Endoscopic interventions in patients with tracheal tumors

The purpose of the study is results evaluation of endoscopic treatment of patients with tracheal tumors. Material and methods. Between 2003-2023 years, 61 patients with tracheal tumors (31 men, 16 women) endoscopic interventions were performed. The duration of the age ranged from 16 to 78 years (mean 57,45±13,59 years). In 27 (62,3%) patients were suffered from secondary tracheal tumors. Results. In patients with benign tracheal tumors, the tumor was removed by using of mechanical debulking or electrosurgical incision. The malignant tumor was removed by using polypectomy snare and argonplasma coagulation (1). In another cases of malignant tracheal tumors stent placement was performed (33 - fully covered self-expandable metal stents, 8 - silicone Dumon stent). In 31 patients the interventions were performed under local anesthesia with neuroleptanalgesia. All interventions successful and didn’t get complications. In three cases after fully covered self-expandable metal stent insertion we had complications. Re-intervention «stent in stent» were performed in two cases (in one case - thrice). Conclusion. Endoscopic interventions in patients with tracheal tumors are aimed at restoring and maintaining its patency and are highly effective and safe. The choice of the way to restore and maintain patency depends on the hospital equipment and the preference of the endoscopist. Metal self-expanding stents insertion in patients with spontaneous breathing, especially in critical stenoses, is safe, due to the risk of asphyxia in cases of total intravenous anesthesia.