Journal of Pediatric Surgery
Volume 31, Issue 1 , Pages 100-104, January 1996

The safety and efficacy of thoracoscopic lung biopsy for diagnosis and treatment in infants and children☆

  • Steven S Rothenberg

      Affiliations

    • Corresponding Author InformationAddress reprint requests to Steven S. Rothenberg MD, Rocky Mountain Pediatric Surgery P.C., 1601 E 19th Ave, Suite 3200, Denver, CO 80218.
    • Department of Pediatric Surgery National Jewish Center for Immunology and Respiratory Medicine, The Children's Hospital, The University of Colorado, Denver, CO, USA.
    • Department of Pulmonary Medicine, National Jewish Center for Immunology and Respiratory Medicine, The Children's Hospital, The University of Colorado, Denver, CO, USA.
    • Presbyterian/St Lukes Medical Center for Children, Denver, CO, USA.
    • ,
  • Jeffrey S Wagner

      Affiliations

    • Department of Pediatric Surgery National Jewish Center for Immunology and Respiratory Medicine, The Children's Hospital, The University of Colorado, Denver, CO, USA.
    • Department of Pulmonary Medicine, National Jewish Center for Immunology and Respiratory Medicine, The Children's Hospital, The University of Colorado, Denver, CO, USA.
    • Presbyterian/St Lukes Medical Center for Children, Denver, CO, USA.
    • ,
  • Jack H.T Chang

      Affiliations

    • Department of Pediatric Surgery National Jewish Center for Immunology and Respiratory Medicine, The Children's Hospital, The University of Colorado, Denver, CO, USA.
    • Department of Pulmonary Medicine, National Jewish Center for Immunology and Respiratory Medicine, The Children's Hospital, The University of Colorado, Denver, CO, USA.
    • Presbyterian/St Lukes Medical Center for Children, Denver, CO, USA.
    • ,
  • Leland L Fan

      Affiliations

    • Department of Pediatric Surgery National Jewish Center for Immunology and Respiratory Medicine, The Children's Hospital, The University of Colorado, Denver, CO, USA.
    • Department of Pulmonary Medicine, National Jewish Center for Immunology and Respiratory Medicine, The Children's Hospital, The University of Colorado, Denver, CO, USA.
    • Presbyterian/St Lukes Medical Center for Children, Denver, CO, USA.

Abstract 

Thoracoscopic techniques were used to perform lung biopsies and limited resections in 36 consecutively treated cases. Biopsies were performed for interstitial lung disease in 27 cases, presumed metastatic lesions in 5, and cavitary lesions in 4. Histological diagnosis was obtained in 35 of the 36 cases, and therapy was directly affected by the results in 30 of 36 cases. There were no postoperative complications, and the average hospital stay for patients admitted the morning of surgery was less than 2 days. Limited thoracoscopic resection provides a safe and effective means for diagnosing and treating parenchymal disease of the lung.

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☆ Presented at the 26th Annual Meeting of the American Pediatric Surgical Association, Boca Rato, Florida, May 20–23, 1995.

PII: S0022-3468(96)90328-0

Journal of Pediatric Surgery
Volume 31, Issue 1 , Pages 100-104, January 1996

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