Bronchology: Research, Diagnostic, And Therapeutic Aspects: Proceedings Of The Second World Congress For Bronchology, Held At Düsseldorf, Frg, 2?4 June 1980 (developments In Surgery)

Front Matter....Pages I-XXII Introduction....Pages 1-9 Front Matter....Pages 11-11 Diagnosis of Early Lung Cancer....Pages 13-14 Screening for Lung Cancer: A Progress Report on the Mayo Lung Project....Pages 15-17 Die Katheterbiopsie Nach Friedel Beim Peripheren Bronchialkarzinom....Pages 18-20 Early Diagnosis of Peripheral Bronchogenic Carcinoma by Cytological Examination of Catheter Biopsies....Pages 21-27 Comparative Study between the Macroscopic Pathological Findings and Bronchoscopical Findings and Difficulties in Detection of the Sites of Early-Stage Lung Cancer....Pages 29-32 Fluorescent Bronchoscopy: A New Technique and Further Results....Pages 33-35 The Reliability of Cytodiagnosis in Determining Malignancy and Histogenetic Tumour Type....Pages 37-42 Sputumcytologic Diagnosis of Early Roentgenologically Occult Bronchogenic Carcinoma....Pages 43-45 The Diagnosis of Precancerous Lesions and Multifocal Carcinoma of the Bronchial Epithelium with Fiberoptic Bronchoscopy....Pages 47-49 Bronchofiberscopic Observations on Bronchial Epithelium of Heavy Smoker (Follow-up Data to Preliminary Findings)....Pages 51-52 Fiberoptic Bronchoscopic Findings in Cases of Atypical Squamous Metaplasia....Pages 53-55 Vascular Patterns Observed via the Fiberoptic Bronchoscope in Cases of Lung Cancer....Pages 56-57 Early Detection of Hilar Type of Bronchogenic Carcinoma....Pages 59-60 Tumorous Diseases of the Trachea and Bronchi Giving No X-ray Shadow....Pages 61-63 Electronmicroscopic Study of Lung Cancer Specimen Biopsied by Large Channl Bronchofiberscope....Pages 65-67 Forceps-Biopsy Material — A Sample for Histologic and Cytologic Examination....Pages 69-71 Diagnostic Flexible Fiberoptic Bronchoscopy: Analysis of Results of Biopsy and Brush in 105 Patients....Pages 72-74 A Multimodal Diagnostic Approach to Lung Cancer....Pages 75-77 Some Aspects of the Research Work on Chronic Bronchitis in China....Pages 78-80 Front Matter....Pages 81-81 Bronchial Suctioning with the Flexible Bronchoscope....Pages 83-84 8. Therapeutic Bronchoscopy in the Operating Room and the Recovery Room....Pages 85-86 Transbronchial Lung Biopsy for Differential Diagnosis of Acute Pulmonary Failure....Pages 87-89 Diagnostic and Therapeutic Value of the Fiberoptic Bronchoscopic Procedures in the Intensive Care Unit and the Recovery Room....Pages 90-93 A Case of Severe Airway Burn Successfully Treated with the Fiberoptic Bronchoscope....Pages 95-96 Bronchoskopie-Intubation....Pages 97-98 Front Matter....Pages 99-99 Complications in Bronchological Investigations Using a Bronchofiberscope: Results of 9,413 Procedures....Pages 101-103 Prevalence and Treatment of Complications of 550 Fiberbronchoscopies....Pages 104-106 Complications Following Fiberoptic Bronchoscopy....Pages 107-109 A New Method for Treatment of Bronchial and Lung Bleeding....Pages 111-112 Complications Following Flexible Bronchofiberscopy — Prevention and Treatment of Endobronchial Bleeding after Biopsy....Pages 113-114 A Safety Position in Bronchofiberscopy....Pages 115-116 A New Double Lumen Endotracheal Tube for Fiberoptic Bronchoscopy....Pages 117-120 Oro-Tracheal Intubation Using the Double Lumen Tube....Pages 121-123 Cardiac Arrest as Complication of Bronchologic Investigation....Pages 124-126 Rhythmusstörungen bei Bronchoskopien....Pages 127-129 Cardiac Complications and Changes of Arterial Blood Gas Levels during Transbronchoscopic Lung Biopsy....Pages 130-131 Bloodless SO2 Monitoring to Prevent Complications in Bronchofiber-optic Procedures....Pages 133-134 Hypoxemia during Flexible Fiberbronchoscopy....Pages 135-136 Some Aspects of Complications on Transbronchial Lung Biopsy....Pages 137-138 Front Matter....Pages 99-99 Topical Anesthesia in a Large Number of Flexible Bronchoscopies....Pages 