(Suppl 1):i1–i44.

    Article  PubMed  Google Scholar 

  6. Holty JE, Kuschner WG, Gould MK. Accuracy of transbronchial needle aspiration for mediastinal staging of non-small cell lung cancer: a meta-analysis. Thorax. 2005;60:949–55.

    Article  PubMed  PubMed Central  Google Scholar 

  7. Tournoy KG, Annema JT, Krasnik M, Herth FJ, van Meerbeeck JP. Endoscopic and endobronchial ultrasonography according to the proposed lymph node map definition in the seventh edition of the tumor, node, metastasis classification for lung cancer. J Thorac Oncol. 2009;4:1576–84.

    Article  PubMed  Google Scholar 

  8. Petrou M, Goldstraw P. The management of tracheobronchial obstruction: a review of endoscopic techniques. Eur J Cardiothorac Surg. 1994;8:436–41.

    Article  PubMed  CAS  Google Scholar 

  9. Du Rand IA, Barber PV, Goldring J, Lewis RA, Mandal S, Munavvar M, Rintoul RC, Shah PL, Singh S, Slade MG, Woolley A. British Thoracic Society guideline for advanced diagnostic and therapeutic flexible bronchoscopy in adults. Thorax. 2011;66(Suppl 3):iii1–21.

    PubMed  Google Scholar 

  10. Hooper RG. Electrocautery in endobronchial therapy. Chest. 2000;117:1820–1.

    Article  PubMed  CAS  Google Scholar 

  11. Okada S, Yamauchi H, Ishimori S, Satoh S, Sugawara H, Tanaba Y. Endoscopic surgery with a flexible bronchoscope and argon plasma coagulation for tracheobronchial tumors. J Thorac Cardiovasc Surg. 2001;121:180–2.

    Article  PubMed  CAS  Google Scholar 

  12. Venuta F, Rendina EA, De GT, Mercadante E, Francioni F, Pugliese F, Moretti M, Coloni GF. Nd:YAG laser resection of lung cancer invading the airway as a bridge to surgery and palliative treatment. Ann Thorac Surg. 2002;74:995–8.

    Article  PubMed  Google Scholar 

  13. Moghissi K, Dixon K, Thorpe JA, Stringer M, Oxtoby C. Photodynamic therapy (PDT) in early central lung cancer: a treatment option for patients ineligible for surgical resection. Thorax. 2007;62:391–5.

    Article  PubMed  Google Scholar 

  14. Maiwand MO, Homasson JP. Cryotherapy for tracheobronchial disorders. Clin Chest Med. 1995;16:427–43.

    PubMed  CAS  Google Scholar 

  15. Stout R, Barber P, Burt P, Hopwood P, Swindell R, Hodgetts J, Lomax L. Clinical and quality of life outcomes in the first United Kingdom randomized trial of endobronchial brachytherapy (intraluminal radiotherapy) vs. external beam radiotherapy in the palliative treatment of inoperable non-small cell lung cancer. Radiother Oncol. 2000;56:323–7.

    Article  PubMed  CAS  Google Scholar 

  16. Venuta F, De GT, Rendina EA, Ciccone AM, Diso D, Perrone A, Parola D, Anile M, Coloni GF. Bronchoscopic lung-volume reduction with one-way valves in patients with heterogenous emphysema. Ann Thorac Surg. 2005;79:411–6.

    Article  PubMed  Google Scholar 

  17. Shah PL, Zoumot Z, Singh S, Bicknell SR, Ross ET, Quiring J, Hopkinson NS, Kemp SV. Endobronchial coils for the treatment of severe emphysema with hyperinflation (RESET): a randomised controlled trial. Lancet Respir Med. 2013;1:233–40.

    Article  PubMed  Google Scholar 

Download references

Acknowledgements

Late Mr FJ Collins for imparting the wisdom of bronchoscopic techniques to many consultants in the United Kingdom.

Akhash V Rathinam for illustrations.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Sridhar Rathinam FRCS.Ed. (CSiG), FRCS.Ed. (CTh) .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer-Verlag London Ltd., part of Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Rathinam, S. (2018). Bronchoscopy: Rigid and Flexible. In: Parikh, D., Rajesh, P. (eds) Tips and Tricks in Thoracic Surgery. Springer, London. https://doi.org/10.1007/978-1-4471-7355-7_22

Download citation

  • DOI: https://doi.org/10.1007/978-1-4471-7355-7_22

  • Published:

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-7353-3

  • Online ISBN: 978-1-4471-7355-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics