Laser resection of adenocarcinoma of the tracheal bifurcation.
A 55-year-old male patient was referred by an oncologist for diagnostic bronchoscopy with biopsy. Chest CT (16.09.2024) demonstrated an endobronchial mass lesion in the tracheobronchial angle region. Fiberoptic bronchoscopy revealed a bulky tumor at the carina, causing approximately 75% obstruction of the main bronchi.
Histomorphological examination confirmed a well-differentiated adenocarcinoma. In order to restore airway patency, laser resection of the tumor was performed.
Under general anesthesia, a Friedel rigid bronchoscope (tube No. 13) was introduced into the trachea. The tumor was initially treated with low-power diode laser (16–18 W), followed by high-power laser ablation (20–22 W) and removal of tumor tissue using rigid alligator forceps.
The patient spent one postoperative bed day and was discharged in satisfactory condition under oncologic follow-up.
- Chest CT (lung window) 2 weeks prior to resection.
- CT Chest (window) 2 weeks prior to resection.
- Laser resection
გულმკერდის კტ რეზექციამდე (Axial)
გულმკერდის კტ რეზექციამდე (Coronal).
