Affiliation:
1. PG, Respiratory, Medicine, SRMS, Bareilly
2. Prof. And Head, Respiratory, Medicine, SRMS, Bareilly.
3. Assistant Prof, Respiratory, Medicine, SRMS, Bareilly.
Abstract
Background Pleural effusion results from accumulation of abnormal volumes ->( 10-20) ml of uid in pleural space . Signicant number of
cases of pleural effusion remains undiagnosed after simple diagnostic pleural aspiration. Thoracoscopy allows direct visual assessment of the
pleura and subsequent biopsy of visually abnormal areas, hence maximising diagnostic yield. A retrospective study of all Thoracoscopic Methods
procedure performed with rigid and semi- rigid scope in patients admitted in Respiratory department of SRMS, Bareilly. Post-procedural
diagnoses were obtained from the clinical records and using relevant hospital databases. A total of 40 patients underwent Thoracoscopy in Results
time span of 2020-2021 to diagnose a wide spectrum of benign and malignant conditions. The diagnosis of 23 malignant conditions - 13 Adeno
Carcinoma, 3 Non – small cell carcinoma and 7 cases of other malignancies , along with 17 benign cases were made . Conclusion Thoracoscopy
can be used as a diagnostic tool for investigation of various pathologies of undiagnosed pleural effusion . In our study the sensitivity of
thoracoscopy was more than 90%
Subject
Agronomy and Crop Science,Applied Microbiology and Biotechnology,Bioengineering,Food Science,Biotechnology,Biochemistry,Catalysis,Biotechnology,Cell Biology,Molecular Biology,Biochemistry,Biophysics,Biochemistry,Biochemistry,Biomedical Engineering,Environmental Engineering,Bioengineering,Biotechnology,Genetics,Molecular Biology,General Medicine,Ecology, Evolution, Behavior and Systematics,Biochemistry,Cell Biology,Molecular Biology,Biochemistry,Biochemistry,Organic Chemistry,Molecular Biology,Applied Microbiology and Biotechnology,General Medicine,Biochemistry,Analytical Chemistry,Biotechnology
Reference20 articles.
1. Dar KA, Sultan ST, Jamil AJ et al. Medical thoracoscopy in evaluation of undiagnosed pleural effusion. Int J Res Med Sci 2019;7:1803-8
2. Mootha VK, Agarwal R, Singh N et al. Medical thoracoscopy for undiagnosed pleural effusions: experience from a tertiary care hospital in north India. Indian J Chest Dis Allied Sci. 2011 Jan-Mar;53(1):21-4.
3. Shaheen MMAM, Shaaban AY et al. The diagnostic role of thoracoscope in undiagnosed pleural effusion: Rigid versus flexible. Egyptian Journal of Chest Diseases and Tuberculosis 2014; 63 (3): 635-642
4. Loddenkemper R. Thoracoscopy: state of the art. Eur Respir J 1998;11:213-21.
5. Loddenkemper R, Grosser H, Gabler A, Mai J, Presseuler H, Brandt HJ. Prospective evaluation of biopsy methods in diagnosis of malignant pleural effusions: intra patient comparision between pleural fluid cytology, blind needle biopsy and thoracoscopy. Am Rev Respir Dis 1983;127:114.