Table Of ContentBRONCHOLOGY:
RESEARCH, DIAGNOSTIC AND THERAPEUTIC ASPECTS
DEVELOPMENTS IN SURGERY
VOLUME 3
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BRONCHOL0 GY:
RESEARCH, DIAGNOSTIC, AND
THERAPEUTIC ASPECTS
Proceedings of the Second World Congress for Bronchology,
held at Dusseldorf, FRG, 2-4 June 1980
edited by
JOHN A. NAKHOSTEEN, MD
Chest Physician, Consultant Bronchologist,
Ruhrlandklinik, Essen, FRG
and
WERNER MAASSEN, MD
Professor of Medicine, Medical Director,
Ruhrlandklinik, Essem, FRG
President, 2nd World Congress for Bronchology
1981
MARTINUS NIJHOFF PUBLISHERS
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This volume is listed in the Library of Congress Cataloging in Publication Data
ISBN -13 :978-94-009-8238-3 e-ISBN -13: 978-94-009-8236-9
001: 10.1007/978-94-009-8236-9
Copyright @ 1981 by Martinus Nijhoff Publishers bv, The Hague.
Soflcover reprint of the hardcover 1st edition 1981
All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or
transmitted in any form or by any means, mechanical, photocopying, recording, or otherwise, without
the prior written permission of the publisher.
Martinus Nijhoff Publishers bv, P.O.Box 566, 2501 CN The Hague, The Netherlands
ACKNOWLEDGEMENTS
We would like to express our gratitude to the many colleagues and
co-workers who helped make the Second World Congress for Bronchology 50
successful. Our particular thanks go to the members of the Organizing,
Finance, Scientific and Planing Committees. The Technical and Office
Staff, which included students, secretaries and other hospital personnel
was indispensable in seeing that thousand-and-one details were fulfilled.
For the special contribution that each of the follol'/ing gave, we would
like to mention by name Dr. and j-irs. ','. Petro, Dr. -:. Dams, i-;r. i-I. Leiendecker,
Miss I. Angerstein and cando med. D. Leimenstoll. To Dr. S. Ikeda and
the staff of the World Association for 8ronchology Head Office in Tokyo
we also owe a special thanks for their organizing the far eastern parti
cipation and their giving valuable advice.
Generous financial support by Olympus Optical Company, Hamburg and
Tokyo, had enabled us to purchase a limited number of copies of
BRONCHOLOGY 1980 at a reduced rate and pass this saving on to congress
participants placing firm pre-publication orders with uSi I.e would like
to thank Olympus for this help.
i'lr. Jeffrey Smith of l'Iartinus i'.jijhoff has readily given valuable
advice every time we have had to turn to him, and we appreciate this
greatly.
Finally, our unending thanks go to our wives, who, each in her own
way, patiently and actively supported us in over two years of work for
the Congress and for this book.
I,:. j-,aassen
Essen, F .r~.G.
tlUgust, 19t1O
TABLE OF CONTENTS
Chapter I. INTRODUCTION
J A Nakhosteen, W Maassen
Chapter II. EARLY DIAGNOSIS BRONCHOGENIC CARCINO~~ 11
11.1. Diagnosis of Early Lung Cancer
H A Andersen 13
11.2. Screening for Lung Cancer
R S Fontana, D R Sanderson, W F Taylor, M A Uhlenhopp 15
11.3. Friedel's Catheter Biopsy in Peripheral
Lung Cancer (in German)
¥\ !:!etzer 18
II.4. Early Diagnosis of Peripheral Bronchogenic Carcinoma by
Cytological Examination of Catheter Biopsies
R \';orch, R Hammesfahr, Z Atay 21
11.5. Comparative Study between the Macroscopic Pathological
Findings and Difficulties in Detection of the Sites of
Early Stage Lung Cancer
R Ono, S Ikeda 29
11.6. Fluorescent Bronchoscopy: A New Technique and Furthe~
Results
