Endobronchial Tumour Debulking

What is Endobronchial Tumour Debulking?

Tumours growing inside the windpipe or main bronchi can narrow or block the airway, causing breathlessness, cough, bleeding or collapse of part of the lung. Endobronchial debulking removes this tissue through a bronchoscope using mechanical techniques and, depending on the case and equipment, ‘hot’ and ‘cold’ therapies such as electrocautery, argon plasma coagulation (APC) and cryotherapy. It is usually one part of a wider cancer treatment plan.

Why it is done

• Tumours obstructing the trachea or main bronchi
• Relief of breathlessness or lung collapse due to central airway obstruction
• Control of bleeding from an airway tumour
• Larger tissue samples for diagnosis in selected patients (cryobiopsy)

Before the procedure

• Fasting for about 6 hours before the procedure (you will be given exact instructions)
• Inform the team about blood thinners, diabetes medicines and allergies — some medicines may need to be paused
• Blood tests and recent imaging (CT scan) are usually reviewed beforehand
• Bring a family member or friend to accompany you home
• An anaesthetic assessment may be required

During the procedure

• Usually performed under general anaesthesia or deep sedation
• Tumour tissue is removed or destroyed through the bronchoscope using the most suitable technique
• Rigid bronchoscopy may be used for larger obstructions

After the procedure

• You will be observed for a short period until the sedation wears off
• Avoid eating or drinking for about 1–2 hours, until the throat numbness settles
• A mild sore throat, cough or slight blood-streaked sputum may occur briefly
• Do not drive or operate machinery for the rest of the day after sedation
• Biopsy results usually take a few days; your follow-up will be scheduled
• Follow-up bronchoscopy or further cancer treatment may be planned

Safety & risks

Preparation instructions may differ for individual patients — please follow the specific advice given at your consultation.