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Medical thoracoscopy: a retrospective analysis in a tertiary care centre
Article in English | IMSEAR | ID: sea-157794
ABSTRACT
Medical thoracoscopy is a minimally invasive procedure to visualize the entire pleural surface and perform limited diagnostic and therapeutic procedures. One of the main indications for medical thoracoscopy is to obtain a diagnosis in an exudative pleural effusion when other, simpler methods non-diagnostic. Medical thoracoscopy can also be used for therapeutic procedures. The present study is an effort to analyse our experience of medical thoracoscopy in patient of undiagnosed pleural effusion.

Methods:

25 patients of pleural effusion in which diagnosis was not made by routine pleural fluid examination (biochemical/microbiological/cytological evaluation) were subjected to video thoracoscopy and biopsy, pleural fluid taken for pathological examination and therapeutic interventions such as adhesiolysis and pleurodesis were done. Intercostal drain kept.

Results:

Overall yield in the present study is 92% (23 out of 25). Majority of patients had malignant effusions (19 patients - 76%), of which 8 had metastatic adenocarcinoma and 7 had malignant mesothelioma. 2 patients (8%) were diagnosed to have tuberculous pleurisy. Present study had no incidence of thoracoscopic complications.

Conclusions:

We recommend that thoracoscopy shall be the Investigation of choice of undiagnosed pleural effusion as it has good yield with minimal complications.

Full text: Available Index: IMSEAR (South-East Asia) Language: English Year: 2015 Type: Article

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Full text: Available Index: IMSEAR (South-East Asia) Language: English Year: 2015 Type: Article