Comparison of Diagnostic Yield and Complications in Ultrasound-Guided Closed Pleural Biopsy Versus Thoracoscopic Pleural Biopsy in Undiagnosed Exudative Pleural Effusion

Durgeshwar, Gopal; Mohapatra, Prasanta Raghab; Bal, Shakti k; Mishra, Pritinanda; Bhuniya, Sourin; Panigrahi, Manoj Kumar; Acharyulu, Vedala Raja M; Ghosh, Sudip Kumar; Mantha, Satya P; Dutta, Ananda

doi:10.7759/cureus.23809

Cited by 4 publications

(3 citation statements)

References 32 publications

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“…Sufentanil is metabolized by liver and kidney, while remifanil is metabolized and degraded by non-specific esterase. Both anesthetic drugs can ensure the stable circulation and respiration of anesthesia [19]. For symptoms such as nausea and vomiting caused by opioids, anti-emetic drugs such as troianistron can be given to relieve them.…”

Section: Discussionmentioning

confidence: 99%

Clinical Effect of Target-Controlled Infusion of Sufentanil and Remifentanil for Internal Thoracoscopy

Duan,

Wang,

Wang

et al. 2023

cmf

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Objective: To analyze the anesthetic effect of internal thoracoscopic surgery with sufentanil and remifentanil target-controlled infusion intravenous anesthesia. Methods: Eighty patients who underwent internal thoracoscopic examination at the endoscopy center of our hospital were selected for analysis. The selected 80 patients were grouped by random number table. 40 patients received sufentanil target-controlled infusion vein. Anesthesia was used as the study group. The remaining 40 patients received remifentanil target-controlled infusion intravenous anesthesia as a control group, and the anesthetic effects of the two groups of patients after receiving different anesthetic target-controlled infusion measures were compared. Results: After the two groups of patients received different anesthetic drug target-controlled infusion measures, the circulation was stable during the operation. The difference of pain visual analog scores was not obvious 30 minutes after the end of the operation. There was a significant difference in the wake-up time between the two groups. There was no significant difference in the incidence of adverse reactions between the two groups after surgery. Conclusions: In patients with clinical thoracoscopic surgery, remifentanil and remifentanil can be used for target-controlled infusion intravenous anesthesia, but patients in the remifentanil group can wake up more quickly and can be promoted and applied.

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Section: Discussionmentioning

confidence: 99%

Clinical Effect of Target-Controlled Infusion of Sufentanil and Remifentanil for Internal Thoracoscopy

Duan,

Wang,

Wang

et al. 2023

cmf

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“…Sperandeo M et al [10] stated that the operator's experience, the number of biopsies, the biopsy needle, and the pathologist's expertise might signi cantly impact the diagnostic sensitivity of the procedure, which perhaps made our conclusions more credible. Zhang Y et al [32] believed that the thickness of the parietal pleura would affect the diagnostic sensitivity of USPB. The diagnostic sensitivity of USPB was higher when the pleural thickness reached 3 mm or more.…”

Section: Discussionmentioning

confidence: 99%

The Diagnostic Value of Medical Thoracoscopy Pleural Biopsy, Ultrasound-guided Pleural Biopsy, and Closed Pleural Biopsy in Tuberculous Pleurisy: A propensity score matching analysis

Tao

Bao

Wang

et al. 2022

Preprint

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Background and objective For diagnosis of exudative pleural effusion in tuberculous pleurisy, medical thoracoscopic pleural biopsy (MTPB) enables direct vision and is most widely applied, although ultrasound-guided pleural biopsy (USPB) and closed pleural biopsy (CPB) are also viable. This retrospective study compared the diagnostic efficiencies and safety of USPB, CPB, and MTPB. Methods Patients enrolled from 2014 through 2020 underwent USPB, CPB, or MTPB (n = 69, 69, and 110, respectively). Propensity score matching (PSM) analysis was used to compare the diagnostic sensitivities of CPB, MTPB, and USPB. The secondary outcomes were postoperative complications and hospitalization stay. Results PSM analysis resulted in 40 (USPB vs. CPB), 47 (USPB vs. MTPB), and 52 (CPB vs. MTPB) matched pairs. The diagnostic sensitivities of the USPB and CPB groups were 72.5% and 55.0% (P = 0.162); that of USPB and MTPB were 70.2% and 80.9% (P = 0.337); the CPB and MTPB groups were comparable(P = 0.152). The rates of associated pain and subcutaneous emphysema of the MTPB group were higher than that of the USPB or CPB (P = 0.000, both).Hospitalization time of the MTPB group was longest, and significantly longer than that of the USPB (P = 0.029). Conclusions While the three techniques were similarly effective in diagnosing tuberculous pleurisy, USPB and CPB showed fewer associated complications and shorter hospital stays compared with MTPB. The image guidance offered by USPB benefited reduction in postoperative complications.

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“…When pleural thickening and/or pleural lesions can be identified and targeted for biopsy, the sensitivity is significantly higher. 71 If pleural thickening is >1 cm, the diagnostic sensitivity of CT-guided PB is comparable to that of thoracoscopy. 72 , 73 Both modalities show a good diagnostic yield, with TUS (84%) and CT guidance (76–100%) accompanied by low complication rates.…”

Section: Diagnosismentioning

confidence: 99%

Malignant Pleural Effusion: A Multidisciplinary Approach

Pardessus Otero,

Rafecas-Codern,

Porcel

et al. 2024

Open Respiratory Archives

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Comparison of Diagnostic Yield and Complications in Ultrasound-Guided Closed Pleural Biopsy Versus Thoracoscopic Pleural Biopsy in Undiagnosed Exudative Pleural Effusion

Cited by 4 publications

References 32 publications

Clinical Effect of Target-Controlled Infusion of Sufentanil and Remifentanil for Internal Thoracoscopy

Clinical Effect of Target-Controlled Infusion of Sufentanil and Remifentanil for Internal Thoracoscopy

The Diagnostic Value of Medical Thoracoscopy Pleural Biopsy, Ultrasound-guided Pleural Biopsy, and Closed Pleural Biopsy in Tuberculous Pleurisy: A propensity score matching analysis

Malignant Pleural Effusion: A Multidisciplinary Approach

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