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Case Reports in Oncological Medicine
Volume 2017, Article ID 5378583, 4 pages
Case Report

Successful Treatment of Carcinomatous Central Airway Obstruction with Bronchoscopic Electrocautery Using Hot Biopsy Forceps during Mechanical Ventilation

1Department of Respiratory Medicine, Nagoya Tokushukai General Hospital, Aichi, Japan
2Department of Thoracic Surgery, Nagoya Tokushukai General Hospital, Aichi, Japan

Correspondence should be addressed to Motoi Ugajin; pj.oc.oohay@1002niragu

Received 2 January 2017; Accepted 2 March 2017; Published 8 March 2017

Academic Editor: Francesco A. Mauri

Copyright © 2017 Motoi Ugajin and Hisanori Kani. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


We report the case of a 72-year-old man with occlusion of the left main bronchus due to squamous cell carcinoma of the lung. He required tracheal intubation and mechanical ventilation because of the aggravation of atelectasis and obstructive pneumonia. Electrocautery using hot biopsy forceps was performed during mechanical ventilation with a 40% fraction of inspired oxygen. He was extubated following improvement in the atelectasis and obstructive pneumonia and discharged with shrinkage of the tumor after chemotherapy. We describe a safe electrocautery procedure using hot biopsy forceps during mechanical ventilation with reference to previous reports.