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

Hyun Koo Kim, Won-Min Jo, Jae Ho Jung, Won Jae Chung, Jae Hoon Shim, Young Ho Choi, In Sung Lee

Research output: Contribution to journalArticle

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Abstract

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.

Original languageEnglish
Pages (from-to)1098-1103
Number of pages6
JournalAnnals of Thoracic Surgery
Volume86
Issue number4
DOIs
Publication statusPublished - 2008 Oct 1

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Interstitial Lung Diseases
Biopsy
Lung
Metastasectomy
Pathology
Chest Tubes
Segmental Mastectomy
Hand Strength
Thoracotomy
Air

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

Cite this

Needlescopic Lung Biopsy for Interstitial Lung Disease and Indeterminate Pulmonary Nodules : A Report on 65 Cases. / Kim, Hyun Koo ; Jo, Won-Min; Jung, Jae Ho; Chung, Won Jae; Shim, Jae Hoon; Choi, Young Ho; Lee, In Sung.

In: Annals of Thoracic Surgery, Vol. 86, No. 4, 01.10.2008, p. 1098-1103.

Research output: Contribution to journalArticle

Kim, Hyun Koo ; Jo, Won-Min ; Jung, Jae Ho ; Chung, Won Jae ; Shim, Jae Hoon ; Choi, Young Ho ; Lee, In Sung. / Needlescopic Lung Biopsy for Interstitial Lung Disease and Indeterminate Pulmonary Nodules : A Report on 65 Cases. In: Annals of Thoracic Surgery. 2008 ; Vol. 86, No. 4. pp. 1098-1103.
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abstract = "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.",
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