Localization of the mass was determ

Localization of the mass was determined by CT or positron emission tomography (PET) CT. The shortest and safest parenchyma distance to reach the lesion was determined. The distance of the lesion from the entry point and entry angle were planned and the entry point on the skin was marked by a permanent marker (Fig.). The distance between skin, pleura, and lesion were also measured and recorded.
Marked skin entry site and the surrounding area were cleaned with povidone iodine solution. Skin was covered with sterile drapes exposing only the entry site. Local anesthesia of the skin and subcutaneous tissues was achieved with 5–10 cc of lidocaine HCl. In accordance with the predetermined route, a 17G, 11 cm coaxial needle guide (Matek 17GKN11, Matek medical, Ankara, Turkey) was advanced in the skin until “skin-pleura” distance, and control CT sections were acquired. After ensuring that the route of the needle was in the proper position, it was advanced rapidly to pass through the pleura in one swift move and control CT sections were obtained to confirm the appropriate position of the needle within the lesion. The correct localization of the needle was verified by using the following criteria such as the needle’s tip being inside or on the edge of the lesion and seeing linear hypodensity extending peripheral to the needle tip (beam hardening artifact). The inner chuck of coaxial needle guide was removed and an 18G, 16 cm core semi-automatic core biopsy pistol (Matek medical) was placed inside the needle guide. After obtaining the sample, the needle was carefully removed from the cannula and the chuck was reattached. To acquire multiple samples, the needle guide was not removed from the lesion and the material acquisition was repeated by directing the biopsy pistol into appropriate positions at different directions. The materials obtained by core biopsy were put into previously prepared sterile 10% formalin solution. Fine-needle aspiration materials were sprayed onto the slide and were quickly and carefully spread to avoid crushing of the cells and placed into a previously prepared vessel containing 95% ethyl alcohol. Part of the smear samples was allowed to air dry. The biopsy system was withdrawn when sufficient biopsy materials were collected. The needle entry site was sealed with antibiotic ointment and sterile gauze, and axial slices were taken at the biopsy level without lifting the patient. Patient was transferred to observation room, positioned so that the needle entry remained underneath, and followed for two hours for possible complications. Asymptomatic patients with mild pneumothorax were followed with no intervention. Chest tubes were inserted into symptomatic patients and patients with evidence of increasing pneumothorax, based on control postero-anterior chest radiographs or CT scans.

Hasil (Bahasa Indonesia) 1:

Lokalisasi massa ditentukan oleh CT atau tomografi emisi positron (PET) CT. Jarak terpendek dan teraman parenchyma untuk mencapai lesi ditentukan. Jarak lesi dari titik masuk dan entri sudut direncanakan dan entry point pada kulit ditandai dengan spidol permanen (ara.). Jarak antara kulit, pleura dan lesi juga diukur dan dicatat.Marked skin entry site and the surrounding area were cleaned with povidone iodine solution. Skin was covered with sterile drapes exposing only the entry site. Local anesthesia of the skin and subcutaneous tissues was achieved with 5–10 cc of lidocaine HCl. In accordance with the predetermined route, a 17G, 11 cm coaxial needle guide (Matek 17GKN11, Matek medical, Ankara, Turkey) was advanced in the skin until “skin-pleura” distance, and control CT sections were acquired. After ensuring that the route of the needle was in the proper position, it was advanced rapidly to pass through the pleura in one swift move and control CT sections were obtained to confirm the appropriate position of the needle within the lesion. The correct localization of the needle was verified by using the following criteria such as the needle’s tip being inside or on the edge of the lesion and seeing linear hypodensity extending peripheral to the needle tip (beam hardening artifact). The inner chuck of coaxial needle guide was removed and an 18G, 16 cm core semi-automatic core biopsy pistol (Matek medical) was placed inside the needle guide. After obtaining the sample, the needle was carefully removed from the cannula and the chuck was reattached. To acquire multiple samples, the needle guide was not removed from the lesion and the material acquisition was repeated by directing the biopsy pistol into appropriate positions at different directions. The materials obtained by core biopsy were put into previously prepared sterile 10% formalin solution. Fine-needle aspiration materials were sprayed onto the slide and were quickly and carefully spread to avoid crushing of the cells and placed into a previously prepared vessel containing 95% ethyl alcohol. Part of the smear samples was allowed to air dry. The biopsy system was withdrawn when sufficient biopsy materials were collected. The needle entry site was sealed with antibiotic ointment and sterile gauze, and axial slices were taken at the biopsy level without lifting the patient. Patient was transferred to observation room, positioned so that the needle entry remained underneath, and followed for two hours for possible complications. Asymptomatic patients with mild pneumothorax were followed with no intervention. Chest tubes were inserted into symptomatic patients and patients with evidence of increasing pneumothorax, based on control postero-anterior chest radiographs or CT scans.

