Medical Thoracoscopy

Rodríguez-Panadero, Francisco

doi:10.1007/978-1-4614-6009-1_24

Cited by 3 publications

(4 citation statements)

References 56 publications

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“…Most importantly, there were no signicant complications after CB, with the occurrence of mild bleeding after biopsy being similar in CB and FFB. Medical thoracoscopy is a useful, e ective, and safe method for investigating and managing undiagnosed EPE [22]. It can be performed using either a rigid thoracoscope or a semirigid pleuroscope [3].…”

Section: Discussionmentioning

confidence: 99%

Feasibility and Safety of Pleuroscopic Cryobiopsy of the Pleura: A Prospective Study

Chen

Cheng

et al. 2017

Interventional Pulmonology

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Background. e aim of this study was thus to evaluate the feasibility and safety of taking biopsy specimens by cryoprobe from the parietal pleura during semirigid pleuroscope. Methods. In a single-center, observational, prospective study, patients with exudative pleural e usion (EPE) were evaluated with a semirigid pleuroscope between January 2015 and July 2017. Each patient underwent pleural biopsy using exible forceps and exible cryoprobe through pleuroscope following diagnostic thoracentesis and closed pleural biopsy (CPB). Results. A total of 92 patients (median age 64 years) were included in the study, most of whom were men (65.2%). Cytological cell block (CCB) and CPB made de nitive diagnoses in 32/92 (34.8%) and 25/92 (27.5%), respectively; exible forceps biopsy (FFB) and cryoprobe biopsy (CB) established de nitive diagnoses in 84/92 (91.3%) and 91/92 (98.9%), respectively. e sample obtained by CB (9.4 ± 4.9 mm) was signi cantly larger than the other two methods: FFB (4.2 ± 2.3 mm) or CPB (1.9 ± 1.0 mm) (P < 0.0001).e immunohistochemical (IHC) staining was more easily performed with CB (98.9%) compared to either FFB (87.0%) or CPB (13.0%).ere were no signi cant complications or procedure-related deaths. Conclusions. Based on these results, CB during semirigid pleuroscope has a high diagnostic yield, di erentiating EPE of unknown etiology with satisfactory e ectiveness and safety.

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Section: Discussionmentioning

confidence: 99%

Feasibility and Safety of Pleuroscopic Cryobiopsy of the Pleura: A Prospective Study

Chen

Cheng

et al. 2017

Interventional Pulmonology

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“…(3,5,6) Apart from its use for diagnostic purposes, medical thoracoscopy is frequently performed to achieve pleurodesis in patients with recurrent malign pleural effusions. (3,(7)(8)(9) Thoracoscopy performed in the bronchoscopy suite under local anesthesia, usually is limited to exploration of the pleural cavity, parietal pleura biopsy, pleurodesis, and chest tube insertion under direct visual guidance. (2) However, it provides avoidance from general anesthesia, double-lumen endotracheal tube intubation, and use of operating room (all are obligatory for video-assisted thoracoscopic surgery) for those indications of daily practice in pulmonary medicine.…”

Section: Issn: 2320-5407mentioning

confidence: 99%

The Efficacy and Safety of Medical Thoracoscopy in Differential Diagnosis of Pleural Effusions.

Uğurlu¹,

Altınışık²,

Yildiz³

et al. 2016

IJAR

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“…After the introduction of the semi-rigid pleuroscope by Olympus Corporation, Tokyo, Japan, the term P became more popular and today both terms are used interchangeably. [ 5 ] MT/P is a technique performed by chest physicians in a clean endoscopy suite. It is less invasive than VATS, since it can be performed under local anesthesia and conscious sedation through a single entry.…”

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confidence: 99%

“…Although the highest number on a country basis is from USA, by region the highest number of publications is from Europe; thoracoscopy began to recover in the 1970s in continental Europe where some pulmonologists became expert in this interventional technique. [ 5 ] In several European countries, MT/P has been a part of training programs in respiratory medicine for many years and it became popular later in the USA. [ 3 ] Our data reflect this situation.…”

mentioning

confidence: 99%