Medical thoracoscopy for undiagnosed pleural effusions: experience from a tertiary care hospital in north India.
Vamsi K. Mootha,Ritesh Agarwal,Namisha Singh,Ashutosh N. Aggarwal,Diwaker Gupta,Surinder K. Jindal +5 more
TLDR
Medical thoracoscopy is a safe procedure and has good diagnostic yield in patients with undiagnosed pleural effusions, according to a retrospective analysis of thoracoscopic procedures performed between January 2007 and December 2008.Abstract:
BACKGROUND AND AIMS
Medical thoracoscopy, also called pleuroscopy, has received renewed interest in the recent past for diagnostic as well as therapeutic uses. In this study, we describe our experience with thoracoscopy for undiagnosed pleural effusions.
METHODS
In a retrospective analysis of thoracoscopic procedures we performed between January 2007 and December 2008, yield of thoracoscopic pleural biopsy for achieving a diagnosis in undiagnosed pleural effusions, defined as pleural effusions with adenosine deaminase (ADA) levels less than 70 IU/L and negative pleural fluid cytology for malignancy on three occasions was evaluated. Complications of thoracoscopy were also analysed.
RESULTS
Overall diagnostic yield of thoracoscopic pleural biopsy was 74.3% in patients with undiagnosed pleural effusions. Pleural malignancy was diagnosed in 48.6% of patients. There was only one case of mesothelioma and the rest were due to pleural metastasis. Lung cancer and breast cancer were the most common sites of primary malignancy. Tuberculosis was diagnosed with pleural biopsy in 22.8% of patients. We had low complication rate after thoracoscopy. Only two cases of empyema were observed.
CONCLUSION
Medical thoracoscopy is a safe procedure and has good diagnostic yield in patients with undiagnosed pleural effusions.read more
Citations
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A randomized trial comparing the diagnostic yield of rigid and semirigid thoracoscopy in undiagnosed pleural effusions.
TL;DR: R rigid thoracoscopy was found to be superior to semirigid thoracoscope overall, but the diagnostic yield was similar if pleural biopsy could be successfully performed, and the number of complications were similar in the 2 groups.
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Role of medical thoracoscopy and closed-blind pleural biopsy in undiagnosed exudative pleural effusions: a single-center experience of 348 patients.
Venkata Nagarjuna Maturu,Sahajal Dhooria,Amanjit Bal,Navneet Singh,Ashutosh N. Aggarwal,Dheeraj Gupta,Digamber Behera,Ritesh Agarwal +7 more
TL;DR: MT is the procedure of choice in the evaluation of undiagnosed EPE, due to its higher success rate and an acceptable safety profile, but in centers where thoracoscopy is not feasible, CBPB should be performed in preference to initiating empiric treatment.
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Diagnostic yield of medical thoracoscopy in cases of undiagnosed pleural effusion in Kobri El-Kobba Military Hospital
TL;DR: Medical thoracoscopy is a valuable tool in the diagnosis of undiagnosed exudative pleural effusion with a simple and safe method with high diagnostic yield and with low complication rates.
Journal ArticleDOI
Role of medical thoracoscopy in the treatment of tuberculous pleural effusion.
TL;DR: Medical thoracoscopy showed significant efficacy in the group of multiloculated effusion and organized effusion but free-flowing effusion in treating fibrous tuberculous pleural effusion, and was a safe and successful method in treating multILoculated and organized TPE.
Journal ArticleDOI
Diagnostic yield of medical thoracoscopy in diagnosis of exudative pleural effusion: One year prospective study
TL;DR: Medical Thoracoscopy is a valuable diagnostic tool for undiagnosed exudative pleural effusion because it is a simple and safe procedure with low complication rate.
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