Effectiveness of Video-Assisted Thoracoscopic Surgery in Undiagnosed Exudative Pleural Effusions

Dadaş, Erdoğan; Erdoğdu, Eren; Toker, Alper; Ersöz, Miray; Okay, Tamer

doi:10.5152/turkthoracj.2018.18133

Cited by 5 publications

(10 citation statements)

References 18 publications

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“…Ct finding showed that all of patients had pleural effusion and most of them (65%) had pleural thickening. This comes in agreement with Dadaş et al (8) who demonstrated that the most common complaint was dyspnea 66.5%. There were 41 patients (45.6%) with pleural thickness ≥ 5 mm and 49 patients (54.4%) with pleural thickness < 5 mm.…”

Section: Discussionsupporting

confidence: 92%

“…This is in agreement with Salim and Torky (7) who demonstrated that the total number of patients that were included in their study was 90 patients, with 33 (73.3%) males and 12 (26.7%) females. Also, Dadaş et al (8) demonstrated that the majority of cases were male patients (161 males and 102 females). In addition, Puri et al (9) demonstrated that patients undergoing thoracotomy were younger and had a higher incidence of prior lung cancers.…”

Section: Discussionmentioning

confidence: 98%

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Comparative Study of Aspiration Cytology, Video-Assisted Thoracoscope and Open Biopsy in Undiagnosed Pleural Effusion

Kotb¹,

AbdRabouh²,

Abouiznied³

et al. 2022

The Egyptian Journal of Hospital Medicine

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Background: Pleural effusion is a common challenging problem in the cardiothoracic surgery. We have different modalities for diagnosis and hence establishing the management control for the pleural effusion. Objectives: The aim of the study was to compare outcomes, in patients who underwent video-assisted thoracoscope (VATS) and patients who underwent aspiration cytology and standard thoracotomy, in diagnosis of pleural effusion. Patients and methods: This randomized clinical (interventional) study was conducted in Cardiothoracic Surgery Department, Zagazig University Hospitals. We included 48 patients with undiagnosed pleural effusion after initial and repeated biochemical and cytological analysis of the pleural fluid, they were enrolled in this study. Patients were randomly divided into three groups. Group A: Where all patients were subjected to aspiration cytology, group B: 35 cases were subjected to VATS biopsy in undiagnosed pleural effusion and group C: 13 cases were subjected to open biopsy in undiagnosed pleural effusion. Results: Pleural effusion was diagnosed by CT preoperatively and also confirmed by intra-operative findings either by VATS or by open biopsy and there were no differences between CT and intra-operative findings in presence of pleural effusion, pleural nodules and lung masses. While, there was significant difference regarding pleural thickening and mediastinal LN. 5 patients (14.3%) in VATs biopsy group failed and converted to open biopsy, 3 of them because of adhesion and 2 cases because of hemorrhage. Conclusion: Video-assisted thoracoscope is safe and minimally invasive procedure in undiagnosed pleural effusion with less operative time, blood loss, chest tube duration, intra-operative and post-operative complications and length of hospital stay compared to open biopsy.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 98%

Comparative Study of Aspiration Cytology, Video-Assisted Thoracoscope and Open Biopsy in Undiagnosed Pleural Effusion

Kotb¹,

AbdRabouh²,

Abouiznied³

et al. 2022

The Egyptian Journal of Hospital Medicine

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“…In general, more than 50% of all patients with PE cannot be diagnosed after the initial diagnostic thoracentesis. 20 In such cases pleural biopsy is mandatory.…”

Section: Discussionmentioning

confidence: 99%

VATS (Video Assisted Thoracoscopic Surgery) Pleural Biopsy in the Diagnosis of Unexplained Pleural Effusion

