Mastering Bronchoscopy for Thoracic Surgery

This article shares 15 years’ worth of experience of bronchoscopy. Originally designed for cardiothoracic surgical trainees, others will find it resourceful. In particular, it's a good reference to have for pulmonologists and trainees, anesthetists, intensivists in the intensive care unit, and medical students interested in the details of the bronchial tree. The author intends these videos to be as comprehensive as the 15 years of experience, and the topic is divided into six chapters.Chapter 1 covers the development of the bronchopulmonary segments and their nomenclature.Chapter 2 explains how to perform rigid and flexible bronchoscopy and what is normal.Chapter 3 describes the abnormalities of the central airways.Chapter 4 describes the abnormalities of the right bronchial tree.Chapter 5 describes the abnormalities of the left bronchial tree.Finally, Chapter 6 shows a one-minute quiz and the answer to how the diagnosis was made. The viewer should resist jumping to the answer before seeing the quiz!One of the main objectives of these videos is to assist the pulmonologists. It is meant to give a gist of how a thoracic surgeon thinks when performing bronchoscopy in terms of diagnosis, tumor biopsy capabilities, assessment for lung resection, and alternative managements, such as laser and stenting. This should help the pulmonologist in referring their patients for surgical intervention. The author hopes it is found to be useful, and please leave your comments so that future videos can be improved.Additional ResourcesSegmental anatomy (www.bronchoscopy.nl). hansdaniels YouTube Channel. URL https://www.youtube.com/watch?v=ThYHLG50pH0&t=226s. Published January 23, 2011. Accessed February 13, 2019.Yang K, DiMaio M, Feller-Kopman D. Bronchial Tree: Segmental Anatomy from an Endobronchial View. Kristin Yang YouTube Channel. URL https://www.youtube.com/watch?v=VLsXe5oB2W0. Published June 13, 2011. Accessed February 15, 2019.

本文分享了15年的支气管镜检查经验。最初是为心胸外科实习生设计的，但其他人也将发现这一资源颇具价值。特别是，它对于肺科医生和实习生、麻醉师、重症监护室的重症监护医师以及关注支气管树细节的医学生而言，是一本极佳的参考书籍。作者旨在使这些视频内容尽可能地全面，涵盖了15年的经验，并将主题分为六章。第一章涵盖了支气管肺段及其命名法的发展。第二章解释了如何进行硬质和软质支气管镜检查以及正常情况。第三章描述了中央气道的异常。第四章描述了右侧支气管树的异常。第五章描述了左侧支气管树的异常。最后，第六章展示了一分钟的小测验以及诊断是如何做出的。观众在看到测验之前应避免急于查看答案！这些视频的主要目标之一是协助肺科医生。它旨在展示胸外科医生在进行支气管镜检查时的诊断思路，包括肿瘤活检能力、肺叶切除的评估以及激光和支架等替代治疗方案。这应有助于肺科医生为患者推荐手术治疗。作者希望这些视频能够被证明是有用的，并请留下您的评论，以便未来的视频可以得到改进。附加资源：节段解剖学（www.bronchoscopy.nl）。hansdaniels YouTube频道。网址：https://www.youtube.com/watch?v=ThYHLG50pH0&t=226s。发布于2011年1月23日。访问日期：2019年2月13日。杨克，迪马约，费勒-科普曼。支气管树：从支气管内视角的节段解剖学。Kristin Yang YouTube频道。网址：https://www.youtube.com/watch?v=VLsXe5oB2W0。发布于2011年6月13日。访问日期：2019年2月15日。