The heat is on: impact of endobronchial electrosurgery on the need for Nd-YAG laser photoresection

Chest. 2000 Aug;118(2):516-21. doi: 10.1378/chest.118.2.516.


Study objectives: Advances in bronchoscopic electrosurgery have allowed its application in the outpatient setting in patients who otherwise would have required Nd-YAG laser photoresection (LPR) in the operating room. We intended to evaluate the impact of endobronchial electrosurgery (EBES) on the need for Nd-YAG LPR on patients with symptomatic airway lesions.

Design: Prospective observational case series.

Participants: One hundred eighteen evaluations for LPR were performed. Forty-seven evaluations (40%) were considered to be amendable to EBES and were treated during the initial bronchoscopy. The remaining patients underwent LPR.

Setting: Outpatient bronchoscopy suite at the Cleveland Clinic Foundation, Cleveland, OH.

Results: Of the 47 procedures, 42 (89%) were successful in alleviating the obstruction, thus eliminating the need for LPR. No major complications were encountered.

Conclusion: EBES can be performed safely in the outpatient setting and is an effective procedure in treating select endobronchial lesions. EBES eliminated the need for LPR in 36% of such procedures with a potential for significant time and cost savings.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Airway Obstruction / etiology
  • Airway Obstruction / pathology
  • Airway Obstruction / surgery*
  • Ambulatory Surgical Procedures / methods*
  • Bronchoscopy*
  • Electrosurgery / instrumentation*
  • Equipment Design
  • Female
  • Humans
  • Laser Coagulation / methods*
  • Male
  • Middle Aged
  • Observation
  • Prospective Studies
  • Treatment Outcome