An open pleural biopsy is a procedure to remove and examine the tissue that lines the inside of the chest. This tissue is called the pleura.
An open pleural biopsy is done in the hospital using general anesthesia. This means you will be asleep and pain free. A tube will be placed through your mouth down your throat to help you breathe.
The surgery is done in the following way:
The breathing tube may not be able to be removed right after surgery. So, you may need to be on a breathing machine for some time.
You should tell the health care provider if you are pregnant, allergic to any medicines, or if you have a bleeding problem. Be sure to tell your provider about all the medicines you take, including herbs, supplements, and those bought without a prescription.
Follow your surgeon's instructions for not eating or drinking before the procedure.
When you wake up after the procedure, you will feel drowsy for several hours.
There will be some tenderness and pain where the surgical cut is located. Most surgeons inject a long-acting local anesthetic at the surgical cut site so that you will have very little pain afterward.
You may have a sore throat from the breathing tube. You can ease the pain by eating ice chips.
You may have a tube in your chest to remove air. This will be removed later.
This procedure is used when the surgeon needs a larger piece of tissue than can be removed with a pleural needle biopsy. The test is most often done to rule out mesothelioma, a type of lung tumor.
It is also done when there is fluid in the chest cavity, or when a direct view of the pleura and the lungs is needed.
This procedure may also be done to examine a metastatic pleural tumor. This is a type of cancer that has spread from another organ to the pleura.
The pleura will be normal.
Abnormal findings may be due to:
There is a slight chance of:
Reviewed By: Mary C. Mancini, MD, PhD, Director, Cardiothoracic Surgery, Christus Highland Medical Center, Shreveport, LA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.