D Hurzeler 33
II.7. The Reliability of Cytodiagnosis in Determining tlalig
nancy and Histogenetic Tumour Type
Z Atay 37
II.B. Sputum-cytologic Diagnosis of Early Roentgenologically
Occult Bronchogenic Carcinoma
S Hoglund, J Kinnman, K Nasiell, M Nasiell, L Malm-
strom, V Roger 43
II.9.The Diagnosis of Precancerous Lesions and ~~ltifocal
Carcino~a of the Bronchial Epithelium with Fiberoptic
Bronchoscopy
F Klinke, H Dittrich, R Achatzy, K M MUller,
E Anyanwu, V Jelesijevic 47
II.10.Bronchofiberscopic Observations on Bronchial Epithelium
of Heavy Smoker
H 1wahashi, K Hagiwara, M Nogawa 51
VIII
II.ll.Fiberoptic Bronchoscopic Findings in Cases of Atypical
Squamous Metaplasia
N Hayashi, K Oho, R Amemiya, T Kawauchi, K Nagai,
K Hayakawa, I Iimura, Y Hayata 53
II.l2.Vascular Patterns Observed via the Fiberoptic Bronche
scope in Cases of Lung Cancer
R Amemiya, K Oho, MAida, N Hayashi, K Nagai,
N Takizawa, Y Hayata 57
II.l3.Early Detection of Hilar Type of Bronchogenic
Carcinoma
H Mikami, Y Ohsaki, S Abe, K Kimura, I Tsuneta,
M Murao 59
II. l4.Tumorous Diseases of Trachea and Bronchi Giving no
X-ray Shadow
E Banhidi 61
II.15.Electronmicroscopic Study of Lung Cancer Specimen
Biopsied by Large Channel Bronchofiberscope
T Kawai, T Ogata, K Kikuchi, K Watanabe 65
II.16.Forceps-Biopsy Material - A Sample for Histologic
and Cytologic Examination
M Roglic 69
II. l7.Diagnostic Flexible Fiberoptic Bronchoscopy: Analysis
of Results of Biopsy and Brush in 105 Patients
Y C Hsieh, C H Chiang, C Y Shen, C C Yang 72
II.18.A Multimodal Diagnostic Approach to Lung Cancer
S Horie, K Shimada, K Matsumura, Y Seki 75
II. 19.5ome Aspects of Research \'lork on Chronic Bronchitis
in China
x
Z Weng, H G Qiu 78
Chapter III. BRONCHOSCOPY AND INTENSIVE CARE t1EDICINE 81
III. 1.Bronchial Suctioning with the Flexible Bronchoscope
B G OIlman, C-E Lindholm, U Nordin 83
III.2.Therapeutic Bronchoscopy in the Operating Room and
the Recovery Room 85
J Tamada, M Aoki, Y Shimizu, M Ito, R Teramatsu
III.3.Transbronchial Lung Biopsy for Differential Diagnosis
of Acute Pulmonary Failure
G Goeckenjan, Th KHnigshausen, W ElsBsser,
A Schmidt-GrBff 87
IX
III.4.Diagnostic and Therapeutic Value of the Fiberoptic
Bronchoscopic Procedures in the Intensive Care Unit
and the Recovery Room
T Kahi, S Hanawa 90
III.5.A Case of Severe Airway Burn Successfully Treated with
the Fiberoptic Bronchoscope
K Oho, I Iimura, N Kawate 95
III.6.Bronchoskopie-Intubation
R Schindl, K Aigner, J \~Urz 97
Chapter IV. COMPLICATIONS IN BRONCHOLOGICAL INVESTIGATIONS 99
IV.l.Complications in Bronchological Investigations using
a Bronchofiberscope: Results of 9,413 Procedures
H C Ko, R P Perng, Y C Hsieh, W CHuang, K T Luh 101
IV.2.Prevalence and Treatment of Complications of 550
Fiberbronchoscopies
E Hershko, N Reichert, G L Baum 104
IV.3.Complications Following Fiberoptic Bronchoscopy
A Koyama, H Anno 107
IV.4.A I'Jew Method for Treatment of Bronchial and Lung
Bleeding
H Schlehe, H-1'1 Fritsche, S Daum 111
IV.5.Complications Following Flexible Bronchofiberscope -
Prevention and Treatment of Endobronchial Bleeding
after Biopsy
1'1 Kaneko, J Honda, K Sohma, T Takahashi, N Yamamoto,
H Yoshimura, T Matsubayashi, R Ono, S Ikeda 113
IV.6.A Safety Position in Bronchofiberscopy
J F Dumon 115
IV.7.A New Double Lumen Endotracheal Tube for Fiberoptic
Bronchoscopy
H f<ronenberger, K-H Nerger, h Ru st, t'l Schneider 117
IV.o.Oro-Tracheal Intubation using the Double Lumen Tube
