Role of medical thoracoscopy in the diagnosis of pleural effusions.

Autor:	Tousheed SZ; Department of Pulmonology and Internal Medicine, Mazumdar Shaw Medical Center, Narayana Hrudayalaya Limited, Bengaluru, Karnataka, India. Electronic address: syed.tousheed@gmail.com., Ranganatha R; Department of Pulmonology and Internal Medicine, Mazumdar Shaw Medical Center, Narayana Hrudayalaya Limited, Bengaluru, Karnataka, India., Hemanth Kumar M; Department of Pulmonology and Internal Medicine, Mazumdar Shaw Medical Center, Narayana Hrudayalaya Limited, Bengaluru, Karnataka, India., Manjunath PH; Department of Pulmonology and Internal Medicine, Mazumdar Shaw Medical Center, Narayana Hrudayalaya Limited, Bengaluru, Karnataka, India., Philip DS; Department of Pulmonology and Internal Medicine, Mazumdar Shaw Medical Center, Narayana Hrudayalaya Limited, Bengaluru, Karnataka, India., Punitha M; Department of Pulmonology and Internal Medicine, Mazumdar Shaw Medical Center, Narayana Hrudayalaya Limited, Bengaluru, Karnataka, India., Sagar C; Department of Pulmonology and Internal Medicine, Mazumdar Shaw Medical Center, Narayana Hrudayalaya Limited, Bengaluru, Karnataka, India., Dutt TS; Department of Pulmonology and Internal Medicine, Mazumdar Shaw Medical Center, Narayana Hrudayalaya Limited, Bengaluru, Karnataka, India., Murali Mohan BV; Department of Pulmonology and Internal Medicine, Mazumdar Shaw Medical Center, Narayana Hrudayalaya Limited, Bengaluru, Karnataka, India., Zuhaib M; Department of Pulmonology and Internal Medicine, Mazumdar Shaw Medical Center, Narayana Hrudayalaya Limited, Bengaluru, Karnataka, India., Annapandian VM; Department of Pharmacology, Narayana Institute of Medical Sciences, Narayana Hrudayalaya Foundations, Bengaluru, Karnataka, India.
Jazyk:	angličtina
Zdroj:	The Indian journal of tuberculosis [Indian J Tuberc] 2022 Oct; Vol. 69 (4), pp. 584-589. Date of Electronic Publication: 2021 Sep 20.
DOI:	10.1016/j.ijtb.2021.09.005
Abstrakt:	Background: Medical thoracoscopy (semi-rigid and rigid thoracoscopy) have revolutionized the management of undiagnosed pleural effusions. Though semi-rigid thoracoscopy has a good diagnostic yield in malignant and tubercular effusions, its role in the management of a complicated pleural effusions is debatable. Hence, rigid thoracoscopy becomes handy in these cases. The present study looked into the role of medical thoracoscopy in the diagnosis of pleural effusions in different conditions. Methods: This study included all patients who underwent medical thoracoscopy at our center between May-2010 and March-2020. Basic demographics data, type of medical thoracoscopy used, and histopathology details were collected and analyzed. Results: A total of 373 patients were subjected to medical thoracoscopy (202 semi-rigid thoracoscopy and 171 rigid thoracoscopy). Out of whom 246 (66%) were males, the mean age was 51.9 ± 13.2 years. Diagnosis was achieved in 370 patients with a yield of 99.2%. The diagnostic yield in semi-rigid thoracoscopy was 99.5% with lung malignancy being the most common diagnosis (41%; n = 81), followed by tuberculosis (31%; n = 61). The diagnostic yield in rigid thoracoscopy was 100% in our study. Along with high diagnostic yield, complete drainage and lung expansion was seen in 93.5% (160 out of 171 patients) without requiring a second procedure. Conclusions: Semi-rigid thoracoscopy and rigid thoracoscopy should complement each other in the diagnosis of pleural effusions. Rigid thoracoscopy should be considered as the procedure of choice in a complicated pleural effusion. Competing Interests: Conflicts of interest The authors have none to declare. (Copyright © 2021 Tuberculosis Association of India. Published by Elsevier B.V. All rights reserved.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu