Chest ACCP Career Connection
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

Guest Access | Sign In via User Name/Password
This Article
Right arrow Full Text (PDF) Free
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Article Archive
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Ray, J.
Right arrow Articles by Sautter, R.
Right arrow Search for Related Content
PubMed
Right arrow Articles by Ray, J., 3d
Right arrow Articles by Sautter, R.

Chest, Vol 69, 43-47, Copyright © 1976 by American College of Chest Physicians

ARTICLES

Open pulmonary biopsy. Nineteen-year experience with 416 consecutive operations

JF Ray 3d, BR Lawton, WO Myers, WM Toyama, CN Reyes, DA Emanuel, JL Burns, DP Pederson, WV Dovenbarger, FJ Wenzel and RD Sautter

Four hundred and sixteen open pulmonary biopsies through limited thoracotomies are reported. Tissue sufficient for diagnosis was obtained in all cases. Case selection, operative technique, spectrum of diagnoses, complications, and comparisons with other techniques are defined. Diagnoses by category were as follows: occupational, 105 patients (25 percent); neoplastic disease, 80 patients (19 percent); specific histologic diagnosis, (ie, sarcoidosis), 70 patients (17 percent); specific infection, 23 patients (6 percent); vascular diagnosis, 16 patients (4 percent); and nonspecific pulmonary disease, 122 patients (29 percent). Pneumothorax, minor in most cases, was the most common complication. It occurred in 97 (23 percent) of the patients, but only 24 (6 percent) required the placement of a chest tube. Pleural effusion occurred in 106 patients (25 percent) and was minor. Hemothorax occurred in two (0.5 percent) and superficial wound infection in three (0.7 percent). Overall mortality was 4.5 percent (19 patients). Only two deaths (0.4 percent) were related to the procedure. Open pulmonary biopsy remains our diagnostic method of choice in diffuse lung disease of undetermined etiology.


This article has been cited by other articles:


Home page
 Eur Respir JHome page
P.A. Bulpa, A.M. Dive, L. Mertens, M.A. Delos, J. Jamart, P.A. Evrard, M.R. Gonzalez, and E.J. lnstalle
Combined bronchoalveolar lavage and transbronchial lung biopsy: safety and yield in ventilated patients
Eur. Respir. J., March 1, 2003; 21(3): 489 - 494.
[Abstract] [Full Text] [PDF]

Home page
 Eur Respir JHome page
M. Ioanas, R. Ferrer, J. Angrill, M. Ferrer, and A. Torres
Microbial investigation in ventilator-associated pneumonia
Eur. Respir. J., April 1, 2001; 17(4): 791 - 801.
[Abstract] [Full Text] [PDF]

Home page
 ThoraxHome page
D. M Mitchell and A. Woodcock
Introduction
Thorax, August 1, 1999; 54(90002): S1 - 1.
[PDF]

Home page
 Ann. Thorac. Surg.Home page
M. R. Kramer, N. Berkman MBBCh, B. Mintz, S. Godfrey, M. Saute, and G. Amir MBBCH
The Role of Open Lung Biopsy in the Management and Outcome of Patients With Diffuse Lung Disease
Ann. Thorac. Surg., January 1, 1998; 65(1): 198 - 202.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
L. Davies, S. Dolgin, and M. Kattan
Morbidity and Mortality of Open Lung Biopsy in Children
Pediatrics, May 1, 1997; 99(5): 660 - 664.
[Abstract] [Full Text] [PDF]

Home page
 ThoraxHome page
B. T. SOCIETY and S. O. C. COMMITTEE
The Diagnosis, Assessment and Treatment of Diffuse Parenchymal Lung Disease in Adults---British Thoracic Society recommendations
Thorax, April 1, 1990; 54(90001): 1S - 28.
[Full Text]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 1976 by the American College of Chest Physicians.