Uniportal video-assisted thoracoscopic surgery wedge lung biopsy in the diagnosis of interstitial lung diseases

摘要: Methods Between January 2000 and April 2004, a total of 20 patients underwent wedge pulmonary resection by uniportal VATS for diagnosis suspected interstitial lung diseases according to standardized technique described elsewhere. In brief, only one incision (2-2.5 cm long) is placed in the chest opposite target area be sampled biopsy. As rule, fourth or fifth intercostal space midposterior axillary line selected biopsy apical basal segments lower lobe, sixth scapular middle lobe lingula. A 5-mm thoracoscope routinely used, along with roticulating grasping stapling instruments, while areas are approached sagittal plane, developing entire procedure craniocaudal perspective (Figure 1). The specimen removed from an endobag injected formalin avoid collapse diseased alveoli histologic artifacts. We used this 11 male 9 female median age 56 years (range 32-80 years). Preoperative forced expiratory volume 1 second was 2.14 L 1.17-3.21 L).The diffusing capacity carbon monoxide percentage values were 74% 54%-101%) 58% 39%-79%), respectively.