Complications following transbronchial biopsy: the role of cryobiopsy in the incidence of postoperative pneumothorax
Introduction: Transbronchial lung cryobiopsy (TBCB) has emerged as a diagnostic alternative to surgical lung biopsy mostly in interstitial lung disease. Despite its less invasive nature and reported higher diagnostic yield, some associated complications have been described, such as pneumothorax. Mor...
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Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2021
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| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/28798 |
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I10-R10-article-28798 |
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Universidad Nacional de Córdoba |
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Revistas de la UNC |
| language |
Inglés |
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Artículo revista |
| topic |
biopsy drainage lung pneumothorax forceps biopsia pulmon neumotorax drenaje fórceps biópsia pulmão pneumotórax drenagem pinça |
| spellingShingle |
biopsy drainage lung pneumothorax forceps biopsia pulmon neumotorax drenaje fórceps biópsia pulmão pneumotórax drenagem pinça Smith, David Raices, Micaela Bequis, Maria Agustina Las Heras, Marcos Wainstein, Esteban Castro, Rodrigo Montagne, Juan Dietrich, Agustin Complications following transbronchial biopsy: the role of cryobiopsy in the incidence of postoperative pneumothorax |
| topic_facet |
biopsy drainage lung pneumothorax forceps biopsia pulmon neumotorax drenaje fórceps biópsia pulmão pneumotórax drenagem pinça |
| author |
Smith, David Raices, Micaela Bequis, Maria Agustina Las Heras, Marcos Wainstein, Esteban Castro, Rodrigo Montagne, Juan Dietrich, Agustin |
| author_facet |
Smith, David Raices, Micaela Bequis, Maria Agustina Las Heras, Marcos Wainstein, Esteban Castro, Rodrigo Montagne, Juan Dietrich, Agustin |
| author_sort |
Smith, David |
| title |
Complications following transbronchial biopsy: the role of cryobiopsy in the incidence of postoperative pneumothorax |
| title_short |
Complications following transbronchial biopsy: the role of cryobiopsy in the incidence of postoperative pneumothorax |
| title_full |
Complications following transbronchial biopsy: the role of cryobiopsy in the incidence of postoperative pneumothorax |
| title_fullStr |
Complications following transbronchial biopsy: the role of cryobiopsy in the incidence of postoperative pneumothorax |
| title_full_unstemmed |
Complications following transbronchial biopsy: the role of cryobiopsy in the incidence of postoperative pneumothorax |
| title_sort |
complications following transbronchial biopsy: the role of cryobiopsy in the incidence of postoperative pneumothorax |
| description |
Introduction: Transbronchial lung cryobiopsy (TBCB) has emerged as a diagnostic alternative to surgical lung biopsy mostly in interstitial lung disease. Despite its less invasive nature and reported higher diagnostic yield, some associated complications have been described, such as pneumothorax. Moreover, a comparison between TBCB and transbronchial forceps biopsy is seldomly made. The aim of the present study is to evaluate the incidence of pneumothorax following TBFB and TBCB and the need for pleural drainage.
Methods: Retrospective study of patients who underwent transbronchial forceps biopsy or transbronchial lung cryobiopsy, specifically those who developed postoperative pneumothorax.
Results: A total of 181 transbronchial lung biopsies were performed. Sixty three (35%) were TBFB and 118 (65%) were TBCB. Three patients in the TBFB group (5%) presented postoperative pneumothorax, while 16 patients (14%) presented pneumothorax in the TBCB group (p 0,051). The univariate analysis revealed a statistically significant association between the preoperative diagnosis of fibrosis and a higher risk of postoperative pneumothorax following TBCB (p 0.027), while other variables did not yield a statistical significance.
