Bilgisayarlı tomografi kılavuzluğunda yapılan kesici iğne akciğer biyopsilerindeki komplikasyonlar ve risk faktörleri. Complications and risk factors in computed tomography-guided cutting needle lung biopsies

GIRIŞ ve AMAC: Bu calismadaki amacimiz bilgisayarli tomografi (BT) kilavuzlugunda yapilan transtorasik kesici igne akciger biyopsisinde (KIB) komplikasyon oranlari ve buna bagli risk faktorlerinin incelenmesidir. YONTEM ve GERECLER: BT kilavuzlugunda transtorasik kesici igne biyopsisi (KIB) yapilan akciger nodullu hastalar geriye donuk olarak degerlendirildi. Bu hastalardan islem sirasinda ve islem sonrasinda BT goruntusu olmayanlar ve kontrol akciger grafisi olmayanlar calismadan cikartildi. Toplam 321 hasta (28-86 yas araligi, ortalama yas 61, %84.1 erkek) calismaya dahil edilmistir. Komplikasyon orani ile histopatolojik tani, lezyon buyuklugu, lezyonun akcigerdeki yeri ve lezyonun derinligi arasindaki iliski arastirildi. BULGULAR: En sik gorulen histopatolojik tanilar adenokarsinom (% 33.3) ve skuamoz hucreli karsinom (% 32.3) idi. Lezyonun histopatolojik tanisi ile biyopsiye bagli komplikasyon gelisimi arasinda iliski saptanmadi. Pnomotoraks (%19.7) ve pulmoner hemoraji (%9) en sik karsilasilan komplikasyonlardi. Lezyon derinligi arttikca veya lezyon boyutu azaldiginda komplikasyon riski artmaktadir (p<0.05). TARTIŞMA ve SONUC: Calismamizda akciger lezyonunun patolojik sonucu ile KIB'e bagli komplikasyon gelismesi arasinda iliski olmadigini saptadik. Gecilen akciger parankim mesafesi arttikca ve lezyon boyutu kuculdukce komplikasyon riskinin arttigini saptadik. Anahtar Kelimeler: Akciger lezyonu, Perkutan biyopsi, Komplikasyon, Kesici igne biyopsisi, Bilgisayarli tomografi Turkce Kisa Baslik: Akciger biyopsilerindeki komplikasyonlar ve risk faktorleri INTRODUCTION: Our aim was to evaluate complication rate in computed tomography (CT)-guided transthoracic cutting needle lung biopsy and associated risk factors. METHODS: We were retrospectively evaluated patients with lung nodules who underwent CT-guided 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<0.05). DISCUSSION AND CONCLUSION: We found that there was no correlation between the pathologic diagnosis and complication related to cutting needle lung biopsy. The risk of complications increased with increasing crossed lung parenchyma distance and decreased lesion size. Keywords: Lung lesion, Percutaneous biopsy, Complication, Core-needle biopsy, Computed tomography Ingilizce Kisa Baslik: Complications and risk factors in lung