Access the full text.
Sign up today, get DeepDyve free for 14 days.
Jeffrey Wagner, Christopher Stahler, Stephen Knox, M. Brinton, Ben Knecht (1992)
Clinical utility of open lung biopsy for undiagnosed pulmonary infiltrates.American journal of surgery, 164 2
M. Kadokura, Thomas Colby, J. Myers, Mark Allen, C. Deschamps, V. Trastek, P. Pairolero (1995)
Pathologic comparison of video-assisted thoracic surgical lung biopsy with traditional open lung biopsy.The Journal of thoracic and cardiovascular surgery, 109 3
P. Ferson, R. Landreneau, Robert Dowling, S. Hazelrigg, P. Ritter, Susan Nunchuck, Maureen Perrino, C. Bowers, Michael Mack, Mitchell Magee (1993)
Comparison of open versus thoracoscopic lung biopsy for diffuse infiltrative pulmonary disease.The Journal of thoracic and cardiovascular surgery, 106 2
L. Wetstein (1986)
Sensitivity and specificity of lingular segmental biopsies of the lung.Chest, 90 3
M. Krasna, Charles White, Seena Aisner, Philip Templeton, Joseph McLaughlin (1995)
The role of thoracoscopy in the diagnosis of interstitial lung disease.The Annals of thoracic surgery, 59 2
Daniel Miller, M. Allen, V. Trastek, C. Deschamps, P. Pairolero (1992)
Videothoracoscopic wedge excision of the lung.The Annals of thoracic surgery, 54 3
Lisa Molin, John Steinberg, Louis Lanza (1994)
VATS increases costs in patients undergoing lung biopsy for interstitial lung disease.The Annals of thoracic surgery, 58 6
D. Bensard, R. McIntyre, B. Waring, John Simon (1993)
Comparison of video thoracoscopic lung biopsy to open lung biopsy in the diagnosis of interstitial lung disease.Chest, 103 3
S. Hazelrigg, S. Hazelrigg, Susan Nunchuck, Susan Nunchuck, J. Locicero, J. Locicero (1993)
Video Assisted Thoracic Surgery Study Group data.The Annals of thoracic surgery, 56 5
(1994)
Chirurgie thoracique vidéo-assistée: indications et limites
S Steel, D Winstanley (1970)
Lung BiopsyBritish Medical Journal, 2
H. Greuel (1961)
[Thoracoscopic lung biopsy].Deutsche medizinische Wochenschrift, 86
R. Miller, B. Nelems, N. Müller, K. Evans, D. Ostrow (1987)
Lingular and right middle lobe biopsy in the assessment of diffuse lung disease.The Annals of thoracic surgery, 44 3
R. Feins (1993)
The role of thoracoscopy in the AIDS/immunocompromised patient.The Annals of thoracic surgery, 56 3
R. Crystal, J. Gadek, V. Ferrans, J. Fulmer, B. Line, G. Hunninghake (1981)
Interstitial lung disease: current concepts of pathogenesis, staging and therapy.The American journal of medicine, 70 3
M. Ferguson (1993)
Thoracoscopy for diagnosis of diffuse lung disease.The Annals of thoracic surgery, 56 3
P. Mckeown, P. Conant, D. Hubbell (1992)
Thoracoscopic lung biopsy.The Annals of thoracic surgery, 54 3
J. Locicero (1994)
Does every patient with enigmatic lung disease deserve a lung biopsy? The continuing dilemma.Chest, 106 3
Carrington Cb, Gaensler Ea (1978)
Clinical-pathologic approach to diffuse infiltrative lung disease.Monographs in pathology, 19
(1986)
Diagnosis and management of mycobacterial infection and disease in persons with immunodeficiency virus infection
J. Mouroux, J. Maalouf, J. Bernard, M. Chazal, D. Benchimol, A. Bourgeon, H. Richelme (1994)
[Video-assisted thoracic surgery: indications and limitations].Annales de chirurgie, 48 1
R. Landreneau, S. Hazelrigg, Michael Mack, R. Dowling, D. Burke, Joseph Gavlick, Maureen Perrino, P. Ritter, C. Bowers, J. Defino, Susan Nunchuck, Judith Freeman, R. Keenan, P. Ferson (1993)