139-140 Hemodynamic Effects in Bronchoscopy during Ventilation Bronchoscopy and Sanders Venturi Ventilation....Pages 141-142 Intravenous Anaesthesia Techniques as an Alternative to Halothan Anaesthesia in Bronchoscopic Procedures....Pages 143-144 Front Matter....Pages 145-145 Bronchography in Pulmonary Diseases....Pages 147-149 Course of Bronchography from 1959 to 1979 in a Department of Chest Disease....Pages 151-152 Significance of Peripheral Bronchography on Coin Lesion....Pages 153-155 Tracheobronchial Tuberculosis Diagnosed by Bronchoscopy and Bronchography....Pages 156-157 Clinical Examination of Bronchial Tuberculosis as Distinguished from Lung Cancer....Pages 158-159 Die Möglichkeiten der Bronchographien mit dem Fiberbronchoskop....Pages 160-161 Selective Bronchography and Transbronchial Biopsy....Pages 162-164 A New Technique of Bronchography & its Clinical Application....Pages 165-166 Usefullness of Bronchography — with Special Emphasis on Delineation of Mucosal Changes of the Large Bronchus....Pages 167-169 Front Matter....Pages 171-171 Broncho-Alveolar Lavage(BAL) in 120 Patients with Sarcoidosis:Cellular Data and Relation with Serum Angiotensin Converting Enzyme(SACE)....Pages 173-175 The Validation and Use of Kveim Test Suspensions....Pages 176-178 Results of Different Biopsies in Sarcoidosis (Mediastinoscopy, Daniels’ Biopsy, Bronchial and Lung Biopsies)....Pages 179-183 A Comparison of Fibreoptic Transbronchial Lung Bionsy (TBB) with Other Techniques in the Diagnosis of Sarcoidosis....Pages 184-185 TBLB as a Diagnostic Procedure for Sarcoidosis in Japan — A Cooperative Study in Twenty-Four Hospitals....Pages 186-188 Transbronchial Lung Biopsy in Sarcoidosis....Pages 189-191 Bronchoscopy in the Diagnosis of Sarcoidosis....Pages 193-194 Diagnosis in Sarcoidosis: How Many Biopsies with Bronchoscopy?....Pages 195-197 Front Matter....Pages 171-171 Bronchoscopic Findings and Transbronchoscopic Lung Biopsy in Sarcoidosis....Pages 198-200 Bronchoscopy as a Tool in Diagnosing Sarcoidosis....Pages 201-202 Fiberoptic Eronchoscopic Findings in Sarcoidosis....Pages 203-205 Computed tomography versus conventional tomography of the thorax in the evaluation of abnormal lymph nodes....Pages 207-208 Vascular Change in Main Bronchi of Sarcoidosis....Pages 209-210 Front Matter....Pages 211-211 Flexible Bronchoscopy in Scandinavia — A Five Year Survey....Pages 213-216 Rigid or Flexible Bronchoscopy....Pages 217-220 Flexible or Rigid Bronchoscopy....Pages 221-224 Controversies in Flexible Fiberoptic Bronchoscopy....Pages 225-228 Front Matter....Pages 229-229 Results of PRE- and Postoperative Functional Evaluation in Tracheal Stenosis....Pages 231-233 Functional Appraisal of Bronchoplastic Operation....Pages 235-236 Diagnosis and Treatment of Tracheobronchomalacia with Asthmatic Attack....Pages 237-239 Diagnostic Meanings of MEFV-Curve for Patients with Stricture of Upper Airway: Value and Limitation of Empey’s Index....Pages 240-242 Endoskopische Befunde bei Trachealstenosen in Beziehung zu funktionell meßbaren Ventilationsstörungen vor und nach Therapie....Pages 243-245 Trachescopy Findings after Prolonged Intubation with the NL-Tracheostomy Tube....Pages 247-249 Use of Flexible Fiberoptic Bronchoscope in Palliative Treatment of Tracheal Strictures after Assisted Respiration....Pages 251-253 Traumatic Laryngotracheal Disruption Associated with Cricoid Fracture and Recurrent Nerve Injury....Pages 257-259 Bronchoplastic Procedures for Lung Cancer....Pages 261-264 Therapeutic Approach to Laryngo-Tracheal Injury in Post-Traumatic and Post-Intubation Main Airway Stenosis....Pages 265-267 Indication of Tracheobronchial Plasty for Lung Cancer....Pages 268-270 Front Matter....Pages 229-229 Tracheal Reconstruction with Perichondrial Grafts....Pages 271-273 Surgical Treatment and Bronchoscopic Findings in Patients with Tracheal Invasion by Thyroid Carcinoma....Pages 275-277 Surgical Management of