FURKAN UFUK, Hüseyin Gökhan YAVAŞ, ERGİN SAĞTAŞ, PINAR ÇAKMAK, AHMET BAKİ YAĞCI

Bilgisayarlı tomografi kılavuzluğunda yapılan kesici iğne akciğer biyopsilerindeki komplikasyonlar ve risk faktörleri

Amaç:Bu çalışmadaki amacımız bilgisayarlı tomografi (BT) kılavuzluğunda yapılan transtorasik kesici iğne akciğer biyopsisinde (KİB) komplikasyon oranları ve buna bağlı risk faktörlerinin incelenmesidir. Gereç ve yöntem: BT kılavuzluğunda transtorasik kesici iğne biyopsisi (KİB) yapılan akciğer nodüllü hastalar geriye dönük olarak değerlendirildi. Bu hastalardan işlem sırasında ve işlem sonrasında BT görüntüsü olmayanlar ve kontrol akciğer grafisi olmayanlar çalışmadan çıkartıldı. Toplam 321 hasta (28-86 yaş aralığı, ortalama yaş 61, %84.1 erkek) çalışmaya dahil edilmiştir. Komplikasyon oranı ile histopatolojik tanı, lezyon büyüklüğü, lezyonun akciğerdeki yeri ve lezyonun derinliği arasındaki ilişki araştırıldı. Bulgular:En sık görülen histopatolojik tanılar adenokarsinom (% 33.3) ve skuamöz hücreli karsinom (%32.3) idi. Lezyonun histopatolojik tanısı ile biyopsiye bağlı komplikasyon gelişimi arasında ilişki saptanmadı. Pnömotoraks (%19.7) ve pulmoner hemoraji (%9) en sık karşılaşılan komplikasyonlardı. Lezyon derinliği arttıkça veya lezyon boyutu azaldığında komplikasyon riski artmaktadır (p

Complications and risk factors in computed tomography-guided cutting needle lung biopsies

Purpose: Our aim was to evaluate complication rate in computed tomography (CT)-guided transthoracic cutting needle lung biopsy and associated risk factors. Meterials and methods: We were retrospectively evaluated patients with lung nodules who underwent CTguided transthoracic cutting needle biopsy. Patients without CT images during and after the procedure and patients without control chest X-ray were excluded from the study. A total of 321 patients (aged 28-86 years, mean age 61, 84.1% male) were included in the study. The complication rate and histopathologic diagnosis, lesion size, location of the lesion in the lung and depth of the lesion were investigated. Results: The most common diagnoses were adenocarcinoma (%33.3) and squamous cell carcinoma (%32.3). There was no correlation between the histopathological diagnosis of the lesion and the development of complications due to cutting needle biopsy. Pneumothorax (%19.7) and pulmonary haemorrhage (%9) were the most common complications. The risk of complications increases as the lesion depth increases or lesion size decreases (p

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