|
KMID : 0364020140470020124
|
|
Korean Journal of Thoracic and Cardiovascular Surgery
2014 Volume.47 No. 2 p.124 ~ p.128
|
|
|
Is There a Role for a Needle Thoracoscopic Pleural Biopsy under Local Anesthesia for Pleural Effusions?
|
|
Son Ho-Sung
Lee Sung-Ho
Darlong Laleng Mawia
Jung Jae-Seong
Sun Kyung
Kim Kwang-Taik
Kim Hee-Jung
Lee Kang-Hoon
Lee Seung-Hun
Lee Jong-Tae
|
|
|
Abstract
|
|
|
Background: A closed pleural biopsy is commonly performed for diagnosing patients exhibiting pleural effusion if prior thoracentesis is not diagnostic. However, the diagnostic yield of such biopsies is unsatisfactory. Instead, a thoracoscopic pleural biopsy is more useful and less painful.
Methods: We compared the diagnostic yield of needle thoracoscopic pleural biopsy performed under local anesthesia with that of closed pleural biopsy. Sixty-seven patients with pleural effusion were randomized into groups A and B. Group A patients were subjected to closed pleural biopsies, and group B patients were subjected to pleural biopsies performed using needle thoracoscopy under local anesthesia.
Results: The diagnostic yields and complication rates of the two groups were compared. The diagnostic yield was 55.6% in group A and 93.5% in group B (p<0.05). Procedure-related complications developed in seven group A patients but not in any group B patients. Of the seven complications, five were pneumothorax and two were vasovagal syncope.
Conclusion: Needle thoracoscopic pleural biopsy under local anesthesia is a simple and safe procedure that has a high diagnostic yield. This procedure is recommended as a useful diagnostic modality if prior thoracentesis is non-diagnostic.
|
|
|
KEYWORD
|
|
|
Biopsy, Pleural disease, Pleural effusion, Tumor, malignant, Video-assisted thoracic surgery (VATS)
|
|
|
FullTexts / Linksout information
|
|
 
|
|
|
Listed journal information
|
|
  
|