Collar Tracheal Stenoses....Pages 278-280 Reconstruction of the Stenotic Airway — A New Approach....Pages 281-284 Eine experimentelle Studie über Anastomose im Tracheo-bronchialbereich in Hinsicht auf die Ultrastruktur....Pages 285-287 Studies on the Effect Upon Pulmonary Function of Denervation after Tracheo-Bronchoplasty....Pages 291-293 Postoperative Use of Fiberoptic Bronchoscope for Bronchoplastic Surgery on Lung Cancer....Pages 294-296 Front Matter....Pages 297-297 Thirty Years Experience with Perbronchial Fine Needle Aspiration....Pages 299-301 Possibilities Limitations in the Cytological Interpretation of Perbronchial Fine Needle Biopsies....Pages 303-306 Transbronchial Needle Aspiration Biopsy via the Fiberoptic Bronchoscope....Pages 307-309 Contribution of Diagnostic Needle Aspiration in Bronchoscopic Investigation....Pages 311-312 Transtracheale und Transbronchale Aspirationspunktion in Der Diagnostik Der Intrathorakalfn Erkrankungen....Pages 313-315 “Morphologie der Atemwegsobstruktion: Die Bedeutung der perbronchialen Biopsie”....Pages 316-319 “Bronchiale und perbronchiale Biopsien bei obstruktiven Lungenbzw. Bronchialerkrankungen”....Pages 320-321 Diagnostische Fragen Der Perbronchialen Lymphknotenpunrktion....Pages 322-324 Technique for transmural lymphnode aspiration biopsy during fiberbronchoscopy in local anesthesia in sarcoidosis....Pages 325-327 The Role of Computed Tomography in the Selection of Patients with Bronchogenic Carcinoma for Flexible Bronchoscopy and Regid Bronchoscopy....Pages 329-330 Front Matter....Pages 331-331 Transbronchial Lung Biopsy(TBB) in 433 Patients....Pages 333-334 Diagnostic Accuracy in Peripheral Lung Cancer Using Flexible Fiberoptic Bronchoscope....Pages 335-337 Our Experience with Transbronchial Segmental Biopsies....Pages 339-341 Front Matter....Pages 331-331 A Morphological Analysts of Transbronchial Segmental Biopsies....Pages 342-343 Diagnostic Value of Transbronchial Lung Biopsy(TBLB) for Diseases Showing Bilateral Diffuse Shadows on Chest Roentgenogram....Pages 344-346 Transbronchoscopic Lung Biopsy for Diffuse Pulmonary Diseases....Pages 347-349 Radiological and Pathological Correlations on the Endobronchial Submucosal Lesions Confirmed by Transbronchial Lung Biopsy....Pages 351-353 Transbronchial Biopsy of Peripheral Lung Cancer Using Fluoroscopic Guidance....Pages 354-357 Transbronchial Lung Biopsy: Personal Experience with Rigid and Fiberoptic Apparatus....Pages 358-360 Broncho-Alveolar Lavage and Transbronchial Lung Biopsy with Flexible Fiberoptic Bronchoscope....Pages 361-364 Front Matter....Pages 365-365 Advanced Bronchogenic Carcinoma — Control of Therapy by Bronchoscopy....Pages 367-370 Angiotensin Converting Enzyme Activity in the Course of Cytostatic Treatment of Inoperable Bronchogenic Carcinoma....Pages 371-374 Immunoglobulins in Patients with Evidenced Bronchogenic Carcinoma....Pages 375-377 Scanning Electron Microscopy and Energy-Dispersive X-Ray Microanalysis of Transbronchial Lung Biopsy in Patients with Fibrotic Lung Disease....Pages 378-381 Pertracheal Pneumomediastinography....Pages 383-385 Abnormal Chest Roentgenogram Induced by Bronchial Involvement-Bronchial Cast Shadow....Pages 387-388 A Bronchological Approach to the Regional Function Investigation....Pages 389-390 The Value of Perforating the Cusps of Biopsy-Forceps....Pages 391-393 The Relationship between Lung Cancer Tumors and the Bronchial Mucosa in Relation to Histologic Type -- Based on Biopsy Specimens Obtained via the Fiberoptic Bronchoscope....Pages 395-397 Studies on the Vital Bronchial Lymphodrainage in Man with Lymphoscintigraphy — New Diagnostic Technique....Pages 398-401 Pleuroscopy with the Flexible Fiberoptic Bronchoscope....Pages 403-405 Front Matter....Pages 407-407 Immunoglobulins in Bronchial Lavage Fluid....Pages 409-411 Relation between Histological Findings in Lung Biopsy Specimens and the Broncho-Alveolar Cell Picture....Pages 413-416 