Coaxial system with permanent infiltration anesthesia for ct-assisted transthoracic trepanobiopsy of lung tumors

Perepelevskiy A.N.

Ostroverkhov Kursk Oncology Scientific and Clinical Center

Lazarenko V.A.

Kursk State Medical University

Stanoevich U.S.

Ostroverkhov Kursk Oncology Scientific and Clinical Center

Perepelevskaya U.E.

Ostroverkhov Kursk Oncology Scientific and Clinical Center

Coaxial system with permanent infiltration anesthesia for ct-assisted transthoracic trepanobiopsy of lung tumors

Authors:

Perepelevskiy A.N., Lazarenko V.A., Stanoevich U.S., Perepelevskaya U.E.

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Journal: Pirogov Russian Journal of Surgery. 2022;(3): 23‑29

DOI: 10.17116/hirurgia202203123

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To cite this article:

Perepelevskiy AN, Lazarenko VA, Stanoevich US, Perepelevskaya UE. Coaxial system with permanent infiltration anesthesia for ct-assisted transthoracic trepanobiopsy of lung tumors. Pirogov Russian Journal of Surgery. 2022;(3):23‑29. (In Russ.)
https://doi.org/10.17116/hirurgia202203123

Подписка 2025-2 (Pirogov Russian Journal of Surgery)

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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.

Keywords:

percutaneous transthoracic trepanobiopsy

transthoracic biopsy

coaxial transthoracic system

permanent infiltration anesthesia

lung trepanobiopsy

computed tomography

CT-guided biopsy

Authors:

Perepelevskiy A.N.

Ostroverkhov Kursk Oncology Scientific and Clinical Center

Lazarenko V.A.

Kursk State Medical University

Stanoevich U.S.

Ostroverkhov Kursk Oncology Scientific and Clinical Center

Perepelevskaya U.E.

Ostroverkhov Kursk Oncology Scientific and Clinical Center

Received:

29.08.2021

Accepted:

14.10.2021

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