A 2-year experience using 25G sized needles for transthoracic fine needle a
spiration (FNA) for solitary lung lesions under computed tomography (CT) gu
idance is documented with the main objective of reducing the postoperative
complications through the use of a needle smaller than that previously rout
inely used. This study, in the hospital experience, demonstrated that FNAs
became complication-free with the use of a smaller needle; whilst the sensi
tivity of the procedure was not much compromised. The duration of the hospi
talization for the patients was reduced to under 24 h. The mandatory postop
erative chest radiography can therefore be eliminated, provided no adverse
clinical signs and symptoms are noted during the postoperative period. This
is one of the first documented reports using 25G needles for FNAs. Further
studies are needed on a wider scale to confirm the findings, (C) 2001 Else
vier Science Ireland Ltd. All rights reserved.