Front Matter....Pages 407-407 Selective Bronchial Lavage....Pages 417-418 Determinations of Metalic Ions in Bronchial Lavage Fluid....Pages 419-420 Functional Evaluation of Human Pulmonary Alveolar Macrophages Obtained by Bronchoalveolar Lavage : Effect of Smoking....Pages 421-424 Enzymes Contained in Lavage Fluid from the Lung....Pages 425-427 Studies on Macrophages in Bronchial Washings from the Patients with Bronchogenic Carcinoma....Pages 429-431 Distribution and localization of immunoglobulins in bronchial mucosa....Pages 433-434 A Study on the Differentiation Mechanism of the Tracheal Glands of Rats as Indicated by Peroxidase Activity....Pages 435-436 The Studies of CEA by Broncho-Toilet Method in Lung Disease....Pages 437-439 The Direct Observation of Volume-Dependent Deformation of Airways by Broncho­fiberscope....Pages 441-442 Bronchial Response to Asthmatic Attack with Reference to Histological Changes....Pages 443-444 Histological Changes of the Bronchial Mucosa Following Prolonged Treatment with Beclomethasone Dipropionate in Patients Suffering from Bronchial Asthma....Pages 445-447 Study on Electromyogram of Bronchial Smooth Muscles....Pages 449-450 Significance of the Bronchial Gland as a Local Defence Mechanism....Pages 451-453 The Observation of Ozone Exposed Mouse Trachea by Freeze Fracture Method....Pages 455-457 Bronchial Bifurcation in the Right Upper Lobe and Left Upper Division Bronchi....Pages 459-461 Front Matter....Pages 463-463 Long-Term Exposure to Particles and their Retention in the Human Lung....Pages 465-468 Comparison of Techniques for Measuring Tracheal Mucous Velocities in Vivo in Man....Pages 469-471 Effects of Salbutamol as Instillation Solution, Inhalation Powder and Metered Aerosol on Tracheal Mucous Velocity....Pages 473-477 Mucociliary Clearance in Smokers and Nonsmokers Measured with a Bronchoscopic Video-Technical Method....Pages 479-480 A Method for Measuring Ciliary Beat Frequency in Vitro....Pages 481-483 Front Matter....Pages 463-463 Effects of a Beta-Adrenergic Agonist (Reproterol) on Ciliary Beat Frequency of Human Bronchial Epithelium in Vitro....Pages 485-485 Respiratory Mucosa Damage after Brush Biopsy....Pages 487-489 Electron Microscopic and Histochemical Study of Bronchial Mucosa Obtained by Biopsy from Bronchitic Patients....Pages 491-493 Front Matter....Pages 495-495 Indications and Contraindications for Bronchoscopy as an Office Procedure....Pages 497-499 Fiberglasbronchoskopie in der Praxis....Pages 501-503 Bronchofiberoptic Examination for Screening of the Malignant Tumors....Pages 505-507 Front Matter....Pages 509-509 Fibreoptic Bronchoscopy in Small Children....Pages 511-513 Indikationen für Bronchologische Untersuchungen Bei Kindern....Pages 514-516 Bacterial Laryngotracheobronchitis — Use of Fiberoptic Bronchoscope....Pages 517-518 Use of Fiberoptic Bronchoscope in the Newborn Intensive Care Unit....Pages 519-521 Our Experience with Olympus BF Type 4 B2....Pages 523-524 Early Detection of Allergens by RAST in Infants and Preschool Children with Recurrent Bronchitis....Pages 525-527 Front Matter....Pages 529-529 Use of Carbon Dioxide Laser Technology in Laryngeal and Bronchial Surgery....Pages 531-535 Experiments on Tumor Resection by Laser Surgery via the Fiberoptic Bronchoscope....Pages 537-539 Laser Photoirradiation via the Fiberoptic Bronchoscope: Effects on the Bronchial Wall....Pages 540-542 Photodynamic Effects of Laser Surgery on the Trachea and Bronchi of Mongrel Dogs....Pages 543-545 Comparative Studies between CO 2 Gas Laser and YAG Laser on the Tracheal Cillia....Pages 546-548 Treatment of the Tracheobronchial Lesions with a Fiber Laser....Pages 549-550 Bronchoscopic Cryosurgery: Mayo Clinic Experience....Pages 551-554 Bronchoskopische Kryotherapie....Pages 555-557 Front Matter....Pages 529-529 Electrosurgery via the Fiberoptic Bronchoscope....Pages 559-561 High-Frequency Electrosurgical Treatment of Tracheal Obstruction