Use of ultrasound as a diagnostic and therapeutic tool in thoracic surgery
DOI:
https://doi.org/10.29193/RMU.39.4.3Keywords:
ULTRASOUND, THORACIC SURGERY, ECOGUIDED BIOPSYAbstract
Objective: To present the use of ultrasound guidance to perform thorax biopsies and place drainages, whether pleural or pericardial.
Method: A total of 124 ultrasound-guided procedures were performed at the Thoracic Institute, Maciel Hospital, from January 2014 to August 2022.
Results: The results were assessed based on age group, type of procedure, and diagnostic yield in the ultrasound-guided procedures. There were 69 diagnostic punctures, 48 ultrasound-guided pleural drainage placements, and 7 pericardial drainages.
Conclusions: The performance of ultrasound-guided thoracic procedures are a safe diagnostic and therapeutic tool with excellent efficacy and minimal complications.
References
Otani Y, Yoshida I, Ishikawa S, Ohtaki A, Kawashima O, Takahashi T, et al. Use of ultrasound-guided percutaneous needle biopsy in the diagnosis of mediastinal tumors. Surg Today 1996; 26(12):990-2. doi: 10.1007/BF00309959.
Yang PC. Ultrasound-guided transthoracic biopsy of the chest.Radiol Clin North Am 2000; 38(2):323-43. doi: 10.1016/s0033-8389(05)70166-4.
Corcoran JP, Tazi-Mezalek R, Maldonado F, Yarmus LB, Annema JT, Koegelenberg CFN, et al. State of the art thoracic ultrasound: intervention and therapeutics. Thorax 2017; 72(9):840-9. doi:10.1136/thoraxjnl-2016-209340.
Yang RJ, Yang YL, Ruan LT, Yuan LJ, Chao LJ, Chen S, et al. Clinical value of ultrasound-guided percutaneous biopsy of pulmonary lesions. Genet Mol Res 2015; 14(2):3784-90. doi: 10.4238/2015.April.22.7.
5.Chandrasekhar AJ, Reynes CJ, Churchill RJ. Ultrasonically guided percutaneous biopsy of peripheral pulmonary masses. Chest 1976; 70(5):627-30. doi: 10.1378/chest.70.5.627.
6.Rodriguez A, Pereyra S. Punción transparietal de masas intratorácicas guiadas por ultrasonido. Rev Imagenol 2014; XVIII(1):19-24.
7. Middleton WD, Teefey SA, Dahiya N. Ultrasound-guided chest biopsies. Ultrasound Q 2006; 22(4):241-52. doi: 10.1097/01.ruq.0000237258.48756.94.
8. Portela-Oliveira E, Souza CA, Gupta A, Bayanati H, Inacio J, Rakhra K. Ultrasound-guided percutaneous biopsy of thoracic lesions: high diagnostic yield and low complication rate. Clin Radiol 2021; 76(4):281-6. doi: 10.1016/j.crad.2020.12.004.
9. Jeon KN, Bae K, Park M J, Choi HC, Shin HS, Shin S, et al. US-guided transthoracic biopsy of peripheral lung lesions: pleural contact length influences diagnostic yield. Acta Radiol 2014; 55(3):295-301. doi:10.1177/0284185113494984.
10. Reid CE, Wallis AG. Percutaneous image-guided lung biopsy. Br J Hosp Med 2017; 78(12):C178-C182. doi:10.12968/hmed.2017.78.12.c178.
11. Huang W, Chen L, Xu N, Wang L, Liu F, He S, et al. Diagnostic value and safety of color doppler ultrasound-guided transthoracic core needle biopsy of thoracic disease. Biosci Rep 2019; 39(6):BSR20190104. doi: 10.1042/BSR20190104.
12. Zhang H, Guang Y, He W, Cheng L, Yu T, Tang Y, et al. Ultrasound-guided percutaneous needle biopsy skill for peripheral lung lesions and complications prevention. J Thorac Dis 2020; 12(7):3697-705. doi: 10.21037/jtd-2019-abc-03.
13. Ukeh I, Fang A, Patel S, Opoku K, Nezami N. Percutaneous chest tube for pleural effusion and pneumothorax. Semin Intervent Radiol 2022; 39(3):234-47. doi: 10.1055/s-0042-1751295.