Non-intubated video-assisted thoracoscopic lung biopsy for interstitial lung disease: A single-center experience

Chang Seok Jeon, Dong Woog Yoon, Seong Mi Moon, Sumin Shin, Jong Ho Cho, Sangmin M. Lee, Hyun Joo Ahn, Jie Ae Kim, Mikyung Yang

Research output: Contribution to journalArticlepeer-review

10 Scopus citations

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 carbon 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.

Original languageEnglish
Pages (from-to)3262-3268
Number of pages7
JournalJournal of Thoracic Disease
Volume10
Issue number6
DOIs
StatePublished - 1 Jun 2018

Keywords

  • Interstitial lung disease (ILD)
  • Lung biopsy
  • Minimally invasive surgery
  • Non-intubated videoassisted thoracic surgery
  • Video-assisted thoracoscopic (VATS)

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