Using the Flexible Bronchofiberscope....Pages 563-565 Front Matter....Pages 567-567 Iodine-125 Implant with a Flexible Implant Needle by Fiberoptic Bronchoscope....Pages 569-572 A Case of Bronchial Foreign Body (Bullet) Which Required Left Upper Lobectomy....Pages 573-574 Clinical, Radiologic, Bronchoscopic , and Histologic Signs in Bronchial Adenomas....Pages 575-577 Congenital Bronchobiliary Fistula Diagnosed by Bronchofiberscopy....Pages 579-580 Tracheobronchopathia Osteochondroplastica: A clinical, bronchoscopic and spirometric study....Pages 581-583 3 Cases with Bronchial Carcinoid....Pages 584-585 Hemoptysis due to Idiopathic Benign Ulcer or Erosion of the Respiratory Tract....Pages 586-587 Rare Tracheal Diseases — Video Tape Recording of Bronchofiberscopic Findings....Pages 588-589 Derzeitige Bedeutung der Bronchialtuberkulose....Pages 590-591 Bronchial Tuberculosis Similar to Lung Carcinoma....Pages 593-593 Bacteriological Problems during Fiberoptic Bronchoscopy....Pages 595-597 Diagnostic Value of Transbronchial Biopsy in Endoscopically Nonvisible Bronchial Carcinoma....Pages 599-600 Back Matter....Pages 601-630 The'shoulder-hand syndrome'or pain in the shoulder or arm is an extremely vital subject for the multi-disciplinary approach and usually re­ quires more than one speciality for complete evaluation. The proceedings of this symposium - organized by the department of general surgery of the University of Limburg - cover the field thoroughly with contributions from outstanding specialists from all over the world. Rheumatological, neuro­ surgical, orthopedic, and traumatological aspects are covered. Vascular surgeons considering both venous and arterial problems entwine with thoracic surgeons to review the thoracic outlet problem. Establishing a diagnosis in this multi-disciplinary field is extremely important and encom­ passes a combination of disciplines including neurology, orthopedics, sur­ gery, and physical medicine. Likewise, the role of each contributing factor must be assessed when multiple sources were responsible for pain. In addition to adequate diagnosis, it is important to institute the appropriate therapy and to establish the proper priority and timing of such therapies. The follow-up techniques particularly regarding thoracic outlet syndrome are extremely important to provide an objective basis for evaluation. Although many advances have been made in the field of objective diagnosis and therapy, there still is a great deal of overlap and confusion which has to be clarified. Professor Greep and his organizing committee have done a wonderful job in composing a program covering all aspects of this field. They are to be congratulated on bringing us a'timely current status'report on pain in the shoulder and arm. After the Second World War the number of biliary diseases has abruptly risen and lithiasis has become in many regions the most frequent surgical disease of the abdomen. At present, though there are perspectives of rational conservative treat­ ment and though endoscopic techniques permit removing some of its complications even without laparotomy, the basic treatment method still remains, and probably shall remain for long the classical surgical intervention. On the contrary, the indications for such intervention are always widening, as its risks become always smaller and the requirements for prevention higher. Many books have been written on the surgery of biliary ducts, but recent knowledge is growing so rapidly that it forces within short periods its new integration and critical assessment. Attention is mostly paid to interventions on the biliary ducts with their wide scope of problems and to the prevention and treatment of postoperative disturbances. New and more perfect diagnostic possibilities and some more suitable technical procedures as well require comparison and verification, introduce new aspects on old problems, and even change some established rules.