Semirigid thoracoscopy in the diagnosis of pleural effusion: first four cases in Turkey

Karasulu, Ahmet Levent; Dalar, Levent; Altın, Sedat; Bakan, Nur Dilek; Sökücü, Sinem Nedime

doi:10.5578/tt.2139

Cited by 3 publications

(3 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Additionally, many chest physicians are more comfortable learning to use the semi-rigid thoracoscope because it resembles the flexible bronchoscope in design and operation. Ernst et al first reported their experience with semi-rigid thoracoscopy in 2002, and since then there have been multiple trials in a variety of settings noting its diagnostic and therapeutic efficacy (26)(27)(28)(29)(30)(31). The diagnostic yield of semi-rigid thoracoscopy was well-characterized by Agarwal et al in their meta-analysis of 17 individual trials involving this approach in 755 patients (32).…”

Section: Techniques: Rigid Vs Semi-rigid Approachmentioning

confidence: 99%

Medical thoracoscopy and its evolving role in the diagnosis and treatment of pleural disease

Murthy

Bessich

2017

J. Thorac. Dis.

View full text Add to dashboard Cite

Establishing the etiology of exudative pleural effusions in the setting of an unrevealing pleural fluid analysis often requires biopsies from the parietal pleura. While closed pleural biopsy (CPB) has been a popular minimally-invasive approach, it has a poor diagnostic yield, barring a diagnosis of tuberculous pleurisy. Medical thoracoscopy (MT) is a minimally-invasive ambulatory procedure performed under local anesthesia or moderate sedation which allows for direct visualization of biopsy targets as well as simultaneous therapeutic interventions, including chemical pleurodesis and indwelling tunneled pleural catheter (ITPC) placement. The excellent yield and favorable safety profile of MT has led to it replacing CPB for many indications, particularly in the management of suspected malignant pleural effusions. As experience with MT amongst interventional pulmonologists has grown, there is an increased appreciation for its important role alongside percutaneous and surgical approaches in the diagnosis and treatment of pleural disease.

show abstract

Section: Techniques: Rigid Vs Semi-rigid Approachmentioning

confidence: 99%

Medical thoracoscopy and its evolving role in the diagnosis and treatment of pleural disease

Murthy

Bessich

2017

J. Thorac. Dis.

View full text Add to dashboard Cite

show abstract

“…The effect of these risk-increasing factors can be reduced with necessary additional support. In a study in which 355 patients who underwent MT were compared after dividing them into two groups as high-risk patients and normal-risk patients for complications, the most common complication was found to be pain (12.3%) in the high-risk group, the rate of which was significantly higher than that found the normal-risk group (27).…”

Section: Medical Thoracoscopy For Diagnostic Purposementioning

confidence: 99%

“…On the other hand, semirigid thoracoscope was first used in the İstanbul Yedikule Chest Diseases and Chest Surgery Training and Research Hospital (27).…”

Section: Historymentioning

confidence: 99%

Medical thoracoscopy at 105. Anniversary

Metintaş¹

2015

Eurasian J Pulmonol

View full text Add to dashboard Cite

Medical thoracoscopy (MT) for cases of exudative pleural effusion without a diagnosis by either clinical, radiological, laboratory or cytological investigation is performed as an established diagnostic method for the diagnosis of pleural diseases which has been performed routinely in many clinics. MT was done mainly with a rigid thoracoscope under mild sedation and local anesthesia in an endoscopy room with basic monitoring. It allows for the direct inspection of the pleural space and biopsies taken under direct vision. The diagnostic yield is in the order of 90-95% for malignant disease and can be as high as 100% for pleural tuberculosis. Additionally, MT can be performed for therapeutic as well as diagnostic purposes. Although MT remains an invasive procedure, complications are infrequently seen. Due to both the advantages of MT and the gradually increasing incidence of mesothelioma and malignant pleural disease, the use of MT for pleural effusions will be increasing in pulmonary clinics in coming years. Additionally MT will have some new developments; such as semirigid thoracoscopy, florescent or auto-florescent thoracoscopy, narrow-band imaging, thoracoscopy in patients without pleural effusion.

show abstract