Non-intubated video-assisted thoracoscopic lung biopsy for interstitial lung disease: a single-center experience
- Authors
- Jeon, Chang-Seok; Yoon, Dong Woog; Moon, Seong Mi; Shin, Sumin; Cho, Jong Ho; Lee, Sangmin M.; Ahn, Hyun Joo; Kim, Jie Ae; Yang, Mikyung
- Issue Date
- Jun-2018
- Publisher
- AME PUBL CO
- Keywords
- Interstitial lung disease (ILD); lung biopsy; video-assisted thoracoscopic (VATS); non-intubated video-assisted thoracic surgery; minimally invasive surgery
- Citation
- JOURNAL OF THORACIC DISEASE, v.10, no.6, pp 3262 - 3268
- Pages
- 7
- Journal Title
- JOURNAL OF THORACIC DISEASE
- Volume
- 10
- Number
- 6
- Start Page
- 3262
- End Page
- 3268
- URI
- https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/70931
- DOI
- 10.21037/jtd.2018.05.144
- ISSN
- 2072-1439
2077-6624
- Abstract
- Background: The mortality and morbidity associated with video-assisted thoracoscopic (VATS) lung biopsy for interstitial lung disease (ILD) are not negligible. We evaluated whether non-intubated VATS lung biopsy, which avoids intubation and general anesthesia, can be safely performed in ILD subjects. Methods: This retrospective study compared the incidence of complications and surgical mortality between 25 consecutive intubated subjects and 10 non-intubated subjects (a total of 35 consecutive subjects) at a single institution. Results: No major surgical complications or deaths were reported in either group, and non-intubated VATS biopsies were safely performed in subjects with relatively low cart= monoxide diffusing capacity (P=0.08) or poor American Society of Anesthesiologists physical status scores (ASA) (P=0.02). Conclusions: These preliminary results suggest that non-intubated VATS lung biopsy is a safe and feasible option in patients with ILD.
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