The role of thoracoscopy in the evaluation and management of pleural effusions
Diagnostic thoracoscopy is indicated in every patient where the usual investigations (including biochemistry, cytology, bacteriology, occasionally needle biopsy of the pleura) do not achieve a precise diagnosis. The percentage of so-called "idiopathic" effusions, amounting to approximately...
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| Veröffentlicht in: | Lung 1990-01, Vol.168 Suppl (S1), p.1113-1121 |
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| creator | Boutin, C Astoul, P Seitz, B |
| description | Diagnostic thoracoscopy is indicated in every patient where the usual investigations (including biochemistry, cytology, bacteriology, occasionally needle biopsy of the pleura) do not achieve a precise diagnosis. The percentage of so-called "idiopathic" effusions, amounting to approximately 20% in many published series, can be reduced to 4% after thoracoscopy. The sensibility of thoracoscopic biopsy reaches 93-97% of malignant or tuberculous pleural effusions. The procedure requires a short hospitalization of about 36 hr, and complications are rare. Therapeutic thoracoscopy is frequently performed in chronic, malignant, recurrent effusions in order to achieve a pleurodesis by means of a talc poudrage under visual control. The efficacy of the poudrage in the published randomized studies is better than tetracycline. About 90% of patients are cured, the effusion being totally suppressed. Side effects are rare if the quantity of talc does not exceed 10 ml. |
| doi_str_mv | 10.1007/bf02718251 |
| format | Article |
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The percentage of so-called "idiopathic" effusions, amounting to approximately 20% in many published series, can be reduced to 4% after thoracoscopy. The sensibility of thoracoscopic biopsy reaches 93-97% of malignant or tuberculous pleural effusions. The procedure requires a short hospitalization of about 36 hr, and complications are rare. Therapeutic thoracoscopy is frequently performed in chronic, malignant, recurrent effusions in order to achieve a pleurodesis by means of a talc poudrage under visual control. The efficacy of the poudrage in the published randomized studies is better than tetracycline. About 90% of patients are cured, the effusion being totally suppressed. 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The percentage of so-called "idiopathic" effusions, amounting to approximately 20% in many published series, can be reduced to 4% after thoracoscopy. The sensibility of thoracoscopic biopsy reaches 93-97% of malignant or tuberculous pleural effusions. The procedure requires a short hospitalization of about 36 hr, and complications are rare. Therapeutic thoracoscopy is frequently performed in chronic, malignant, recurrent effusions in order to achieve a pleurodesis by means of a talc poudrage under visual control. The efficacy of the poudrage in the published randomized studies is better than tetracycline. About 90% of patients are cured, the effusion being totally suppressed. Side effects are rare if the quantity of talc does not exceed 10 ml.</description><subject>Diagnosis, Differential</subject><subject>Humans</subject><subject>Pleura - pathology</subject><subject>Pleural Effusion - etiology</subject><subject>Pleural Effusion - therapy</subject><subject>Pleural Neoplasms - pathology</subject><subject>Pleurisy - pathology</subject><subject>Thoracoscopy - methods</subject><subject>Tuberculosis, Pleural - pathology</subject><issn>0341-2040</issn><issn>1432-1750</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1990</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kDFPwzAQhS0EKqWwsCN5YkAK-GynrkeoKCBVsHSPHOdMg5w42AlS_z2pWphO7_S9N3yEXAO7B8bUQ-kYV7DgOZyQKUjBM1A5OyVTJiRknEl2Ti5S-mIM1BzyCZlwAAXAp-R9s0Uag0caHO23IRobkg3djtbtmJHij_GD6evQUtNWtDGt-cQG235f6DwO0XiKzg1pRNIlOXPGJ7w63hnZrJ43y9ds_fHytnxcZ1Yo1Wc5gLF6XvJKW600M6V2ORszSNBWlE4uYA6K4_hzOSjkiiGgAwtCV1LMyO1htovhe8DUF02dLHpvWgxDKpTWksNCjeDdAbQxpBTRFV2sGxN3BbBi7654Wv25G-Gb4-pQNlj9o0dZ4hcYVWiH</recordid><startdate>19900101</startdate><enddate>19900101</enddate><creator>Boutin, C</creator><creator>Astoul, P</creator><creator>Seitz, B</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19900101</creationdate><title>The role of thoracoscopy in the evaluation and management of pleural effusions</title><author>Boutin, C ; Astoul, P ; Seitz, B</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c377t-511ac96b2d9c9790ab9f506b21419c3bf4816172e06bf517e270e1ef1c139d43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1990</creationdate><topic>Diagnosis, Differential</topic><topic>Humans</topic><topic>Pleura - pathology</topic><topic>Pleural Effusion - etiology</topic><topic>Pleural Effusion - therapy</topic><topic>Pleural Neoplasms - pathology</topic><topic>Pleurisy - pathology</topic><topic>Thoracoscopy - methods</topic><topic>Tuberculosis, Pleural - pathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Boutin, C</creatorcontrib><creatorcontrib>Astoul, P</creatorcontrib><creatorcontrib>Seitz, B</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Lung</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Boutin, C</au><au>Astoul, P</au><au>Seitz, B</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The role of thoracoscopy in the evaluation and management of pleural effusions</atitle><jtitle>Lung</jtitle><addtitle>Lung</addtitle><date>1990-01-01</date><risdate>1990</risdate><volume>168 Suppl</volume><issue>S1</issue><spage>1113</spage><epage>1121</epage><pages>1113-1121</pages><issn>0341-2040</issn><eissn>1432-1750</eissn><abstract>Diagnostic thoracoscopy is indicated in every patient where the usual investigations (including biochemistry, cytology, bacteriology, occasionally needle biopsy of the pleura) do not achieve a precise diagnosis. The percentage of so-called "idiopathic" effusions, amounting to approximately 20% in many published series, can be reduced to 4% after thoracoscopy. The sensibility of thoracoscopic biopsy reaches 93-97% of malignant or tuberculous pleural effusions. The procedure requires a short hospitalization of about 36 hr, and complications are rare. Therapeutic thoracoscopy is frequently performed in chronic, malignant, recurrent effusions in order to achieve a pleurodesis by means of a talc poudrage under visual control. The efficacy of the poudrage in the published randomized studies is better than tetracycline. About 90% of patients are cured, the effusion being totally suppressed. Side effects are rare if the quantity of talc does not exceed 10 ml.</abstract><cop>United States</cop><pmid>2117112</pmid><doi>10.1007/bf02718251</doi><tpages>9</tpages></addata></record> |
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| ispartof | Lung, 1990-01, Vol.168 Suppl (S1), p.1113-1121 |
| issn | 0341-2040 1432-1750 |
| language | eng |
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| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Diagnosis, Differential Humans Pleura - pathology Pleural Effusion - etiology Pleural Effusion - therapy Pleural Neoplasms - pathology Pleurisy - pathology Thoracoscopy - methods Tuberculosis, Pleural - pathology |
| title | The role of thoracoscopy in the evaluation and management of pleural effusions |
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