Dr Lorena Aída Comeche Casanova
Specialist in- Lung nodule and lung cancer.
- Sleep-related breathing disorders and sleep apnoea.
- Bronchoscopy and echobronchoscopy.
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Respiratory Center
The unit
The Advanced Bronchoscopy and Interventional Pulmonology Unit at the Publio Cordón Memorial Hospital treats complex respiratory conditions using high-precision diagnostic and therapeutic techniques, aimed at establishing a reliable diagnosis and providing safe, personalised treatment.
Medical team
Patient information
The Advanced Bronchoscopy and Interventional Pulmonology Unit treats patients with complex respiratory conditions requiring high-precision diagnostic or therapeutic procedures, particularly when conventional tests do not provide sufficient information or when a minimally invasive procedure is necessary.
Its role is crucial in cases of hard-to-reach pulmonary nodules, suspected lung cancer, mediastinal lymphadenopathy, haemoptysis or interstitial lung diseases requiring histological confirmation.
This specialist assessment enables the precise determination of the indication for each technique, always prioritising clinical safety and the actual benefit of the procedure within the patient’s overall clinical context.
The unit utilises flexible and rigid bronchoscopy, endobronchial ultrasound (EBUS) and pulmonary cryobiopsy as its standard diagnostic tools. These techniques allow access to peripheral lung lesions, mediastinal lymph nodes and central airway abnormalities with a high degree of accuracy and are less invasive than traditional surgical approaches.
The combination of advanced imaging, real-time ultrasound guidance and three-dimensional localisation systems facilitates the collection of representative samples, optimising diagnostic performance and reducing unnecessary procedures. Each examination is indicated following an individualised clinical assessment and detailed technical planning.
In addition to diagnosis, the unit is involved in the endoscopic treatment of a wide range of respiratory conditions. The placement of tracheobronchial prostheses, endoscopic management of haemoptysis and the removal of foreign bodies form part of a therapeutic approach that avoids major surgery where indicated.
These procedures are carried out in controlled environments, following specific safety protocols and with individualised anaesthetic assessment, ensuring a balance between therapeutic efficacy and risk minimisation.
The complexity of advanced respiratory disease requires close coordination with Oncology, Radiology, Pathology and Thoracic Surgery. The unit operates as an integrated part of organised care pathways, which enables findings to be interpreted within a comprehensive clinical context and allows for the establishment of consensus-based treatment decisions.
This multidisciplinary model ensures diagnostic consistency, optimises response times and avoids duplication of tests.
Each case is assessed on an individual basis, taking into account the clinical situation, medical history, respiratory function and treatment objectives. This assessment is carried out with sufficient time to ensure understanding, active listening and informed decision-making.
The decision to use interventional techniques is based on sound medical judgement and available scientific evidence, avoiding both under-use and unnecessary intervention. The care process prioritises safety, clear communication and professional support at every stage of diagnosis or treatment.
The combination of clinical expertise, advanced technology and attentive, rigorous care establishes the Unit as a specialised centre for the safe and accurate diagnosis and treatment of the most complex respiratory conditions.
A specialist assessment makes it possible to confirm whether the procedure is indicated, determine the extent of the injury and define a diagnostic or therapeutic strategy appropriate to the clinical situation.
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