ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

Ann Thorac Surg 2008;86:1098-1103. doi:10.1016/j.athoracsur.2008.06.021
© 2008 The Society of Thoracic Surgeons
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Hyun Koo Kim
Won-Min Jo
Jae Ho Jung
Won Jae Chung
Jae Hoon Shim
Young Ho Choi
In Sung Lee
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Kim, H. K.
Right arrow Articles by Lee, I. S.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Kim, H. K.
Right arrow Articles by Lee, I. S.
Related Collections
Right arrow Lung - cancer
Right arrowRelated Article

Original Articles: General Thoracic

Needlescopic Lung Biopsy for Interstitial Lung Disease and Indeterminate Pulmonary Nodules: A Report on 65 Cases

Hyun Koo Kim, MD, PhDa, Won-Min Jo, MD, PhDb,*, Jae Ho Jung, MDb, Won Jae Chung, MDb, Jae Hoon Shim, MDa, Young Ho Choi, MD, PhDa, In Sung Lee, MD, PhDb

a Department of Thoracic and Cardiovascular Surgery, College of Medicine, Korea University Guro Hospital, Seoul, Republic of Korea
b Department of Thoracic and Cardiovascular Surgery, College of Medicine, Korea University Ansan Hospital, Kyonggi-do, Republic of Korea

Accepted for publication June 2, 2008.

* Address correspondence to Dr Jo, Department of Thoracic and Cardiovascular Surgery, Ansan Hospital, Korea University, Gojan-1-dong, Ansan-si, Kyonggi-do, 425-707, Rep of Korea (Email: jowonmin{at}korea.ac.kr).

Background: We evaluated the feasibility and accuracy of a needlescopic procedure for lung biopsies in patients with interstitial lung disease or indeterminate pulmonary nodules.

Methods: Sixty-five patients (36 women; mean age, 51.3 ± 15.6; range, 13 to 76 years) underwent a needlescopic procedure to obtain lung biopsy specimens. Forty had indeterminate pulmonary nodules, and 25 had interstitial lung disease. A 2-mm needlescope and a 2-mm MiniSite Endo Grasp (Covidien, Norwalk, CT) were inserted at the sixth intercostal space along the middle and the posterior axillary line, respectively. Biopsy specimens were obtained using endostaplers.

Results: The average number of biopsy specimens was 1.7 ± 0.6 (range, 1 to 4). For 9 patients, a frozen specimen was sent twice to pathology. Complete resection was continued after intraoperative pathology confirmation in 13 patients (lobectomy, 7; segmentectomy, 3; mass removal, 1; metastasectomy, 2). The volume of lung tissue was 8.7 ± 11.8 cm3 (range, 0.15 to 55.44 cm3). The operation time was 58.7 ± 37.5 minutes (range, 15 to 160 minutes). The final pathologic results were confirmed in all patients. No thoracoscopic procedure was converted to an open thoracotomy. Three patients (4.3%) had prolonged air leakage (> 5 days), and the chest tube remained in the pleural space for 2.3 ± 2.4 days (range, 1 to 8 days).

Conclusions: Needlescopic operation for lung biopsies in patients with interstitial lung disease and indeterminate pulmonary nodules is a minimally invasive procedure that is safe and effective for obtaining a diagnosis in selected patients.


Related Article

Invited Commentary

Ann. Thorac. Surg. 86: 1103-1103. [Full Text]



This article has been cited by other articles:


Home page
 Ann. Thorac. Surg.Home page
T. L. Demmy
Invited Commentary
Ann. Thorac. Surg., October 1, 2008; 86(4): 1103 - 1103.
[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
Copyright © 2008 by The Society of Thoracic Surgeons.