Hardavella Georgia, George Jeremy
Dept of Thoracic Medicine, University College London Hospitals, London, UK ; Dept of Respiratory Medicine, King's College Hospital, London, UK.
Dept of Thoracic Medicine, University College London Hospitals, London, UK.
Breathe (Sheff). 2015 Sep;11(3):202-12. doi: 10.1183/20734735.008415.
Interventional bronchoscopy is a rapidly expanding field in respiratory medicine offering minimally invasive therapeutic and palliative procedures for all types of lung neoplasms. This field has progressed over the last couple of decades with the application of new technology. The HERMES European curriculum recommendations include interventional bronchoscopy skills in the modules of thoracic tumours and bronchoscopy [1]. However, interventional bronchoscopy is not available in all training centres and consequently, not all trainees will obtain experience unless they rotate to centres specifically offering such training. In this review, we give an overview of interventional bronchoscopic procedures used for the treatment and palliation of thoracic malignancy. These can be applied either with flexible or rigid bronchoscopy or a combination of both depending on the anatomical location of the tumour, the complexity of the case, bleeding risk, the operator's expertise and preference as well as local availability. Specialised anaesthetic support and appropriately trained endoscopy staff are essential, allowing a multimodality approach to meet the high complexity of these cases.
介入性支气管镜检查是呼吸医学中一个迅速发展的领域，为各类肺部肿瘤提供微创治疗和姑息治疗程序。在过去几十年里，随着新技术的应用，该领域取得了进展。欧洲HERMES课程建议在胸部肿瘤和支气管镜检查模块中纳入介入性支气管镜检查技能[1]。然而，并非所有培训中心都能开展介入性支气管镜检查，因此，并非所有学员都能获得相关经验，除非他们转到专门提供此类培训的中心。在本综述中，我们概述了用于治疗和缓解胸部恶性肿瘤的介入性支气管镜检查程序。这些程序可根据肿瘤的解剖位置、病例的复杂性、出血风险、操作者的专业知识和偏好以及当地的可用性，采用软性或硬性支气管镜检查，或两者结合使用。专业的麻醉支持和经过适当培训的内镜工作人员至关重要，这使得能够采用多模式方法来应对这些高度复杂的病例。
