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Bronchoscopic cryotherapy in the treatment of endobronchial typical carcinoid
Faculty
Medicine
Year:
2023
Type of Publication:
ZU Hosted
Pages:
Authors:
Karim Mohamed Medhat Abdel Razek Fakharany
Staff Zu Site
Abstract In Staff Site
Journal:
The Egyptian Journal of Hospital Medicine ain shams university
Volume:
Keywords :
Bronchoscopic cryotherapy , , treatment , endobronchial typical carcinoid
Abstract:
Background: Lung carcinoid tumors are low grade cancerous tumours that develop from neuroendocrine cells that have become more common recently. Endobronchial bronchoscopic cryotherapy has gained interest by cardiothoracic surgeons as an alternative to the surgical bronchotomy. Objective: To assess the efficacy of bronchoscopic cryotherapy in the treatment of endobronchial typical carcinoid. Patients and Methods: A prospective comparative study, included 30 patients presented with endobronchial typical carcinoid from the January 2021to the August2022. Patients were randomly divided into two equal groups. Group (A) patients who had excision of the endobrochial mass using bronchscopic cryotherapy, and group(B) patients who had excision of the endobrochial mass using open surgical bronchotomy. Follow up of the patients was performed on regular basis clinically, radiologically and by bronchoscopic evaluation. Results: The final analysis included 30 patients divided in 2 groups. Hospitalization period was shorter in group (A) (6±2hours), than in group(B) (8±3hours) showing a statistically significant difference. There was a high statistically significant difference between both groups regarding the postoperative scar presence (0% in group A vesurs 100% in group B). Intraoperative and peri-operative data showed a non-significant difference (p>0.05) between both studied groups. Conclusion: Bronchoscopic cryotherapy is an efficient and safe procedure for the excision of endobronchial typical carcinoid.
Author Related Publications
Karim Mohamed Medhat Abdel Razek Fakharany, "Primary Bony Chest Wall Tumors. Experience in One Center", Journal of the Egyptian Society of Cardio-Thoracic Surgery 21 Jan - March (2013), 2013
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Karim Mohamed Medhat Abdel Razek Fakharany, "Pleural fluid CRP, LDH, and pH as predictors of successful pleurodesis in malignant pleural effusions", Egypt. J. Chest Dis.Tuberc, Volume 64, issue 3, July 2015, Pages 593-599, 2015
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Karim Mohamed Medhat Abdel Razek Fakharany, "The impact of total arterial revascularization off pump coronary bypass grafting in impaired left ventricular function", Journal of the Egyptian Society of Cardio-Thoracic Surgery Volume 25, Issue 3, September 2017, Pages 177-184. Doi: 10.1016/j.jescts.2017.05.005. And , 2017
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Karim Mohamed Medhat Abdel Razek Fakharany, "The affection of trans-valvular gradient on patient outcome in cases of severe aortic stenosis with impaired left ventricular function", Journal of the Egyptian Society of Cardio-Thoracic Surgery Volume 25, Issue 3, September 2017, Pages 204-209. Doi: 10.1016/j.jescts.2017.05.006 AND Ac, 2017
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Karim Mohamed Medhat Abdel Razek Fakharany, "Pre and post-operative diagnosis of lung cancer Patients: Is there a concordance?", Egypt. J. Chest Dis.Tuberc, Volume 66, Issue 3, July 2017, Pages 465-469 Doi.org/10.1016/j.ejcdt.2016.08.013., 2017
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