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Thoracoscopy and thoracotomy for lung biopsy and wedge resection in solitary pulmonary nodule / 中国肺癌杂志
Chinese Journal of Lung Cancer ; (12): 347-350, 2004.
Article in Chinese | WPRIM | ID: wpr-326869
ABSTRACT
<p><b>BACKGROUND</b>Lung wedge resections and biopsies are frequently needed to diagnose and treat benign or malignant lung lesions. This study aims to compare thoracoscopy with thoracotomy for lung biopsy and wedge resection in solitary pulmonary nodule (SPN).</p><p><b>METHODS</b>A controlled retrospective study was performed in this hospital. Patients with clinical diagnosis of SPN were undergone thoracoscopy or thoracotomy. Data of operation time, hours of stay in recover room, duration and volume of chest tube drainage, accuracy of biopsies, days of hospitalization and the whole cost of hospitalization were evaluated.</p><p><b>RESULTS</b>All patients were received lung biopsies and wedge resections (thoracoscopy 26,thoracotomy 47), and they were diagnosed pathologically. The days of hospitalization were similar in the two groups. The minutes of operation had no significant difference (thoracoscopy 103.9±29.4 minutes, thoracotomy 94.7±33.9 minutes). Both groups had equivalent duration of chest tube drainage (thoracoscopy 60.3±25.0 hours, thoracotomy 62.5±20.1 hours, P =0.687) . The total volume of chest tube drainage showed no difference in both groups. The hours of stay in recover room (thoracoscopy 75.4±21.6 hours, thoracotomy 80.4±17.7 hours, P =0.287) and days of hospitalization after operation (thoracoscopy 11.3±3.4 days, thoracotomy 10.6±2.4 days, P = 0.304 ) were not different significantly. The whole cost of thoracoscopy was 17 800.2±6 038.9 CNY and thoracotomy was 17 677.4±6 327.8 CNY ( P = 0.936 ).</p><p><b>CONCLUSIONS</b>There is no significant difference in outcomes for thoracoscopy and thoracotomy approaches. Both thoracoscopy and thoracotomy are acceptable procedures for lung biopsy and wedge resection in solitary pulmonary nodules.</p>
Full text: Available Index: WPRIM (Western Pacific) Type of study: Observational study Language: Chinese Journal: Chinese Journal of Lung Cancer Year: 2004 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Type of study: Observational study Language: Chinese Journal: Chinese Journal of Lung Cancer Year: 2004 Type: Article