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Neumología y cirugía de tórax
Print version ISSN 0028-3746
Abstract
TORRES-RODRIGUEZ, Servio Tulio; HERRERA-CRUZ, Danilo; LOPEZ-YEPES, Luis and LAINFIESTA-MONCADA, Elka. Lung biopsy by minithoracotomy. Is the pleural drainage necessary?. Neumol. cir. torax [online]. 2019, vol.78, n.2, pp.133-138. Epub Dec 09, 2020. ISSN 0028-3746.
The usefulness of open lung biopsy in obtaining tissue material for histological diagnosis is undeniable even when technological advances direct us towards minimally invasive methods. The aim of the study is to show the efficiency of open lung biopsy and to discuss the need for pleural drainage when the pleura has been transgressed.
Material and methods:
Prospective longitudinal study carried out from January 1, 2017 to December 31, 2018, in 41 patients undergoing open lung biopsy by mini-thoracotomy.
Results:
The study included 41 patients with open lung biopsies. The evolution was satisfactory in 97.5% of the cases and only one patient required the placement of immediate postoperative drainage due to pneumothorax greater than 10%. In 39 (95%) patients, histological diagnosis was obtained independent of the site of the biopsy and two (5%) the sample was reported without abnormalities.
Conclusions:
The choice of the lung parenchyma biopsy site and the anatomic location of the lesion is not an impediment to the mini-thoracotomy approach and allows obtaining adequate lung tissue for histological diagnosis in the majority of cases. The indication of pleural drainage can be selective according to transoperative criteria and the experience of the surgical team.
Keywords : Lung biopsy; minithoracotomy; pleural drainage.