Postoperative pain-related morbidity: video-assisted thoracic surgery versus thoracotomy.The Annals of thoracic surgery, 56 6
A. Flint, T. Colby (1987)
Surgical Pathology of Diffuse Infiltrative Lung Disease
M. Allen, P. Pairolero (1995)
Inadequacy, mortality, and thoracoscopy.The Annals of thoracic surgery, 59 1
T. Daniel, J. Kern, C. Tribble, I. Kron, William Spotnitz, B. Rodgers (1993)
Thoracoscopic Surgery for Diseases of the Lung and Pleura Effectiveness, Changing Indications, and LimitationsAnnals of Surgery, 217
E. Gaensler, C. Carrington (1980)
Open biopsy for chronic diffuse infiltrative lung disease: clinical, roentgenographic, and physiological correlations in 502 patients.The Annals of thoracic surgery, 30 5
Abstract OBJECTIVE: The aim of this study was to determine the efficacy andsafety of videothoracoscopic lung biopsy (VTLB) in the diagnosis ofinfiltrative lung disease (ILD) and compare the results of VTLB with theresults previously obtained in patients with open lung biopsy at the sameinstitution. METHODS: Forty-one patients undergoing VTLB between May 1991and December 1994 were retrospectively studied and compared with 25patients who have undergone OLB during the period from January 1987 toApril 1991. The two groups were comparable with respect to age, sex, andseverity of lung disease. RESULTS: Three of 41 patients (7%) who underwentVTLB with minithoracotomy. There was no significant difference between thegroup of VTLB (38 patients) and the group OLB (25 patients) with regard to,the number of biopsies (VTLB 1.8 +/- 0.4 versus OLB 2 +/- 0.6), ordiagnostic yield (VTLB 37/38 versus OLB 25/25). In contrast, patients whounderwent VTLB demonstrated a significant reduction of the operative time(VTLB 45.3 +/- 12.2 min), length of chest tube drainage (3.55 +/- 1.2days), hospital stay (5.5 +/- 1.3 days), and analgesia (buprenorphine 0.85+/- 0.44 mg; paracetamol 5.9 +/- 2.5 g) compared to patients who underwentOLB (55.6 +/- 11.2 min, 5.2 +/- 1.5 days; 7.1 +/- 2.3 days; buprenorphine1.17 +/- 0.5 mg, paracetamol 8.9 +/- 2.3 g). Morbidity and mortality weresimilar in the two groups (morbidity VTLB 10.5%, OLB 12%; mortality VTLB5.2%, OLB 8%). Regardless of the biopsy technique, the most seriouscomplications and deaths occurred with the same frequency in those patientswith a severe underlying disease. CONCLUSIONS: VTLB is a valid alternativeto OLB in most cases. Along with a comparable efficacy, VTLB has severaladvantages that should make it the method of choice for patients with onlyminimally impaired respiratory function. In contrast, the role andadvantages of VTLB compared to OLB in patients with severe lung disease,require further investigation. This content is only available as a PDF. © 1997 Elsevier Science B.V.
European Journal of Cardio-Thoracic Surgery – Oxford University Press
Published: Jan 1, 1997
Read and print from thousands of top scholarly journals.
Already have an account? Log in
Bookmark this article. You can see your Bookmarks on your DeepDyve Library.
To save an article, log in first, or sign up for a DeepDyve account if you don’t already have one.
Copy and paste the desired citation format or use the link below to download a file formatted for EndNote
Access the full text.
Sign up today, get DeepDyve free for 14 days.
All DeepDyve websites use cookies to improve your online experience. They were placed on your computer when you launched this website. You can change your cookie settings through your browser.