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Laser Assisted Endoscopic Removal of Lower Tracheal Tumour

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

Editor Recruited By: Sanjay Parikh, MD, FACS

DOI: http://dx.doi.org/10.17797/jt8idqw53j

Laser Assisted Endoscopic Removal Of Lower Tracheal Tumour
Increasing Dyspnoea and Airway obstruction
Vascular Tumour Tracheal Tumour extending outside trachea
Supine On Operating table / Total Intravenous Anaesthesia /Cannulation for potential ECMO KTP Laser 5 watts continuous mode
CT Scan with Contrast to assess extent and vascularity ECMO /Cardiothoraic surgeon on standby in case of significant tracheal bleeding
Total Intravenous Anaesthesia important to maintain smooth anaesthesia and oxygenation during the laser removal
Avoidance of Thoracotmy / Open surgery Very Difficult to control haemorrhage in distal trachea if it develops
Laser Fire Severe blood loss laser fire Death inadequate removal tumour
no conflicts no disclosures
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Review Laser Assisted Endoscopic Removal of Lower Tracheal Tumour.

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