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Precut technique using an injection needle: A retrospective study on a new ancillary procedure for pleural biopsy

The effectiveness of thoracoscopic biopsy as a diagnostic method for pleural diseases has been reported; however, obtaining a sufficient specimen size is sometimes difficult. Therefore, an ancillary technique, the precut technique using an injection needle, was devised to address this problem. This...

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Autores principales: Mizumori, Yasuyuki, Hirano, Katsuya, Hirata, Nobuya, Hiraoka, Ryota, Takahashi, Sayaka, Kominami, Ryota, Miyake, Kohei, Takenouchi, Masaki, Kato, Tomohiro, Kume, Sachie, Higashino, Sachiko, Nakahara, Yasuharu, Kawamura, Tetsuji
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9351845/
https://www.ncbi.nlm.nih.gov/pubmed/35945762
http://dx.doi.org/10.1097/MD.0000000000029377
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author Mizumori, Yasuyuki
Hirano, Katsuya
Hirata, Nobuya
Hiraoka, Ryota
Takahashi, Sayaka
Kominami, Ryota
Miyake, Kohei
Takenouchi, Masaki
Kato, Tomohiro
Kume, Sachie
Higashino, Sachiko
Nakahara, Yasuharu
Kawamura, Tetsuji
author_facet Mizumori, Yasuyuki
Hirano, Katsuya
Hirata, Nobuya
Hiraoka, Ryota
Takahashi, Sayaka
Kominami, Ryota
Miyake, Kohei
Takenouchi, Masaki
Kato, Tomohiro
Kume, Sachie
Higashino, Sachiko
Nakahara, Yasuharu
Kawamura, Tetsuji
author_sort Mizumori, Yasuyuki
collection PubMed
description The effectiveness of thoracoscopic biopsy as a diagnostic method for pleural diseases has been reported; however, obtaining a sufficient specimen size is sometimes difficult. Therefore, an ancillary technique, the precut technique using an injection needle, was devised to address this problem. This study aimed to evaluate the effectiveness and safety of the novel precut technique in patients with undiagnosed pleural effusion. This retrospective study included 22 patients who underwent pleural biopsy using the precut technique to examine exudative pleural effusion of unknown etiology. Thoracoscopy was performed under local anesthesia. The biopsy procedure was performed as follows: a needle was inserted into the pleura around the lesion using a semiflexible thoracoscope; the needle was positioned to make an incision in the pleura while injecting 1% lidocaine with epinephrine and lifting the pleura from the fascia; 2 or 3 precut incision lines were arranged in a triangle; and the specimen was obtained from the parietal pleura using forceps or a cryoprobe. Patient data including age, number of biopsies, biopsy specimen size, pathological and final diagnosis, and postoperative complications were examined. All patients were male with an average age of 74 years. Pleural effusion was found on the right and left sides in 16 and 6 patients, respectively. The average major axis of the biopsy specimens was 18 mm (range, 10–30 mm), which was sufficient to establish a pathological diagnosis. Only 1 patient experienced minor temporal bleeding as a complication. The precut technique enabled the procurement of specimens sufficient in size for pleural biopsy.
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spelling pubmed-93518452022-08-05 Precut technique using an injection needle: A retrospective study on a new ancillary procedure for pleural biopsy Mizumori, Yasuyuki Hirano, Katsuya Hirata, Nobuya Hiraoka, Ryota Takahashi, Sayaka Kominami, Ryota Miyake, Kohei Takenouchi, Masaki Kato, Tomohiro Kume, Sachie Higashino, Sachiko Nakahara, Yasuharu Kawamura, Tetsuji Medicine (Baltimore) Research Article The effectiveness of thoracoscopic biopsy as a diagnostic method for pleural diseases has been reported; however, obtaining a sufficient specimen size is sometimes difficult. Therefore, an ancillary technique, the precut technique using an injection needle, was devised to address this problem. This study aimed to evaluate the effectiveness and safety of the novel precut technique in patients with undiagnosed pleural effusion. This retrospective study included 22 patients who underwent pleural biopsy using the precut technique to examine exudative pleural effusion of unknown etiology. Thoracoscopy was performed under local anesthesia. The biopsy procedure was performed as follows: a needle was inserted into the pleura around the lesion using a semiflexible thoracoscope; the needle was positioned to make an incision in the pleura while injecting 1% lidocaine with epinephrine and lifting the pleura from the fascia; 2 or 3 precut incision lines were arranged in a triangle; and the specimen was obtained from the parietal pleura using forceps or a cryoprobe. Patient data including age, number of biopsies, biopsy specimen size, pathological and final diagnosis, and postoperative complications were examined. All patients were male with an average age of 74 years. Pleural effusion was found on the right and left sides in 16 and 6 patients, respectively. The average major axis of the biopsy specimens was 18 mm (range, 10–30 mm), which was sufficient to establish a pathological diagnosis. Only 1 patient experienced minor temporal bleeding as a complication. The precut technique enabled the procurement of specimens sufficient in size for pleural biopsy. Lippincott Williams & Wilkins 2022-08-05 /pmc/articles/PMC9351845/ /pubmed/35945762 http://dx.doi.org/10.1097/MD.0000000000029377 Text en Copyright © 2022 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Mizumori, Yasuyuki
Hirano, Katsuya
Hirata, Nobuya
Hiraoka, Ryota
Takahashi, Sayaka
Kominami, Ryota
Miyake, Kohei
Takenouchi, Masaki
Kato, Tomohiro
Kume, Sachie
Higashino, Sachiko
Nakahara, Yasuharu
Kawamura, Tetsuji
Precut technique using an injection needle: A retrospective study on a new ancillary procedure for pleural biopsy
title Precut technique using an injection needle: A retrospective study on a new ancillary procedure for pleural biopsy
title_full Precut technique using an injection needle: A retrospective study on a new ancillary procedure for pleural biopsy
title_fullStr Precut technique using an injection needle: A retrospective study on a new ancillary procedure for pleural biopsy
title_full_unstemmed Precut technique using an injection needle: A retrospective study on a new ancillary procedure for pleural biopsy
title_short Precut technique using an injection needle: A retrospective study on a new ancillary procedure for pleural biopsy
title_sort precut technique using an injection needle: a retrospective study on a new ancillary procedure for pleural biopsy
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9351845/
https://www.ncbi.nlm.nih.gov/pubmed/35945762
http://dx.doi.org/10.1097/MD.0000000000029377
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