Rasha¹,

Kibria²,

Islam

et al. 2023

J. Bangladesh Coll. Phys.

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Introduction:An unexplained pleural effusion is a difficult diagnostic dilemma that needs further histological study for a definitive etiological diagnosis. Video assisted thoracoscopic (VATS) pleural biopsy is a minimally invasive procedure that could resolve this problem. The study is conducted to determine the efficacy of VATS pleural biopsy in the diagnosis of unexplained pleural effusion. Methods: This cross-sectional study was to investigate our experience of VATS pleural biopsy for unexplained pleural effusion which was conducted at our center. All patients who underwent VATS pleural biopsy for unexplained pleural effusion during the period of January 2019 to December 2019 were included in the study. Epidemiological, clinical, radiological & histopathological data of the patients were collected and analyzed Results: The overall diagnostic yield of VATS pleural biopsy in our study was 95%. Malignancy was the most common histological diagnosis for unexplained pleural effusion followed by tuberculosis. In patients with malignant effusion, metastatic adenocarcinoma was commonly observed finding followed by metastatic squamous cell carcinoma. Minor complications related to the procedure were noticed with no mortality. Conclusion: VATS pleural biopsy has high definitive diagnostic accuracy in the evaluation of unexplained pleural effusions. J Bangladesh Coll Phys Surg 2023; 41: 141-149

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“…closed pleural biopsy) using Cope or Abrams needles, local anesthetic thoracoscopic pleural biopsy, video‐assisted thoracic surgery (VATS), and open thoracotomy 2 . The diagnostic rate for VATS pleural biopsy reportedly exceeds 90% 3,4 …”

Section: Introductionmentioning

confidence: 99%

“…2 The diagnostic rate for VATS pleural biopsy reportedly exceeds 90%. 3,4 The Japanese Diagnosis Procedure Combination (DPC) is a nationwide administrative claims database of inpatient care, covering almost all hospitalizations in the acute phase of illness in Japan. 5 The DPC includes data on admission and discharge details, including the diagnosis, as recorded at the time of admission and discharge.…”

Section: Introductionmentioning

confidence: 99%

Epidemiologic evaluation of pleurisy diagnosed by surgical pleural biopsy using data from a nationwide administrative database

et al. 2022

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Background Pleural biopsies for investigating the causes of pleurisy are performed through modalities including needle biopsies, local anesthetic thoracoscopic procedures, and surgery (video‐assisted thoracoscopic surgery and open thoracotomy). To date, there have been no large‐scale nationwide epidemiological studies regarding pleurisy diagnosed via surgical pleural biopsy. This study examined the epidemiology of pleurisy diagnosed via surgical pleural biopsy in a Japanese nationwide administrative database. Methods We evaluated Japanese Diagnosis Procedure Combination data of 24 173 patients who underwent video‐assisted thoracoscopic surgery or open thoracotomy and received a diagnosis of pleurisy between April 2014 and March 2020. In addition to pleurisy diagnoses, the patients' clinical information, including age, sex, smoking status (pack‐years), dyspnea grade, length of in‐hospital stay, and comorbidities, were extracted from the dataset. Results This study included data from 1699 patients. The most frequent causes of pleurisy were neoplastic diseases (55.9%; malignant mesothelioma 22.5%, lung cancer 15.7%, lymphoma 2.5%), followed by infectious diseases (24.0%; tuberculosis 16.2%, parapneumonic pleural effusion 3.6%, empyema 3.5%, nontuberculous mycobacteriosis 0.5%), collagen vascular diseases (2.8%; rheumatoid arthritis 1.3%, immunoglobulin G4‐related diseases 0.7%, systemic lupus erythematosus 0.3%), and paragonimiasis (0.1%). Conclusions Neoplastic diseases, including malignant mesothelioma and lung cancer, were frequently and accurately diagnosed as pleurisy via surgical pleural biopsy. The next leading cause was infectious diseases such as mycobacterial infections. Physicians should consider performing surgical biopsy in light of the knowledge regarding the etiology of pleurisy when a definitive diagnosis cannot be made via needle pleural biopsy.

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Effectiveness of Video-Assisted Thoracoscopic Surgery in Undiagnosed Exudative Pleural Effusions

Cited by 5 publications

References 18 publications

Comparative Study of Aspiration Cytology, Video-Assisted Thoracoscope and Open Biopsy in Undiagnosed Pleural Effusion

Comparative Study of Aspiration Cytology, Video-Assisted Thoracoscope and Open Biopsy in Undiagnosed Pleural Effusion

VATS (Video Assisted Thoracoscopic Surgery) Pleural Biopsy in the Diagnosis of Unexplained Pleural Effusion

Epidemiologic evaluation of pleurisy diagnosed by surgical pleural biopsy using data from a nationwide administrative database

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