Hasil (Bahasa Indonesia) 2:

Lokalisasi massa ditentukan dengan CT atau positron emission tomography (PET) CT. Terpendek dan paling aman parenkim jarak untuk mencapai lesi ditentukan. Jarak dari lesi dari entry point dan masuk sudut direncanakan dan entry point pada kulit ditandai dengan spidol permanen (Gambar.). Jarak antara kulit, pleura, dan lesi juga diukur dan dicatat.
situs entri kulit Ditandai dan sekitarnya dibersihkan dengan larutan povidone iodine. Kulit ditutupi dengan tirai steril mengekspos hanya situs entri. Anestesi lokal dari jaringan kulit dan subkutan dicapai dengan 5-10 cc lidokain HCl. Sesuai dengan rute yang telah ditentukan, sebuah 17G, 11 cm panduan jarum koaksial (Matek 17GKN11, Matek medis, Ankara, Turki) yang maju dalam kulit sampai "kulit pleura" jarak, dan kontrol CT bagian diperoleh. Setelah memastikan bahwa rute jarum berada di posisi yang tepat, itu maju pesat melewati pleura dalam satu gerakan cepat dan kontrol CT bagian diperoleh untuk mengkonfirmasi posisi yang sesuai dari jarum dalam lesi. Lokalisasi benar jarum diverifikasi dengan menggunakan kriteria sebagai berikut seperti ujung jarum berada di dalam atau di tepi lesi dan melihat hypodensity linear memperluas perifer ke ujung jarum (balok pengerasan artefak). Cekaman batin panduan jarum koaksial telah dihapus dan 18G, 16 cm inti semi-otomatis biopsi inti pistol (Matek medis) ditempatkan di dalam panduan jarum. Setelah mendapatkan sampel, jarum dengan hati-hati dihapus dari kanula dan chuck itu disambungkan. Untuk mendapatkan beberapa sampel, panduan jarum tidak dihapus dari lesi dan akuisisi bahan diulang dengan mengarahkan pistol biopsi ke posisi yang tepat di arah yang berbeda. Materi yang diperoleh dengan biopsi inti dimasukkan ke disiapkan sebelumnya larutan formalin 10% steril. Bahan aspirasi jarum halus yang disemprotkan ke slide dan cepat dan hati-hati menyebar untuk menghindari menghancurkan sel dan ditempatkan ke dalam pembuluh disiapkan sebelumnya mengandung 95% etil alkohol. Bagian dari sampel apus diizinkan untuk udara kering. Sistem biopsi ditarik ketika bahan biopsi yang cukup dikumpulkan. Situs entri jarum itu disegel dengan salep antibiotik dan perban steril, dan irisan aksial diambil di tingkat biopsi tanpa mengangkat pasien. Pasien dipindahkan ke ruang observasi, diposisikan sehingga masuknya jarum tetap di bawah, dan diikuti selama dua jam untuk kemungkinan komplikasi. Pasien tanpa gejala dengan pneumotoraks ringan diikuti dengan tidak ada intervensi. Tabung dada dimasukkan ke pasien bergejala dan pasien dengan bukti meningkatnya pneumotoraks, berdasarkan kontrol postero-anterior radiografi dada atau CT scan.