Pulmonary Procedure

Rigid Bronchoscopy and Tumor Debulking

Rigid Bronchoscopy is a procedure that involves the use of a rigid bronchoscope, a stiff, straight tube inserted into the trachea and large bronchi (airways) to examine the lungs and air passages. Unlike flexible bronchoscopy, which uses a flexible tube, rigid bronchoscopy allows for greater control, larger airway access, and the ability to use larger instruments. It is often used for therapeutic interventions, including tumor debulking.

Tumor Debulking:

Tumor debulking refers to the removal or reduction of a tumor mass that is obstructing the airways. The goal of this procedure is not necessarily to remove the entire tumor but to clear enough of the blockage to improve airflow and alleviate symptoms such as:

• Severe shortness of breath
• Coughing, often with blood (hemoptysis)
• Wheezing or stridor
• Recurrent lung infections

Procedure:

During rigid bronchoscopy, the patient is placed under general anesthesia. The rigid bronchoscope is introduced through the mouth and into the airways. Various instruments can be used through the scope to:

• Remove the tumor tissue mechanically
• Burn or vaporize the tumor using laser therapy (laser debulking)
• Apply electrocautery or cryotherapy to destroy the tumor tissue

Debulking is especially helpful for patients with tumors that are too large for curative surgery or when other treatments, such as chemotherapy or radiotherapy, have not successfully reduced the tumor mass.