Conclusion: Even though more high-volume comparative studies are needed, this paper highlights the relevance of pneumothorax following TBCB. This derives in a strong need for clearly standardized procedure protocols for TBCB and careful evaluation of its complications vs. its definitive diagnostic yields. |
| publisher |
Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2021 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/28798 |
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I10-R10-article-287982021-07-07T13:29:31Z Complications following transbronchial biopsy: the role of cryobiopsy in the incidence of postoperative pneumothorax Complicaciones post biopsia transbronquial: el papel de la criobiopsia en la incidencia de neumotórax postoperatorio Complicações após biópsia transbrônquica: o papel da criobiopsia na incidência de pneumotórax no pós-operatório Smith, David Raices, Micaela Bequis, Maria Agustina Las Heras, Marcos Wainstein, Esteban Castro, Rodrigo Montagne, Juan Dietrich, Agustin biopsy drainage lung pneumothorax forceps biopsia pulmon neumotorax drenaje fórceps biópsia pulmão pneumotórax drenagem pinça Introduction: Transbronchial lung cryobiopsy (TBCB) has emerged as a diagnostic alternative to surgical lung biopsy mostly in interstitial lung disease. Despite its less invasive nature and reported higher diagnostic yield, some associated complications have been described, such as pneumothorax. Moreover, a comparison between TBCB and transbronchial forceps biopsy is seldomly made. The aim of the present study is to evaluate the incidence of pneumothorax following TBFB and TBCB and the need for pleural drainage. Methods: Retrospective study of patients who underwent transbronchial forceps biopsy or transbronchial lung cryobiopsy, specifically those who developed postoperative pneumothorax. Results: A total of 181 transbronchial lung biopsies were performed. Sixty three (35%) were TBFB and 118 (65%) were TBCB. Three patients in the TBFB group (5%) presented postoperative pneumothorax, while 16 patients (14%) presented pneumothorax in the TBCB group (p 0,051). The univariate analysis revealed a statistically significant association between the preoperative diagnosis of fibrosis and a higher risk of postoperative pneumothorax following TBCB (p 0.027), while other variables did not yield a statistical significance. Conclusion: Even though more high-volume comparative studies are needed, this paper highlights the relevance of pneumothorax following TBCB. This derives in a strong need for clearly standardized procedure protocols for TBCB and careful evaluation of its complications vs. its definitive diagnostic yields. Introducción: La criobiopsia pulmonar transbronquial (TBCB) se ha convertido en una alternativa diagnóstica a la biopsia pulmonar quirúrgica, principalmente en la enfermedad pulmonar intersticial. A pesar de su naturaleza menos invasiva y de un mayor rendimiento diagnóstico, se han descrito algunas complicaciones asociadas, como el neumotórax. En pocas oportunidades se ha comparado la TBCB y la biopsia transbronquial con fórceps (TBFB). El objetivo del presente estudio es evaluar la incidencia de neumotórax después de TBFB y TBCB y la necesidad de drenaje pleural. Métodos: Estudio retrospectivo de pacientes que se sometieron a TBCB y TBFB, específicamente aquellos que desarrollaron neumotórax postoperatorio. Resultados: Se realizaron un total de 181 biopsias pulmonares transbronquiales. Sesenta y tres (35%) fueron TBFB y 118 (65%) fueron TBCB. Tres pacientes en el grupo TBFB (5%) presentaron neumotórax postoperatorio, mientras que 16 pacientes (14%) presentaron neumotórax en el grupo TBCB (p 0,051). El análisis univariado reveló una asociación estadísticamente significativa entre el diagnóstico preoperatorio de fibrosis y un mayor riesgo de neumotórax postoperatorio después de TBCB (p 0.027), mientras que otras variables no arrojaron un resultado significativo. Conclusión: Aunque se necesitan más estudios comparativos de alto volumen, este documento destaca la relevancia del neumotórax después de la TBCB. Esto deriva en una fuerte necesidad de protocolos de procedimientos claramente estandarizados para TBCB y una evaluación cuidadosa de sus complicaciones versus su rendimiento diagnóstico Introdução: A criobiopsia pulmonar transbrônquica (TBCB) surgiu como uma alternativa diagnóstica à biópsia pulmonar cirúrgica principalmente na doença intersticial pulmonar. Apesar de sua natureza menos invasiva e maior rendimento diagnóstico relatado, algumas complicações associadas foram descritas, como o pneumotórax. Além disso, ainda não foram feitas comparações entre TBCB e biópsia de pinça transbrônquica. O objetivo do presente estudo é avaliar a incidência de pneumotórax após TBFB e TBCB e a necessidade de drenagem pleural. Métodos: Estudo retrospectivo de pacientes submetidos à biópsia de fórceps transbrônquico ou criobiopsia pulmonar transbrônquica, especificamente aqueles que desenvolveram pneumotórax pós-operatório. Resultados: Foram realizadas 181 biópsias pulmonares transbrônquicas. Sessenta e três (35%) eram TBFB e 118 (65%) eram TBCB. Três pacientes no grupo TBFB (5%) apresentaram pneumotórax no pós-operatório, enquanto 16 pacientes (14%) apresentaram pneumotórax no grupo TBCB (p 0,051). A análise univariada revelou associação estatisticamente significante entre o diagnóstico pré-operatório de fibrose e maior risco de pneumotórax pós-operatório após TBCB (p 0,027), enquanto outras variáveis não apresentaram significância estatística. Conclusão: Embora sejam necessários mais estudos comparativos de alto volume, este artigo destaca a relevância do pneumotórax após o TBCB. Isso produz uma forte necessidade de protocolos de procedimento claramente padronizados para o TBCB e de uma avaliação cuidadosa de suas complicações versus seu rendimento diagnóstico definitivo. Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2021-03-12 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf text/html https://revistas.unc.edu.ar/index.php/med/article/view/28798 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 78 No. 1 (2021); 29-32 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 78 Núm. 1 (2021); 29-32 Revista da Faculdade de Ciências Médicas de Córdoba; v. 78 n. 1 (2021); 29-32 1853-0605 0014-6722 10.31053/1853.0605.v78.n1 eng https://revistas.unc.edu.ar/index.php/med/article/view/28798/33291 https://revistas.unc.edu.ar/index.php/med/article/view/28798/33271 Derechos de autor 2021 Universidad Nacional de Córdoba http://creativecommons.org/licenses/by-nc/4.0 |