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Role of Single Port Rigid Thoracoscopy in Undiagnosed Pleural Effusion
Anil Kumar,Jagdish Rawat,Parul Mrigpuri,Dev Singh Jangpangi,Abhay Pratap Singh,Ritisha Bhatt 대한결핵및호흡기학회 2024 Tuberculosis and Respiratory Diseases Vol.87 No.2
Background: In recent years, medical thoracoscopy has been well established to playan important role in undiagnosed pleural effusion; however, this procedure is underutilizeddue to limited availability of the instruments it requires. This study analysed the outcomeof single port rigid thoracoscopy in patients with undiagnosed pleural effusions. Methods: This study retrospectively analysed the outcomes of all patients with undiagnosedpleural effusion presenting to our centre between 2016 to 2020 who underwentsingle port rigid medical thoracoscopy as a diagnostic procedure. Results: In total, 92 patients underwent single port rigid medical thoracoscopy. Themost common presenting symptom was shortness of breath. A majority of the patientshad lymphocytic exudative pleural effusion. The average biopsy sample size was 18mm, and no major complication was reported in any of the patients. Conclusion: Single port rigid thoracoscopy is a safe and well-tolerated procedure thatyields a biopsy of a larger size with high diagnostic yield. Moreover, the low cost of theinstruments required by this procedure makes it particularly suited for use in developingcountries.
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