J Med Assoc Thai 1998; 81 (9):688

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Video Thoracoscopic Lung Biopsy in Diffuse Interstitial Lung Diseases
Riantawan P Mail, Koanantakool T , Chotivatanapong T , Kasemsarn C , Charupatanapongse U , Yodtasurodom C

The present study examined the use of video thoracoscopic lung biopsy (VTLB) in diffuse
interstitial lung disease, in comparison with open lung biopsy (OLB). Twenty and fifteen patients
underwent VTLB and OLB, respectively, from 1987 to 1997 at the Central Chest Hospital,
Thailand. Data in mean (SD). The mean age was 39 years in both groups. VTLB yielded equivalent
size of lung tissues, 4.7 (2.32) cm3, and was as diagnostically useful as OLB. Estimated blood
loss, 60 (37) mls, and length of pleural drainage, 2.8 (0.5) days, were comparable in either technique.
As OLB had been in practice for decades, it took shorter operative time, 64 (II) mins, than
VTLB, 105 (30) mins, (p = 0.005). Both VTLB and OLB approaches were safe and not associated
with major postoperative complications.

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