Summary
Our experience with open lung biopsy for diffuse pulmonary disease in 36 cases including operative techniques is described. We were able to make a histological diagnosis in all cases, and had only three minor complications. A review of the literature confirms our experience. Open lung biopsy is uncontributionary in less than 3 %. Complications are infrequent, and the mortality rate is less than 1 %. Thus, open lung biopsy is a safe procedure with a high diagnostic yield. It should be used in all cases of diffuse pulmonary disease in which a tissue diagnosis cannot be established by other means, and perhaps earlier in the course of the patient's evaluation.
Zusammenfassung
Die operative Technik der offenen Lungenbiopsie wird beschrieben und über unsere Erfahrungen mit 36 Eingriffen dieser Art berichtet. Bei diffusen pulmonalen Erkrankungen erhielten wir eine histologische Diagnose in allen Fällen und beobachteten nur drei unbedeutende Komplikationen. Eine Literaturübersicht bestätigt unsere Ergebnisse. Nach ihr bietet die offene Lungenbiopsie in weniger als 3 % keine diagnostische Hilfe, und die Operationsletalität liegt unter 1%.
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Literatur
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Hau, T., Narodick, B.G. & Pemberton, A.H. Die offene Lungenbiopsie in der Diagnostik diffuser pulmonaler Erkrankungen. Langenbecks Arch Chiv 331, 79–86 (1972). https://doi.org/10.1007/BF01263248
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DOI: https://doi.org/10.1007/BF01263248