The Journal of Thoracic and Cardiovascular Surgery, Vol 83, 408-413, Copyright © 1982 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
Thoracoscopic evaluation of intrathoracic lesions in children
JS Janik, HS Nagaraj and DB Groff
In the last 3 years, we have used transthorascopic biopsy for the diagnosis
of intrathoracic pulmonary lesions in 17 children ranging in age from 5
months to 17 years. The procedure is performed under a variety of
anesthetic conditions ranging from local infiltrative to general
endotracheal anesthesia. A fiberoptic rod lens system with cautery is
utilized for direct observation and biopsy of intrathoracic pulmonary
lesions. Biopsy specimens have been adequate for diagnosis in each child.
Death and morbidity have not occurred. This technique is a safe, direct
means under minimal anesthesia for the diagnosis of diffuse or localized
intrathoracic disease in children.