scholarly journals Nonintubated surgical biopsy of undetermined interstitial lung disease: a multicentre outcome analysis

2018 ◽  
Vol 28 (5) ◽  
pp. 744-750 ◽  
Author(s):  
Eugenio Pompeo ◽  
Paola Rogliani ◽  
Cansel Atinkaya ◽  
Francesco Guerrera ◽  
Enrico Ruffini ◽  
...  
CHEST Journal ◽  
2012 ◽  
Vol 142 (4) ◽  
pp. 434A
Author(s):  
Michael Kayatta ◽  
Josh Hammel ◽  
Gerald Staton ◽  
Srihari Veeraraghavan ◽  
Felix Fernandez ◽  
...  

Author(s):  
JULIANO MENDES SOUZA ◽  
IGHOR RAMON PALLU DORO PEREIRA ◽  
ARIELA VICTÓRIA BORGMANN ◽  
RAFAEL ENRIQUE CHIARADIA ◽  
PAULO CESAR BUFFARA BOSCARDIM

ABSTRACT Objective: interstitial lung disease comprises a group of lung diseases with wide pathophysiological varieties. This paper aims to report the video thoracoscopic surgical biopsy in patients with interstitial lung disease through a single minimal chest incision, without orotracheal intubation, without chest drainage, and without the use of neuromuscular blockers. Methods: this study is a series of 14 cases evaluated retrospectively, descriptively, where patients underwent a pulmonary surgical biopsy from January 2019 to January 2020. The patients included in the study had diffuse interstitial lung disease without a defined etiological diagnosis. Results: none of the patients had transoperative complications, there was no need for chest drainage in the postoperative period, and the patients pain, assessed using the verbal scale, had a mode of 2 (minimum value of 1 and maximum of 4) in the post immediate surgery and 1 (minimum value of 1 and maximum of 3) at the time of hospital discharge. The length of hospital stay was up to 24 hours, with 12 patients being discharged on the same day of hospitalization. Conclusion: therefore, it is concluded in this series of cases that the performance of uniportal video-assisted thoracoscopic surgery procedures to perform lung biopsies, without orotracheal intubation, without chest drainage, and without the use of neuromuscular blockers, bring benefits to the patient without compromising his safety. Further larger studies are necessary to confirm the safety and efficiency of this method.


2013 ◽  
Vol 96 (2) ◽  
pp. 399-401 ◽  
Author(s):  
Michael O. Kayatta ◽  
Shair Ahmed ◽  
Josh A. Hammel ◽  
Felix Fernandez ◽  
Allan Pickens ◽  
...  

2014 ◽  
Vol 18 (suppl 1) ◽  
pp. S4-S4
Author(s):  
N. Rotolo ◽  
A. Imperatori ◽  
A. Poli ◽  
E. Nardecchia ◽  
M. Castiglioni ◽  
...  

2008 ◽  
Vol 15 (4) ◽  
pp. 201-209 ◽  
Author(s):  
Jeffrey C. Munson ◽  
Mary Elizabeth Kreider

2014 ◽  
Vol 47 (6) ◽  
pp. 1027-1030 ◽  
Author(s):  
N. Rotolo ◽  
A. Imperatori ◽  
A. Poli ◽  
E. Nardecchia ◽  
M. Castiglioni ◽  
...  

Medicina ◽  
2019 ◽  
Vol 55 (9) ◽  
pp. 606 ◽  
Author(s):  
Sergio Harari ◽  
Francesca Cereda ◽  
Federico Pane ◽  
Alberto Cavazza ◽  
Nikolaos Papanikolaou ◽  
...  

Introduction: Transbronchial cryobiopsy is an alternative to surgical biopsy for the diagnosis of fibrosing interstitial lung diseases, although the role of this relatively new method is rather controversial. Aim of this study is to evaluate the diagnostic performance and the safety of transbronchial cryobiopsy in patients with fibrosing interstitial lung disease. Materials and methods: The population in this study included patients with interstitial lung diseases who underwent cryobiopsy from May 2015 to May 2018 at the Division of Pneumology of San Giuseppe Hospital in Milan and who were retrospectively studied. All cryobiopsy procedures were performed under fluoroscopic guidance using a flexible video bronchoscope and an endobronchial blocking system in the operating room with patients under general anaesthesia. The diagnostic performance and safety of the procedure were assessed. The main complications evaluated were endobronchial bleeding and pneumothorax. All cases were studied with a multidisciplinary approach, before and after cryobiopsy. Results: Seventy-three patients were admitted to this study. A specific diagnosis was reached in 64 cases, with a diagnostic sensitivity of 88%; 5 cases (7%) were considered inadequate, 4 cases (5%) were found to be non-diagnostic. Only one major bleeding event occurred (1.4%), while 14 patients (19%) experienced mild/moderate bleeding events while undergoing bronchoscopy; 8 cases of pneumothorax (10.9%) were reported, of which 2 (2.7%) required surgical drainage. Conclusions: When performed under safe conditions and in an experienced center, cryobiopsy is a procedure with limited complications having a high diagnostic yield in fibrotic interstitial lung disease.


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