Bronchoscopic submucosal dissection with Hybrid Knife: a new technique treating tracheal leiomyoma

Gu, Chuanjia; Chen, Junxiang; Zheng, Xiaoxuan; Sun, Jiayuan

doi:10.1093/ejcts/ezab040

Cited by 2 publications

(2 citation statements)

References 4 publications

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“…Additionally, the submucosal water cushion formed by the hybrid knife acts as a protective barrier for the surrounding tissue and reduces the perforation risk. Previous use of the hybrid knife has shown promising outcomes after the resection of recurrent lesions of benign tracheal tumors in two patients ( 16 , 22 ). This procedure involves the creation of a submucosal tunnel using a water jet, followed by circumferential dissection of the lesion.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic submucosal dissection of endobronchial leiomyoma with a hybrid knife in an adolescent patient: a case report

Wang,

Hou

2023

Front. Oncol.

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Endobronchial leiomyomas are uncommon benign tracheobronchial tumors. Bronchoscopic intervention is a safe and effective strategy for patients with contraindications for surgery or refusal to undergo surgery. Endoscopic submucosal dissection (ESD) is widely used to treat early gastrointestinal tumors. The novel hybrid knife is useful during ESD owing to functions of submucosal injections, lesion dissection and hemostasis, and makes ESD more convenient. Here, we report a case of a benign leiomyoma at the orifice of RB7 in an adolescent boy. The diagnosis was confirmed based on bronchoscopic and pathological findings. The patient was successfully treated with combined electrocautery snare and cryoresection, ESD using a hybrid knife and the wound was managed with argon plasma coagulation. The postoperative course was satisfactory, with a good general condition and no severe respiratory symptoms. This is, to our knowledge, the first reported case of ESD using a hybrid knife to treat an endobronchial leiomyoma in an adolescent patient.

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Section: Discussionmentioning

confidence: 99%

Endoscopic submucosal dissection of endobronchial leiomyoma with a hybrid knife in an adolescent patient: a case report

Wang,

Hou

2023

Front. Oncol.

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“…Over the past few years, a novel tool has emerged with the potential of performing more precise cuts. 10 37 Treatment of NMCAO with Hybrid Knife (HK) combines incision and coagulation by electrical excision ( Fig. 5 ).…”

Section: Choosing Wisely … a Tailored Approach For Challenging Casesmentioning

confidence: 99%

Nonmalignant Central Airway Obstruction: Options for Challenging Cases

Abia‐Trujillo

Fernández-Bussy

2022

Semin Respir Crit Care Med

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Benign central airway obstruction is commonly referred as nonmalignant central airway obstruction (NMCAO). This is in part related to its lack of benign nature and significant life-quality impairment in patients. It is a pathologic entity with various etiologies and therefore a wide range of therapeutic options are available. Evidence regarding the optimal management that could provide a sustained restoration of airway patency is lacking. The lack of a common pathophysiologic pathway translating into a nonspecific symptom presenting as NMCAO has complicated treatment standardization and subsequently limited solid research to favor of one approach over another one. Our intent is to describe the limited evidence of the most utilized nonsurgical treatment for NMCAO as well as some upcoming promising therapeutic options such as mitomycin C injection, microdebrider, biodegradable stents, radiotherapy, Hybrid Knife, and endoluminal spray cryotherapy. Our goal with this manuscript is to motivate other authors to venture into prospective, multicenter, open-label trials aimed to describe long-term outcomes in patients with NMCAO.

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Bronchoscopic submucosal dissection with Hybrid Knife: a new technique treating tracheal leiomyoma

Cited by 2 publications

References 4 publications

Endoscopic submucosal dissection of endobronchial leiomyoma with a hybrid knife in an adolescent patient: a case report

Endoscopic submucosal dissection of endobronchial leiomyoma with a hybrid knife in an adolescent patient: a case report

Nonmalignant Central Airway Obstruction: Options for Challenging Cases

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