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- Title
Video Assisted Rigid Thoracoscopy in the Diagnosis of Unexplained Exudative Pleural Effusion.
- Authors
Beheshtirouy, Samad; Kakaei, Farzad; Mirzaaghazadeh, Mohammad
- Abstract
Introduction: An undiagnosed exudative pleural effusion is often a difficult diagnostic dilemma that needs further histological study for a definitive etiological diagnosis. Video assisted rigid thoracoscopy is a minimally invasive procedure with a minor morbidity and mortality risk that could resolve this problem. Methods: Between January 2010 and December 2011, we performed thoracoscopy in 26 patients for diagnosis of undiagnosed exudative pleural effusion. Clinical and paraclinical data of patients were collected prospectively and analyzed. Results: Sole pleural effusion was the most common CT scan finding seen in 17 (65.4%) patients. Thoracoscopy was diagnostic in 24 patients (92.3%). The pathologic findings were carcinoma (46.2%), tuberculosis (30.8%) and chronic inflammation without a definitive microbiologic culture (15.4%). Surprisingly mean ADA level in the tuberculosis group was in normal range. No mortality or complication related to our operation was observed. Conclusion: Video assisted thoracoscopy is a minimally invasive procedure with a high definitive diagnostic accuracy in the evaluation of tuberculosis and malignant pleural effusions. Pulmonologist should refer these patients sooner to decrease the waiting period of diagnosis and treatment of such conditions.
- Subjects
PLEURAL effusions; THORACOSCOPY; ACADEMIC medical centers; CARDIOLOGY; DIFFERENTIAL diagnosis; LONGITUDINAL method; MEDICAL technology; POLYMERASE chain reaction; TOMOGRAPHY; VIDEO recording; DESCRIPTIVE statistics; DIAGNOSIS
- Publication
Journal of Cardiovascular & Thoracic Research, 2013, Vol 5, Issue 3, p87
- ISSN
2008-5117
- Publication type
Article
- DOI
10.5681/jcvtr.2013.019