Rigid Medical Thoracoscopy in Management of Exudative Pleural Effusion

Hassanein, Essam Gouda; Hatata, Eman; Helal, Suzan; Ibrahim, Emad; Baess, Ayman Ibrahim

doi:10.1378/chest.1823117

Cited by 2 publications

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“…Yellow colour fluid was present in 60 patients (among them, 50 subjects had tubercular etiology), and 22 patients had hemorrhagic effusion (among them, 15 patients had malignant etiology). Hassanein et al (14) study reported that regarding chest X-ray findings, the pleural effusion was right-sided in 34 (56.7%), left-sided in 25 (41.6%) patients and bilateral in one (1.7%) patient. For pleural effusion in the chest x-ray, pleural collection was described as mild in 11 (18.3%) patients.…”

Section: Discussionmentioning

confidence: 95%

Comparative Study of Aspiration Cytology, Video-Assisted Thoracoscope and Open Biopsy in Undiagnosed Pleural Effusion

Kotb¹,

AbdRabouh²,

Abouiznied³

et al. 2022

The Egyptian Journal of Hospital Medicine

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Background: Pleural effusion is a common challenging problem in the cardiothoracic surgery. We have different modalities for diagnosis and hence establishing the management control for the pleural effusion. Objectives: The aim of the study was to compare outcomes, in patients who underwent video-assisted thoracoscope (VATS) and patients who underwent aspiration cytology and standard thoracotomy, in diagnosis of pleural effusion. Patients and methods: This randomized clinical (interventional) study was conducted in Cardiothoracic Surgery Department, Zagazig University Hospitals. We included 48 patients with undiagnosed pleural effusion after initial and repeated biochemical and cytological analysis of the pleural fluid, they were enrolled in this study. Patients were randomly divided into three groups. Group A: Where all patients were subjected to aspiration cytology, group B: 35 cases were subjected to VATS biopsy in undiagnosed pleural effusion and group C: 13 cases were subjected to open biopsy in undiagnosed pleural effusion. Results: Pleural effusion was diagnosed by CT preoperatively and also confirmed by intra-operative findings either by VATS or by open biopsy and there were no differences between CT and intra-operative findings in presence of pleural effusion, pleural nodules and lung masses. While, there was significant difference regarding pleural thickening and mediastinal LN. 5 patients (14.3%) in VATs biopsy group failed and converted to open biopsy, 3 of them because of adhesion and 2 cases because of hemorrhage. Conclusion: Video-assisted thoracoscope is safe and minimally invasive procedure in undiagnosed pleural effusion with less operative time, blood loss, chest tube duration, intra-operative and post-operative complications and length of hospital stay compared to open biopsy.

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Section: Discussionmentioning

confidence: 95%

Comparative Study of Aspiration Cytology, Video-Assisted Thoracoscope and Open Biopsy in Undiagnosed Pleural Effusion

Kotb¹,

AbdRabouh²,

Abouiznied³

et al. 2022

The Egyptian Journal of Hospital Medicine

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Experience in medical thoracoscopy: a 4-year retrospective study

Baess

Sweed

2019

Egypt J Bronchol

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Objective The aim was to document our experience in rigid medical thoracoscopy in the diagnosis of pleural effusion of undetermined origin in a 4-year retrospective study regarding its safety, complications, and diagnostic yield. Patients and methods Data of 134 patients who underwent medical thoracoscopy in Alexandria Main University Hospital, Chest Department, for diagnosing pleural effusion of undetermined origin were reviewed to assess the diagnostic yield, safety, and complications of rigid medical thoracoscopy. Results We reviewed records of 134 patients [62 (46%) males and 72 (54%) females]. Their mean age was 54±13.43 years. On combining histopathological and bacteriological examination results of thoracoscopic pleural biopsies, all patients were finally diagnosed, except for 13 (10%) patients who remained idiopathic; 97 (72%) patients were diagnosed as having malignant pleural effusion and 24 (18%) patients were diagnosed as having benign pleural effusion. The commonest complication encountered was postprocedural pain (35%), followed by subcutaneous emphysema (19%). Overall, the procedure was safe even in elderly patients. No procedure-related mortality was reported. Conclusion Medical thoracoscopy, in our experience, is a safe and well-tolerated procedure even in elderly patients with high diagnostic yield.

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Rigid Medical Thoracoscopy in Management of Exudative Pleural Effusion

Cited by 2 publications

References 0 publications

Comparative Study of Aspiration Cytology, Video-Assisted Thoracoscope and Open Biopsy in Undiagnosed Pleural Effusion

Comparative Study of Aspiration Cytology, Video-Assisted Thoracoscope and Open Biopsy in Undiagnosed Pleural Effusion

Experience in medical thoracoscopy: a 4-year retrospective study

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