| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Ann Thorac Surg 2002;74:1942-1947
© 2002 The Society of Thoracic Surgeons
a Section of Thoracic Surgery, University of Michigan Medical Center, Ann Arbor, Michigan, USA
Accepted for publication August 5, 2002.
* Address reprint requests to Dr Iannettoni, Section of Thoracic Surgery, TC2120G, University of Michigan Medical Center, 1500 East Medical Center Dr, Ann Arbor, MI 48109-0344 USA
e-mail: mdi{at}umich.edu
Presented at the Thirty-eighth Annual Meeting of The Society of Thoracic Surgeons, Fort Lauderdale, FL, Jan 28–30, 2002.
BACKGROUND: Tissue diagnosis of either interstitial lung disease or indeterminate pulmonary nodules can be obtained by either limited thoracotomy or thoracoscopic lung biopsy. Both procedures traditionally have required hospital admission. We report a series of patients undergoing outpatient thoracoscopic lung biopsy to demonstrate the safety and efficacy of this practice.
METHODS: Sixty-two ambulatory patients with a clinical diagnosis of either interstitial lung disease or indeterminate pulmonary nodule(s) underwent thoracoscopic lung biopsy between June 2000 and June 2001. All procedures were performed with double-lumen endotracheal anesthesia and stapled wedge resection. Chest tubes were removed if no air leak was present and if chest radiograph demonstrated no residual pneumothorax.
RESULTS: Of 62 patients undergoing thoracoscopic lung biopsy, 45 (72.5%) were discharged home within 8 hours of observation on the day of operation. Fourteen (22.5%) were discharged within 23 hours of their operation. Reasons for 23-hour observation included significant comorbidity (8), pain management (4), postoperative air leak (1), and conversion to muscle-sparing thoracotomy (1). Three (5%) required admission for prolonged air leak (2) or conversion to muscle-sparing thoracotomy (1). Diagnoses were obtained in 61 patients, including neoplasm (25), interstitial lung disease (18), granulomatous disease (7), and other (11). One patient was readmitted for pneumothorax. Patients diagnosed with nonbronchogenic pulmonary metastases were more likely to be discharged on the day of operation. No differences in age, smoking status, or preoperative pulmonary function testing were observed between patients requiring short-stay observation and those discharged immediately after operation.
CONCLUSIONS: Outpatient thoracoscopic lung biopsy is safe and effective, and has become our procedure of choice for diagnosis of either interstitial or focal lung disease.
This article has been cited by other articles:
|
|
 |
|
  J. P. Lynch III Idiopathic Pulmonary Fibrosis, Nonspecific Interstitial Pneumonia/Fibrosis, and Sarcoidosis ACCP Pulmonary Med Brd Rev, January 1, 2009; 25(0): 635 - 686. [Full Text] [PDF]
|
|
|
|
 |
|
 I. Noth and F. J. Martinez Recent Advances in Idiopathic Pulmonary Fibrosis Chest, August 1, 2007; 132(2): 637 - 650. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 H. Luckraz, K. S. Rammohan, M. Phillips, R. Abel, S. Karthikeyan, N. E.P. Kulatilake, and P. A. O'Keefe Is an Intercostal Chest Drain Necessary After Video-Assisted Thoracoscopic (VATS) Lung Biopsy? Ann. Thorac. Surg., July 1, 2007; 84(1): 237 - 239. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. E. Kreider, J. Hansen-Flaschen, N. N. Ahmad, M. D. Rossman, L. R. Kaiser, J. C. Kucharczuk, and J. B. Shrager Complications of Video-Assisted Thoracoscopic Lung Biopsy in Patients with Interstitial Lung Disease Ann. Thorac. Surg., March 1, 2007; 83(3): 1140 - 1144. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. J. Fibla, L. Molins, C. Simon, J. Perez, and G. Vidal Early removal of chest drainage after videothoracoscopic lung biopsy Interactive CardioVascular and Thoracic Surgery, October 1, 2006; 5(5): 581 - 583. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. J. Fibla, L. Molins, J. Perez, and G. Vidal Early removal of chest drainage and outpatient program after videothoracoscopic lung biopsy. Eur. J. Cardiothorac. Surg., April 1, 2006; 29(4): 639 - 640. [Full Text] [PDF]
|
|
|
|
|
|
L. Molins, J. J. Fibla, J. Perez, A. Sierra, G. Vidal, and C. Simon Outpatient thoracic surgical programme in 300 patients: clinical results and economic impact Eur. J. Cardiothorac. Surg., March 1, 2006; 29(3): 271 - 275. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 F. J. Martinez Idiopathic Interstitial Pneumonias: Usual Interstitial Pneumonia versus Nonspecific Interstitial Pneumonia. Proceedings of the ATS, January 1, 2006; 3(1): 81 - 95. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. E. Halkos, A. A. Gal, F. Kerendi, D. L. Miller, and J. I. Miller Jr Role of Thoracic Surgeons in the Diagnosis of Idiopathic Interstitial Lung Disease Ann. Thorac. Surg., June 1, 2005; 79(6): 2172 - 2179. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. J. Riley Risk of Surgical Lung Biopsy in Idiopathic Interstitial Pneumonias Chest, May 1, 2005; 127(5): 1485 - 1486. [Full Text] [PDF]
|
|
|
|
 |
|
 G. Rocco, M. Khalil, and R. Jutley Uniportal video-assisted thoracoscopic surgery wedge lung biopsy in the diagnosis of interstitial lung diseases J. Thorac. Cardiovasc. Surg., April 1, 2005; 129(4): 947 - 948. [Full Text] [PDF]
|
|
|
|
 |
|
 G. Rocco VATS lung biopsy: the uniportal technique MMCTS, January 21, 2005; 2005(0121): 356. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
E. Pompeo, D. Mineo, P. Rogliani, A. F. Sabato, and T. C. Mineo Feasibility and Results of Awake Thoracoscopic Resection of Solitary Pulmonary Nodules Ann. Thorac. Surg., November 1, 2004; 78(5): 1761 - 1768. [Abstract] [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
