Video-assisted thoracoscopic surgery is often preferred for
open lung biopsy. Transbronchial biopsy in diagnosis is limited, and it is not required in patients with typical clinical and radiological findings.
We acknowledge the Division of Cardiothoracic Surgery, Department of Surgical Sciences, Tygerberg Hospital and Stellenbosch University, where the
open lung biopsy was performed.
Open lung biopsy in patients with diffuse pulmonary shadowing.
Open lung biopsy in patients with diffuse pulmonary infiltrates and acute respiratory failure.
He added that: "We here conduct pulmonary function test, ultrasound chest and guided procedures like pleural tap pleural biopsy, close and
open lung biopsy which provides round-the-clock service to patients." "The intensive care units are providing healthcare to most serious patients on ventilators.
Between January 2002 and July 2004, 23 consecutive patients with SSc and interstitial lung disease (ILD) shown by high-resolution computed tomography (HRCT) were submitted to an
open lung biopsy at the Hospital das Cllnicas, Universidade de Sao Paulo (21).
HRCT should always be performed as it reveals the characteristic patterns of PAM; however, confirmatory diagnosis is established by transbronchial or
open lung biopsy. There is no specific treatment for PAM; nonetheless, lung transplantation can provide improvement in respiratory insufficiency.
This surgical precision is never complete as most of the lung cannot be assessed through the usual anterior thoracotomy practiced for
open lung biopsy. This problem can be overcome through the use of VATS as most of the lung surface can be assessed and biopsied if required.
Although inhaled steroids and mucus clearance therapy improved her cough, her dyspnea continued to worsen; an
open lung biopsy was performed, which revealed constrictive bronchiolitis (the histopathologic correlate of obliterative bronchiolitis) with both narrowed and obliterated airways with surrounding fibrous tissue and a variable mixed chronic inflammatory cell infiltrate.
An
open lung biopsy confirmed diffuse alveolar hemorrhage (DAH) and the presence of numerous hemosiderin-laden macrophages (Figure 4).
Methodology: A prospective study of fifty patients already diagnosed as ILD on transbronchial or
open lung biopsy was performed in the Medical B Unit of the Department of Medicine Khyber Teaching Hospital, Peshawar from January, 2008 to December, 2008.
Open lung biopsy performed during video - assisted thoracoscopic surgery or otherwise accounted for 8 cases (2.7%).