Document Detail


The role of thoracoscopy in the diagnosis of interstitial lung disease.
MedLine Citation:
PMID:  7847948     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A study was undertaken to evaluate the safety and efficacy of thoracoscopic lung biopsy for interstitial lung disease. The relation between operative findings, pathologic findings, and preoperative computed tomographic scan findings was examined. Twenty-six patients, 10 male and 16 female, underwent thoracoscopic lung resection to diagnose interstitial lung disease. Sixteen patients were outpatients for an elective procedure; 10 were inpatients including 2 who were ventilator dependent. The mean length of operation was 54 minutes and the mean length of chest tube duration, 1.3 days. There were no deaths. Staphylococcal pneumonia developed in 1 patient postoperatively. One patient with systemic pulmonary hypertension was ventilator dependent for 48 hours. A double-lumen endotracheal tube was used in all but 2 patients. Twelve-millimeter trocar ports were used to allow easy interchange of staplers and endoscopic instruments. Biopsy of at least two lobes was performed in each patient with resection of a piece of grossly abnormal lung. A single chest tube was left routinely. The pathologic diagnosis was usual interstitial pneumonitis in 7 patients. Four patients had interstitial fibrosis and 4, granulomas. Three patients had diffuse alveolar damage and 3, Wegener's granulomatosis. Two patients had bronchiolitis obliterans with organizing pneumonia. One patient each had lymphangioleiomyomatosis, eosinophilic granuloma, and cytomegalovirus. Sixteen patients underwent preoperative computed tomographic scanning. The scans were assessed by 2 radiologists who were blinded to the surgical results. Computed tomography accurately predicted the site of disease in most instances. Four patients had at least one lobe with no evidence of disease on computed tomography but with interstitial lung disease found thoracoscopy.(ABSTRACT TRUNCATED AT 250 WORDS)
Authors:
M J Krasna; C S White; S C Aisner; P A Templeton; J S McLaughlin
Related Documents :
6342028 - Digital subtraction angiography of the pulmonary arteries for the diagnosis of pulmonar...
9236678 - Lung findings on high-resolution computed tomography in idiopathic ankylosing spondylit...
3183748 - Detection and treatment of lung metastases of differentiated thyroid carcinoma in patie...
17099198 - Physician practice patterns: chest x-ray ordering for the evaluation of acute cough ill...
7954568 - Percutaneous transluminal coronary angioplasty in elderly patients.
16669178 - Cardiac magnetic resonance appearance of myocarditis caused by high dose il-2: similari...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  59     ISSN:  0003-4975     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  1995 Feb 
Date Detail:
Created Date:  1995-03-09     Completed Date:  1995-03-09     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  348-51     Citation Subset:  AIM; IM    
Affiliation:
Division of Thoracic and Cardiovascular Surgery, University of Maryland Medical School, Baltimore 21201.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Biopsy
Female
Humans
Lung / pathology
Lung Diseases, Interstitial / diagnosis*,  radiography,  surgery
Male
Thoracoscopy* / methods
Tomography, X-Ray Computed

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Aortic to right ventricular shunt for pulmonary atresia and intact ventricular septum.
Next Document:  Anatomic spectrum of abnormal ventriculoarterial connections: surgical implications.