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Principles
Introduction
Objectives
Anatomic constraints : Topography
Tracheo-bronchial tree
Upper airway
Segmental & sub-segmental divisions
Trachea and carina
Trachea
Cervical trachea
Thoracic trachea
Carina
Right bronchial tree
Right main stem bronchus
Right upper lobe bronchus
Bronchus intermedius
Middle lobe bronchus
Right lower lobe bronchus
Left bronchial tree
Left main stem bronchus
Left upper lobe bronchus
Left lower lobe bronchus
Normal rigid Bronchoscopy
Anatomic constraints : Relationships
Cervical trachea
Thoracic trachea
Carina
Right main stem bronchus
Right upper lobe bronchus
Intermedius, middle & lower bronchi
Left main stem bronchus
Left upper lobe bronchus
Left lower lobe bronchus
Consequences
Physiologic constraints
Installations
Sterilization room
Interventional endoscopy Suite
Equipment
Operating table
Anesthesia and patient monitoring
Fiberoptic and Videoendoscope
Rigid bronchoscope
Ancillary equipment
Optics
Video Equipment
Laser
Team
Medical team
Nursing and technical staff
Technique
Pre-operating consultation
Clinical Assessment
Radiological assessment
Endoscopic assessment
Scheduling
Palliative treatment
Curative intent
Anesthesia
Intubation
Resection
Basic principles of laser resection
Introduction
Coagulation
Resection
Hemostasis
Secretions, blood and debris
Mechanical debridement
Dilatation
Scissors, scalpel and forceps
Resector
Stents
Montgomery® T tube
Silicone stents
Metallic stents
Preventing complications
Recovery
Post-operative follow-up
Indications
Tumors
Malignant
Introduction
Tracheal : Extrinsic compression
Tracheal : Endoluminal disease
Tracheal : Thyroid tumors
Tracheal : Esophageal cancer
Carinal
Right main stem
Left main stem
Left lower lobe
Br. intermedius and right lower lobe
Uncertain prognosis
Carcinoid
Cylindromas
Mucoepidermoid tumors
Benign
Papillomas
Hamartomas
Lipomas
Amyloidosis
Stenosis
Tracheal stenosis
Web-like stenosis
Collar stenosis
Role of surgery
Complex stenosis
Sub-glottic pseudomembranes
Sub-glottic stenosis
Tracheal granulomas
Tracheomalacia
Laser treatment of malacia
Bronchial stenosis
Foreign Bodies
Hemorrhage
Miscellaneous
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