1987 Volume 9 Issue 2 Pages 142-146
Two cases treated with endoscopic Nd-YAG Laser for airway stenosis caused by granulomatous changes of anastomosis after sleeve lobectomy were reported. Case 1. A 65-year-old man complained of a dry cough five months after right upper sleeve lobectomy, and bronchoscopic examination revealed severe stenosis due to granulation at the anastomotic site. After admission Nd-YAG Laser irradiation (12, 500 Joules) via a bronchofiberscope removed the granulomatous tissue. The airway was completely reopened and good patency has been maintained four months since the last laser treatment. Case 2. A 55-year-old man complained of a dry cough and bloody sputum five months after right upper sleeve lobectomy. His right main stem bronchus was obstructed by granulomatous tissue at the anastomotic site. After Nd-YAG Laser irradiation of 3, 648 Joules, the airway was successfully reopened and his complaints disappeared. Good patency of the bronchial anastomotic portion had been maintained for 41 months until his death due to recurrence of lung cancer. We think that Nd-YAG Laser can be useful for the treatment of stenosis due to granulomatous tissue after bronchoplastic surgery.