Diagnostic value and safety of medical thoracoscopy in the management of exudative pleural effusion

dc.authorid0000-0001-6639-2797
dc.contributor.authorÖzgül, Mehmet Akif
dc.contributor.authorÇetinkaya, Erdoğan
dc.contributor.authorTanrıverdi, Elif
dc.contributor.authorÇotuk, Mustafa
dc.contributor.authorAcat, Murat
dc.contributor.authorGül, Şule
dc.contributor.authorSeyhan, Ekrem Cengiz
dc.contributor.authorOmaygenç, Derya Özden
dc.contributor.authorAkın, Hasan
dc.contributor.authorAbbaslı, Kenan
dc.contributor.authorOnaran, Hilal
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T19:52:13Z
dc.date.available10.07.201910:49:13
dc.date.available2019-07-10T19:52:13Z
dc.date.issued2016
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Göğüs Hastalıkları Ana Bilim Dalı
dc.descriptionWOS: 000391006500006
dc.description.abstractObjective: Medical thoracoscopy is a minimally invasive procedure that is performed by experienced pulmonologists under local anesthesia and conscious intravenous sedation. It allows direct observation and evaluation of the pleural space. Our aim is to evaluate the diagnostic efficacy and safety of this procedure while presenting our results of medical thoracoscopy performed by rigid thoracoscopy in our clinic. Methods: Thirty-seven patients who had gone thorough medical thoracoscopy between March 2011 and August 2014 were evaluated retrospectively. Results: Of these 37 patients, 26 were male and the average age was 50.94 +/- 15.38 years. Fourteen patients had right-sided pleural effusion, whereas 23 had left-sided pleural effusion. Closed pleural biopsy was performed previously in 16 patients with no diagnostic results. In 36 patients (97.3%), a specific diagnosis was achieved. One patient, diagnosed as lymphocytic pleuritis by medical thoracoscopy, underwent decortication and the pathology was consistent with biphasic malignant pleural mesothelioma. Another patient, diagnosed as chronic nonspecific pleuritis with medical thoracoscopy, underwent decortication and the diagnosis was fibrinous pleuritis characterized by extensive fibrosis. Three patients had expansion defects during the post-operative period. Hemothorax occurred in one patient that died of respiratory failure on day 34 of hospitalization. The median length of stay in the hospital after the procedure was 5 days (1-34). Conclusion: Medical thoracoscopy is a secure procedure with high diagnostic value in the management of exudative pleural effusion.
dc.identifier.citationÖzgül, M. A., Çetinkaya, E., Tanrıverdi, E., Çotuk, M., Acat, M., Gül, Ş. ... Onaran, H. (2016). Diagnostic value and safety of medical thoracoscopy in the management of exudative pleural effusion. Eurasian Journal Of Pulmonology, 18(3), 139-142. https://dx.doi.org/10.5152/ejp.2016.54227
dc.identifier.doi10.5152/ejp.2016.54227
dc.identifier.endpage142
dc.identifier.issn2148-3620
dc.identifier.issn2148-5402
dc.identifier.issue3
dc.identifier.startpage139
dc.identifier.urihttps://dx.doi.org/10.5152/ejp.2016.54227
dc.identifier.urihttps://hdl.handle.net/20.500.12511/2365
dc.identifier.volume18
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakTR-Dizin
dc.language.isoen
dc.publisherTurkish Respiratory Soc
dc.relation.ispartofEurasian Journal Of Pulmonologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsAttribution-NonCommercial 4.0 International*
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttps://creativecommons.org/licenses/by-nc/4.0/*
dc.subjectAnesthesia
dc.subjectLocal
dc.subjectPleural Effusion
dc.subjectThoracoscopy
dc.titleDiagnostic value and safety of medical thoracoscopy in the management of exudative pleural effusion
dc.typeArticle

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