Diagnostic Value and Safety of Medical Thoracoscopy in the Management of Exudative Pleural Effusion

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dc.authoridCETINKAYA, ERDOGAN/0000-0002-0891-0020
dc.authoridCortuk, Mustafa/0000-0002-6923-736X
dc.contributor.authorOzgul, Mehmet Akif
dc.contributor.authorCetinkaya, Erdogan
dc.contributor.authorTanriverdi, Elif
dc.contributor.authorCotuk, Mustafa
dc.contributor.authorAcat, Murat
dc.contributor.authorGul, Sule
dc.contributor.authorSeyhan, Ekrem Cengiz
dc.date.accessioned2024-09-29T16:09:40Z
dc.date.available2024-09-29T16:09:40Z
dc.date.issued2016
dc.departmentKarabük Üniversitesien_US
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.en_US
dc.identifier.doi10.5152/ejp.2016.54227
dc.identifier.endpage142en_US
dc.identifier.issn2148-3620
dc.identifier.issn2148-5402
dc.identifier.issue3en_US
dc.identifier.startpage139en_US
dc.identifier.urihttps://doi.org/10.5152/ejp.2016.54227
dc.identifier.urihttps://hdl.handle.net/20.500.14619/7710
dc.identifier.volume18en_US
dc.identifier.wosWOS:000391006500006en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.language.isoenen_US
dc.publisherWolters Kluwer Medknow Publicationsen_US
dc.relation.ispartofEurasian Journal of Pulmonologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectAnesthesiaen_US
dc.subjectlocalen_US
dc.subjectpleural effusionen_US
dc.subjectthoracoscopyen_US
dc.titleDiagnostic Value and Safety of Medical Thoracoscopy in the Management of Exudative Pleural Effusionen_US
dc.typeArticleen_US

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