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

doi:10.1016/j.athoracsur.2008.06.021

Cited by 13 publications

(14 citation statements)

References 22 publications

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“…Recently, lung biopsies for interstitial lung disease and pulmonary resections for indeterminate pulmonary nodules have been introduced [3,23]. Needlescopic lung surgery is much less invasive compared with more conventional procedures and is technically feasible and safe [3]. Furthermore, needlescopic lung resection seems to result in less post-operative pain and scarring than conventional thoracoscopy.…”

Section: Discussionmentioning

confidence: 99%

“…In thoracic procedures, this surgical technique had initially been applied mainly to diagnostic thoracoscopy [20], thoracic sympathectomy for palmar hyperhidrosis [21] and laser ablation for spontaneous pneumothorax [22]. Recently, lung biopsies for interstitial lung disease and pulmonary resections for indeterminate pulmonary nodules have been introduced [3,23]. Needlescopic lung surgery is much less invasive compared with more conventional procedures and is technically feasible and safe [3].…”

Section: Discussionmentioning

confidence: 99%

“…Size mm 7.5¡3.7 (3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17) Distance from the pleura to superficial depth mm 7.3¡7.5 (0-35)…”

Section: Solid 22mentioning

confidence: 99%

“…As previously mentioned [3], needlescopy-assisted surgeries were performed under one-lung anaesthesia, using a doublelumen endotracheal tube with three thoracoports (one 11.5-mm port and two 2-mm miniports). Initially, an incision of ,15 mm was usually made at the sixth or seventh intercostal space on the anterior axillary line and an 11.5-mm port was inserted through the incision.…”

Section: Operative Techniquesmentioning

confidence: 99%

“…The needlescopic lung biopsy, which is much less invasive compared with other thoracoscopic procedures, may reduce post-operative pain, leave minimal scarring, and allow for more rapid recovery [3]. We have previously reported on the possibility of pulmonary nodule resection using a needlescopy [3].…”

mentioning

confidence: 99%

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Needlescopy-assisted resection of pulmonary nodule after dual localisation

Dy¹,

Hk²,

Yk³

et al. 2010

European Respiratory Journal

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The aim of this study was to evaluate the feasibility of dual localisation with hookwire and lipiodol before needlescopy-assisted resection for pulmonary nodule.Computed tomography-guided dual marking was performed on 36 pulmonary nodules of 32 patients and needlescopy-assisted resection was performed monitored by C-arm fluoroscopy.The mean age of the patients was 58¡12 (range 12-77) yrs. The mean size of the nodules was 7.5¡3.7 (3-17) mm. Their mean distance from the pleural surface was 7.3¡7.5 (0-35) mm. There were nine pure ground-glass opacity lesions, five semi-solid lesions and 22 solid lesions. The time of the dual localisation procedure was 13.1¡4.8 (7-23) min. Complications of the marking were pneumothorax in nine patients, and intrapulmonary bleeding in three. One hookwire dislodged during the operation. All nodules were successfully resected under needlescopy without conversion to a conventional thoracoscopy (5 mm or 10 mm thoracoscopy) or a minithoracotomy. There was no complication related to needlescopy-assisted resection.Dual marking with hookwire and lipiodol is a safe and none time consuming procedure, and needlescopy-assisted lung resection for small nodules is technically feasible and useful for histological diagnosis and treatment.

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Section: Discussionmentioning

confidence: 99%