Pneumothorax after percutaneous transthoracic lung biopsy. Non-invasive management in order to avoid unnecessary hospitalizations.
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 p...
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| Format: | Article |
| Language: | English |
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Universidad Nacional de Córdoba
2021-03-01
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| Series: | Revista de la Facultad de Ciencias Médicas de Córdoba |
| Subjects: | |
| Online Access: | https://revistas.unc.edu.ar/index.php/med/article/view/29831 |
| _version_ | 1811190214741196800 |
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| author | Francisco Calderon Novoa Agustin Dietrich Micaela Raices Juan Alejandro Montagne Matias Borensztein David Smith |
| author_facet | Francisco Calderon Novoa Agustin Dietrich Micaela Raices Juan Alejandro Montagne Matias Borensztein David Smith |
| author_sort | Francisco Calderon Novoa |
| collection | DOAJ |
| description | 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).
CONCLUSION: 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. |
| first_indexed | 2024-04-11T14:47:37Z |
| format | Article |
| id | doaj.art-e658c7e18cd2449c8d1ec84f8bdb79e5 |
| institution | Directory Open Access Journal |
| issn | 0014-6722 1853-0605 |
| language | English |
| last_indexed | 2024-04-11T14:47:37Z |
| publishDate | 2021-03-01 |
| publisher | Universidad Nacional de Córdoba |
| record_format | Article |
| series | Revista de la Facultad de Ciencias Médicas de Córdoba |
| spelling | doaj.art-e658c7e18cd2449c8d1ec84f8bdb79e52022-12-22T04:17:35ZengUniversidad Nacional de CórdobaRevista de la Facultad de Ciencias Médicas de Córdoba0014-67221853-06052021-03-0178110.31053/1853.0605.v78.n1.29831Pneumothorax after percutaneous transthoracic lung biopsy. Non-invasive management in order to avoid unnecessary hospitalizations.Francisco Calderon Novoa0Agustin Dietrich1Micaela Raices2Juan Alejandro Montagne3Matias Borensztein4David Smith5General Surgery Service. Italian Hospital of Buenos Aires. Resident. General Surgery Service. Thoracic Surgery and Lung Transplantation Sector. Italian Hospital of Buenos Aires. Appointed Physician.General Surgery Service. Italian Hospital of Buenos Aires. Chief of Residents. General Surgery Service. Thoracic Surgery and Lung Transplantation Sector. Italian Hospital of Buenos Aires. Training fellow. Imaging Diagnostic Service. Interventional radiology Sector. Staff physicianGeneral Surgery Service. Thoracic Surgery and Lung Transplantation Sector. Italian Hospital of Buenos Aires. Sector boss.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). CONCLUSION: 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.https://revistas.unc.edu.ar/index.php/med/article/view/29831pneumothoraxpleural cavitychest tubes |
| spellingShingle | Francisco Calderon Novoa Agustin Dietrich Micaela Raices Juan Alejandro Montagne Matias Borensztein David Smith Pneumothorax after percutaneous transthoracic lung biopsy. Non-invasive management in order to avoid unnecessary hospitalizations. Revista de la Facultad de Ciencias Médicas de Córdoba pneumothorax pleural cavity chest tubes |
| title | Pneumothorax after percutaneous transthoracic lung biopsy. Non-invasive management in order to avoid unnecessary hospitalizations. |
| title_full | Pneumothorax after percutaneous transthoracic lung biopsy. Non-invasive management in order to avoid unnecessary hospitalizations. |
| title_fullStr | Pneumothorax after percutaneous transthoracic lung biopsy. Non-invasive management in order to avoid unnecessary hospitalizations. |
| title_full_unstemmed | Pneumothorax after percutaneous transthoracic lung biopsy. Non-invasive management in order to avoid unnecessary hospitalizations. |
| title_short | Pneumothorax after percutaneous transthoracic lung biopsy. Non-invasive management in order to avoid unnecessary hospitalizations. |
| title_sort | pneumothorax after percutaneous transthoracic lung biopsy non invasive management in order to avoid unnecessary hospitalizations |
| topic | pneumothorax pleural cavity chest tubes |
| url | https://revistas.unc.edu.ar/index.php/med/article/view/29831 |
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