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CURRENT ISSUETHE JOURNAL OF CARDIOVASCULAR SURGERY

A Journal on Cardiac, Vascular and Thoracic Surgery

Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,632

Frequency: Bi-Monthly

ISSN 0021-9509

Online ISSN 1827-191X

 

The Journal of Cardiovascular Surgery 2003 February;44(1):115-8

THORACIC SECTION 

    ORIGINAL ARTICLES

Video-assisted thoracoscopic lung biopsy in the diagnosis of diffuse interstitial lung disease. A prospective study

Video-assisted thoracoscopic lung biopsy in the diagnosis of diffuse interstitial lung disease. A prospective study

Depar­ment of Sur­gery Faculty of Med­i­cine Kuwait Uni­ver­sity, and ­Chest Dis­eases Hos­pital Safat, Kuwait

Aim. ­Video-­assisted tho­rac­os­copic ­lung ­biopsy is com­monly per­formed for diag­nosis of dif­fuse inter­sti­tial ­lung dis­ease. ­This ­study reports our expe­ri­ence ­with ­this tech­nique in ­terms of diag­nostic accu­racy, com­pli­ca­tions and appro­priate ­site for ­biopsy.
­Methods. A pros­pec­tive non-ran­dom­ized ­study. Set­ting: Tho­racic Sur­gery Depart­ment, ­Chest Dis­eases Hos­pital, ­Kuwait. ­Patients and inter­ven­tion: 79 con­sec­u­tive ­patients under­going tho­rac­os­copic ­lung ­biopsy for dif­fuse inter­sti­tial ­lung dis­ease ­from Jan­uary 1995 to ­December 2001. ­Patients ­were ­divided ­into 2 ­groups; 34 ­patients ­with ­single ­biopsy ­from lin­gula or ­right ­middle ­lobe (RML) and 45 ­with 2 biop­sies ­from ­other ­sites. Meas­ures: com­par­ison of oper­a­tive and post­op­er­a­tive ­data, diag­nostic accu­racy, and com­pli­ca­tions ­between the two ­groups.
­Results. The ­mean age of the ­patients was 38.9 ­years (range 15-75 ­years). ­There was no dif­fer­ence in the ­groups in oper­a­tive ­time, 24 ­hours post­op­er­a­tive ­pleural ­drainage, ­chest ­tube ­drainage ­days, and hos­pital ­stay. His­tol­ogic diag­nosis was ­achieved in 76/79 ­patients (96%). The diag­nostic ­yield of ­each ­group was com­par­able (32/34 ­from lin­gula/RML; 44/45 ­other ­sites), (p=0.3). Post­op­er­a­tive com­pli­ca­tions ­occurred in 4/34 of ­patients ­with ­single ­biopsy ­from lin­gula or RML and 4/45 ­patients ­with 2 biop­sies ­from ­other ­sites (p=0.6). ­There was 1 ­death in ­this ­series.
Con­clu­sion. ­Video-­assisted tho­rac­os­copic ­lung ­biopsy is an effec­tive pro­ce­dure. ­Single ­lung ­biopsy ­from lin­gula or RML com­pared to ­other ana­tomic ­sites has an equiv­a­lent diag­nostic ­yield.

language: English


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