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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Autores principales: Calderon Novoa, Francisco, Dietrich, Agustin, Raices, Micaela, Montagne, Juan Alejandro, Borensztein, Matias, Smith, David
Formato: Artículo revista
Lenguaje:Inglés
Publicado: Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2021
Materias:
pneumothorax
pleural cavity
chest tubes
neumotórax
cavidad pleural
tubos torácicos
pneumotórax
cavidade pleural
Acceso en línea:https://revistas.unc.edu.ar/index.php/med/article/view/29831
Aporte de:
Revista de la Facultad de Ciencias Médicas de Córdoba de Universidad Nacional de Córdoba
id I10-R327-article-29831
record_format ojs
institution Universidad Nacional de Córdoba
institution_str I-10
repository_str R-327
container_title_str Revista de la Facultad de Ciencias Médicas de Córdoba
language Inglés
format Artículo revista
topic pneumothorax
pleural cavity
chest tubes
neumotórax
cavidad pleural
tubos torácicos
pneumotórax
cavidade pleural
tubos torácicos
spellingShingle pneumothorax
pleural cavity
chest tubes
neumotórax
cavidad pleural
tubos torácicos
pneumotórax
cavidade pleural
tubos torácicos
Calderon Novoa, Francisco
Dietrich, Agustin
Raices, Micaela
Montagne, Juan Alejandro
Borensztein, Matias
Smith, David
Pneumothorax after percutaneous transthoracic lung biopsy. Non-invasive management in order to avoid unnecessary hospitalizations.
topic_facet pneumothorax
pleural cavity
chest tubes
neumotórax
cavidad pleural
tubos torácicos
pneumotórax
cavidade pleural
tubos torácicos
author Calderon Novoa, Francisco
Dietrich, Agustin
Raices, Micaela
Montagne, Juan Alejandro
Borensztein, Matias
Smith, David
author_facet Calderon Novoa, Francisco
Dietrich, Agustin
Raices, Micaela
Montagne, Juan Alejandro
Borensztein, Matias
Smith, David
author_sort Calderon Novoa, Francisco
title 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_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_sort pneumothorax after percutaneous transthoracic lung biopsy. non-invasive management in order to avoid unnecessary hospitalizations.
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.
publisher Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
publishDate 2021
url https://revistas.unc.edu.ar/index.php/med/article/view/29831
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first_indexed 2024-09-03T21:02:03Z
last_indexed 2024-09-03T21:02:03Z
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spelling I10-R327-article-298312021-07-21T15:36:19Z Pneumothorax after percutaneous transthoracic lung biopsy. Non-invasive management in order to avoid unnecessary hospitalizations. Neumotórax post biopsia pulmonar transtorácica percutánea. Manejo no invasivo para evitar internaciones innecesarias Pneumotórax após biópsia pulmonar transtorácica percutânea. Manejo não invasivo para evitar hospitalizações desnecessárias Calderon Novoa, Francisco Dietrich, Agustin Raices, Micaela Montagne, Juan Alejandro Borensztein, Matias Smith, David pneumothorax pleural cavity chest tubes neumotórax cavidad pleural tubos torácicos pneumotórax cavidade pleural tubos torácicos 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. INTRODUCCIÓN: La punción biopsia percutánea transtorácica se ha convertido con el devenir del tiempo en un método diagnóstico de uso ubicuo y poco invasivo. Su principal complicación continúa siendo el neumotórax. El presente estudio describe la experiencia de este grupo con el manejo expectante del neumotórax pequeño y asintomático post biopsia, con el fin de reducir ingresos hospitalarios innecesarios.  MÉTODOS: Se realizó una revisión retrospectiva, analizando los resultados de aquellos pacientes sometidos a tratamiento conservador de neumotórax post punción percutánea transtorácica en un periodo de 6 años ( Enero 2013 a Diciembre 2019).  RESULTADOS: Un total de 160 sujetos fueron sometidos a una punción percutánea diagnóstica de pulmón en el lapso de tiempo estudiado. De estos, 46 ( 29%) presentaron neumotórax, siendo 36 de estos neumotórax pequeños. Este grupo fue manejado de forma expectante, con una tasa de éxito terapéutico del 81 % ( 7 sujetos debieron ser sometidos a drenaje pleural percutáneo).  CONCLUSIÓN: El tratamiento conservador de pacientes con neumotórax secundario a biopsia percutánea transtorácica es seguro, efectivo y útil. Debería ser utilizado por cirujanos como herramienta para evitar internaciones y/o procedimientos innecesarios y costosos.  INTRODUÇÃO: A biópsia pulmonar transtorácica percutânea guiada por imagens tornou-se um método diagnóstico amplamente utilizado e pouco invasivo. O pneumotórax é a complicação mais frequente após biópsia pulmonar. O objetivo do presente estudo é descrever a experiência com tratamento expectante de pequenos pneumotórax pós-biópsia assintomáticos, a fim de reduzir internações desnecessárias e custos hospitalares. MÉTODOS: Foi realizada uma revisão retrospectiva analisando os resultados de indivíduos submetidos a tratamento expectante e conservador após apresentar pneumotórax secundário a biópsia pulmonar percutânea, em um período de 6 anos (janeiro de 2013 a dezembro de 2019) RESULTADOS: Foram avaliados 160 indivíduos submetidos à biópsia percutânea pulmonar diagnóstica de nódulos pulmonares. Destes, 46 indivíduos (29%) apresentaram pneumotórax, dos quais 36 foram pequenos. Esse grupo de sujeitos foi tratado com tratamento conservador, com um sucesso terapêutico de 81% (sete pacientes tiveram que ser submetidos à drenagem pleural percutânea). CONCLUSÃO: O tratamento expectante em indivíduos com pneumotórax após biópsia pulmonar percutânea é uma ferramenta útil e deve ser aplicada pelos cirurgiões, a fim de evitar hospitalizações e / ou procedimentos desnecessários e caros. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2021-03-18 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf text/html https://revistas.unc.edu.ar/index.php/med/article/view/29831 10.31053/1853.0605.v78.n1.29831 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 78 No. 1 (2021); 37-40 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 78 Núm. 1 (2021); 37-40 Revista da Faculdade de Ciências Médicas de Córdoba; v. 78 n. 1 (2021); 37-40 1853-0605 0014-6722 10.31053/1853.0605.v78.n1 eng https://revistas.unc.edu.ar/index.php/med/article/view/29831/33293 https://revistas.unc.edu.ar/index.php/med/article/view/29831/33270 Derechos de autor 2021 Universidad Nacional de Córdoba http://creativecommons.org/licenses/by-nc/4.0

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