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Article
January 10, 1925

BRONCHOSCOPY AS AN AID TO THE THORACIC SURGEON

Author Affiliations

PHILADELPHIA

JAMA. 1925;84(2):97-103. doi:10.1001/jama.1925.02660280023009
Abstract

Bronchoscopy in its modern developments bears much the same relation to thoracic surgery that cystoscopy bears to genito-urinary surgery. When the surgeon encounters a case of pyuria, he wishes to know whether the pus comes from the bladder or the kidneys and, if the latter, from which kidney. Obviously, he does not want to explore the bladder and both kidneys in search of the focus of disease. Just so, the thoracic surgeon encountering a case of purulent sputum does not wish to explore possibly all five lobes of both lungs in search of the purulent focus; and perhaps foreknowledge of bilateral involvement may render operation inadvisable. As the surgeon relies on the roentgen ray and cystoscopy, separately and combined in pyelography, so does the thoracic surgeon rely on the roentgen ray and bronchoscopy, separately and combined in pneumonography (Figs. 1, 2 and 3). As the cystoscopic assistant furnishes his chief

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