Abstract
Transthoracic lung biopsy is a relatively frequently performed procedure,using CT or ultrasound as guidance,most commonly use being CT guide. Ultrasonographic (US) guidance in transthoracic lung biopsy (TLB) is harmless, cheap, and easy to use.Common complications are pneumothorax, hemoptysis, hemothorax, infection, and air embolism.
Aim: To evaluate the incidence of pneumothorax in ultrasonographic guided transthoracic lung biopsy, on the patients who underwent this investigation in the Department of Pneumology , Municipal Clinical Hospital Oradea, between Jan. 2015-Jan. 2016.
Method: Between Jan. 2015-Jan. 2016, 89 patients, with peripheral lung tumors, were hospitalized at the clinique. From the 89 patients, 59(66,29%) patients had a peripheral lung tumors that was approachable by chest ultrasound. We performed 59 transthoracic lung biopsies guided US and no CT guided biopsy. The patients were monitored immediately post procedure by Chest US at 3h, 8h and 24h. Variables such as age, gender, lesion size, location, presence of an emphysematous change, biopsy guidance methods, and biopsy devices were analyzed.
Results: From 59 patients performed TBL, four patients(6,77%) had partial pneumothorax post TBL,immediately after biopsy. The pneumothorax volume was assessed by the lung ultrasound, in all cases being a small volume < 15%, and in all cases the treatment was conservative.The monitoring until the resorption of pneumothorax was carried out by Lung US.
Conclusion: Pneumothorax incidence related TBL US guided was 6,77%,wich is lower than general incidence 8-61% reported in the literature. We have only small pneumothorax as complication of TBL US guided,and 0% needed chest tube insertion.
- Copyright ©the authors 2016