J H Harrell II, R G Spragg, K i,'i i·loser 121
IV.9.Cardiac Arrest as a Complication of 8ronchological
InvestigCltion
N Anti6 124
IV.l0.ICoroioc khythm Disturbol1C05 duriW. ::'1:'onciloscopy
Ii,. 'schaefer, 'j RCiU~:,ch 127
x
IV.ll.Cardiac Complications and Changes of Arterial 3100d
Gas Levels During Transbronchoscopic Lung Siopsy
t·l Fukuoka, S Tarnai, M Takada, N Okunaka, N Sakai 130
IV. 12.Bloodless 502 Monitaring to Prevent Complications in
8ronchofiberoptic Procedures
J M G de Vega, A Merida, J Morales, F Gonzalez,
J Gutierrez 133
IV.13.Hypoxer:1ia During Flexible Fiberbronchoscopy
J Roux, ~.: Hartmann 135
IV. 14.Some Aspects of Complications on Transbronchicl Lung
Biopsy
II I<urashima, H i<omatsu, 1<, Ishihara. R Yoneda, T Haga 137
IV. 15.Topicol ~nesthe5ia in a Large Number of Flexible
3ronchoscopies
J Atocha 139
IV.16.Hemodynamic Effects in Bronchoscopy during Ventila
tion 3ronchoscopy and Sanders Venturi Ventilation
W Wrabetz, W Hartmann 141
IV. l7.Intravenous Anaesthesia Techniques as an Alternative
to Halothane Anaesthesia in Bronchoscopic Procedures
V Schulz, K Stosseck 143
Chapter V. BRONCHOGRAPHY IN THE DIAGNOSIS OF LUNG DISEASE 145
V. l.Bronchography in Pulmonary Diseases
K Watanabe, S Ikeda 147
V. 2.Course of Bronchography from 1959 to 1979 in a
Department of Chest Disease 151
J Engel
V. 3.Significance of Peripheral Bronchography on Coin
Lesion
R Ono, S Ikeda 153
V. 4.Tracheobronchial Tuberculosis Diagnosed by Broncho
scopy and Bronchography
T Kurasawa, F Kuze, M Nakanishi, N ~laekawa, K Oida,
T Iwata, Y Oda 156
V. 5.Clinical Examination of Bronchial Tuberculosis as
Distinguished from Lung Cancer
ASato, K Yoshimura 158
V. 6.Possibilities for Bronchography Using the Broncho
fiberscope (in German)
R G Reimann 160
XI
V. 7.Selective Bronchography and Transbronchial Biopsy
E ~1atsui, H i-liyake, S Yanagawa, [.j Shibayama, H Doi 162
V. B.A New Technique of Bronchography and its Clinical
Application
Reury-P Perng. Chao-T Hsing 165
V. 9.Usefulness of Bronchography - with Special Emphasis
on Delineation of f'jucosal Changes of the Large
Bronchus
K Kimura, Y Ohsaki, S Abe, Y Tsuneta, H r-:ikami,
~1 Muraa 167
Chapter VI. SARCOIDOSIS 171
VI. 1.Broncho-Alveolar Lavage (SAL) in 120 Patients with
Sarcoidosis: Cellular Data and Relation with Serum
Angiotensin Converting Enzyme (SACE)
A Arnoux, G Stanislas-Leguern, C Danel, J Marsac,
G Huchon, C Fabre, R Dufat, J Chretien 173
VI. 2.The Validation and Use of KVEIM Test Suspensions
D N ~. . itchell, J R Mikhail, M i~ McNicol, J V Collins,
D M Mitchell, M W Dighero 176
VI. 3.Results of Different Biopsies in Sarcoidosis
(Mediastinoscopy, DANIELS' Biopsy, Bronchial and
Lung Biopsies)
D Greschuchna, W Maassen, Chr. Malchau 179
VI. 4.A Comparison of Fiberoptic Transbronchial Lung
Biopsy (TBB) with Other Techniques in the Diagnosis
of Sarcoidosis
D M Mitchell, D N Mitchell, C J Emerson, J V Collins 184
VI. 5.TBLB as a Diagnostic Procedure for Sarcoidosis in
Japan - A Cooperative Study in Twenty-four Hospitals
K Honda, M Kado, T Izumi, T Osaki, Y Hiraga, K Iwai,
R Yoneda, M Washizaki, H Homma, J Kabe, H Osada, H
Okano, T Furuie, H Hosoda, Y Ito, K Hirasawa, I Mo
chizuki, ASato, Y Yamamoto, R Amitani, R Mikami, N
Kurihara, T Tachibana, S Hitomi, N Ochi, F Kitatani,
J Nakai, M Yamakido, K Shima, S Miyagi 186
VI. 6.Transbronchial Lung Biopsy in Sarcoidosis
L-G Wiman, Y Hornblad 189
VI. 7.Bronchoscopy in the Diagnosis of Sarcoidosis
M Thunell, R Lundgren, N Stjernberg . 193
