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Thoracoscopy in the diagnosis and management of chronic pleural effusions.

Authors
  • Marchandise, F X
  • Vandenplas, O
  • Wallon, J
  • Francis, C
Type
Published Article
Journal
Acta clinica Belgica
Publication Date
Jan 01, 1993
Volume
48
Issue
1
Pages
5–10
Identifiers
PMID: 8388604
Source
Medline
License
Unknown

Abstract

Thoracoscopy was performed in 76 patients with chronic pleural effusions in which thoracocentesis and blind needle biopsy failed to reach a precise diagnosis. Analysis of thoracoscopic biopsies provided a definitive diagnosis in 53 of the 76 subjects. The diagnoses included 35 malignant diseases in which the macroscopic appearance was diagnostic in only 27 patients. Among these 76 patients, a talc dusting was performed in the management of recurrent effusion in 33 patients. No recurrence of pleural effusion was observed after 1 month in 87% and after 6 months in 76% of patients with recurrent pleural effusion. We confirm that thoracoscopy is a safe and useful technique for the diagnosis of pleural effusion which substantially decreases the necessity for diagnostic thoracotomy and that talc dusting is effective to achieve pleurodesis.

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