Francisco Calderon Novoa1, Agustin Dietrich2, Micaela Raices3, Juan Alejandro Montagne4, Matias Borensztein5, David Smith6. 1. Servicio de Cirugía General. Hospital Italiano de Buenos Aires. Residente.. francisco.calderon@hospitalitaliano.org.ar. 2. Servicio de Cirugía General. Sector de Cirugía Torácica y Trasplante Pulmonar. Hospital Italiano de Buenos Aires. Médico Adscripto.. agustin.dietrich@hospitalitaliano.org.ar. 3. Servicio de Cirugía General. Hospital Italiano de Buenos Aires. Jefe de Residentes. . micaela.raices@hospitalitaliano.org.ar. 4. Servicio de Cirugía General. Sector de Cirugía Torácica y Trasplante Pulmonar. Hospital Italiano de Buenos Aires. Becario de perfeccionamiento. . juan.montagne@hospitalitaliano.org.ar. 5. Servicio de Diagnóstico por Imágenes. Sector de Radiología Intervencionista. Médico de planta.. matias.borensztein@hospitalitaliano.org.ar. 6. Servicio de Cirugía General. Sector de Cirugía Torácica y Trasplante Pulmonar. Hospital Italiano de Buenos Aires. Jefe de Sector.. david.smith@hospitalitaliano.org.ar.
Abstract
BACKGROUND: Image-guided percutaneous transthoracic lung biopsy has become a widely used and less invasive diagnostic method. Pneumothorax is the most frequent complication after lung biopsy. The aim of the present study is to describe the experience with expectant management of asymptomatic small post-biopsy pneumothorax in order to reduce unnecessary hospital admissions. METHODS: A retrospective review was performed analyzing the results of subjects who underwent expectant and conservative treatment after presenting pneumothorax following percutaneous lung biopsy, in a period of 6 years (January 2013 - December 2019) RESULTS: 160 subjects who underwent diagnostic percutaneous lung biopsy of lung nodules were evaluated. Of these, 46 subjects (29%) presented pneumothorax, of which 36 were small. This group of subjects was managed expectantly, with a therapeutic success of 81% (7 subjects had to undergo percutaneous pleural drainage). CONCLUSIONS: Expectant management in subjects with pneumothorax following percutaneous lung biopsy is a useful tool and should be applied by surgeons in order to avoid hospitalizations and / or unnecessary and expensive procedures. Universidad Nacional de Córdoba
BACKGROUND: Image-guided percutaneous transthoracic lung biopsy has become a widely used and less invasive diagnostic method. Pneumothorax is the most frequent complication after lung biopsy. The aim of the present study is to describe the experience with expectant management of asymptomatic small post-biopsy pneumothorax in order to reduce unnecessary hospital admissions. METHODS: A retrospective review was performed analyzing the results of subjects who underwent expectant and conservative treatment after presenting pneumothorax following percutaneous lung biopsy, in a period of 6 years (January 2013 - December 2019) RESULTS: 160 subjects who underwent diagnostic percutaneous lung biopsy of lung nodules were evaluated. Of these, 46 subjects (29%) presented pneumothorax, of which 36 were small. This group of subjects was managed expectantly, with a therapeutic success of 81% (7 subjects had to undergo percutaneous pleural drainage). CONCLUSIONS: Expectant management in subjects with pneumothorax following percutaneous lung biopsy is a useful tool and should be applied by surgeons in order to avoid hospitalizations and / or unnecessary and expensive procedures. Universidad Nacional de Córdoba
Authors: Jost Schnell; Meinrad Beer; Stephan Eggeling; Wolfgang Gesierich; Jens Gottlieb; Felix Herth; Hans-Stefan Hofmann; Berthold Jany; Michael Kreuter; Julia Ley-Zaporozhan; Robert Scheubel; Thorsten Walles; Sebastian Wiesemann; Heinrich Worth; Erich Stoelben Journal: Zentralbl Chir Date: 2018-07-24 Impact factor: 0.942
Authors: David Lang; Viktoria Reinelt; Andreas Horner; Kaveh Akbari; Franz Fellner; Petra Lichtenberger; Bernd Lamprecht Journal: Wien Klin Wochenschr Date: 2018-01-23 Impact factor: 1.704
Authors: İbrahim Ulaş Özturan; Nurettin Özgür Doğan; Cansu Alyeşil; Murat Pekdemir; Serkan Yılmaz; Hüseyin Fatih Sezer Journal: Turk J Emerg Med Date: 2018-05-24