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Khirurgiia (Mosk) ; (3): 23-29, 2022.
Artículo en Ruso | MEDLINE | ID: mdl-35289545

RESUMEN

OBJECTIVE: To assess irradiation time, pain syndrome and safety of the proposed device and technique compared to conventional CT-assisted transthoracic biopsy. MATERIAL AND METHODS: CT-guided transthoracic trepanobiopsy of thoracic tumors was carried out in 296 patients between January 2017 and January 2020. There were 189 (63.8%) men and 107 (36.2%) women. Mean age of patients was 64.1±9.6 years (range 35-83). All patients were randomized into 2 groups by 148 people: group 1 - morphological verification via conventional CT-guided transthoracic trepanobiopsy, group 2 - morphological verification using a coaxial system and a specially developed CT-guided transthoracic trepanobiopsy. RESULTS: Coaxial system with permanent anesthesia in CT-guided transthoracic manipulations reduces post-manipulation complications by 4-5%, get more qualitative morphological material (by 4%), reduces the time of procedure by 2 times and irradiation of patients by 27%, excludes irradiation of physicians and significantly reduces pain syndrome.


Asunto(s)
Anestesia Local , Neoplasias Pulmonares , Adulto , Anciano , Anciano de 80 o más Años , Anestesia Local/efectos adversos , Femenino , Humanos , Biopsia Guiada por Imagen/métodos , Neoplasias Pulmonares/diagnóstico , Neoplasias Pulmonares/patología , Masculino , Persona de Mediana Edad , Radiografía Intervencional/métodos , Tomografía Computarizada por Rayos X/métodos
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