Chest Email Content Delivery
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

Guest Access | Sign In via User Name/Password
This Article
Right arrow Full Text (PDF) Free
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Article Archive
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Weissberg, D
Right arrow Articles by Kaufmann, M
Right arrow Search for Related Content
PubMed
Right arrow Articles by Weissberg, D
Right arrow Articles by Kaufmann, M

Chest, Vol 78, 732-735, Copyright © 1980 by American College of Chest Physicians

ARTICLES

Diagnostic and therapeutic pleuroscopy. Experience with 127 patients

D Weissberg and M Kaufmann

Experience with 127 pleuroscopies using the mediastinoscope is reviewed. The most frequent indications were pleural effusion (73 patients), pleural involvement by tumor (14), empyema (14), and recurrent pneumothorax (14). Findings were diagnostic in 119 of 127 patients (93.7 percent). Pleural metastases were found in 63 patients, primary pleural or lung tumor in six, nonspecific or tuberculous empyema in 17, emphysematous blebs in 12 and less common findings in the remainder. Pleuroscopy was usefully employed to determine chest wall penetration by a malignant lung tumor in five patients with severely restricted pulmonary reserve. Positive findings helped to avoid unnecessary thoracotomy. There were two minor complications and no deaths. Malignant pleural effusion causing dyspnea was managed successfully by talc insufflation under direct vision in 35 of 39 patients. Talc was also used, with equal success and without complications, in eight patients with recurrent pneumothorax and in two with empyema after evacuation of pus. We conclude that pleuroscopy is a useful diagnostic and therapeutic procedure, simple and well tolerated, with the diagnostic yield of over 90 percent and virtually free of complications. It provides the best way of insufflating talc for pleurodesis.


This article has been cited by other articles:


Home page
 Ann. Surg. Oncol.Home page
K. Parekh, V. Rusch, M. Bains, R. Downey, and R. Ginsberg
VATS Port Site Recurrence: A Technique Dependent Problem
Ann. Surg. Oncol., March 1, 2001; 8(2): 175 - 178.
[Abstract] [Full Text] [PDF]

Home page
 ChestHome page
M. Glazer, N. Berkman, J. S. Lafair, and M. R. Kramer
Successful Talc Slurry Pleurodesis in Patients With Nonmalignant Pleural Effusion
Chest, May 1, 2000; 117(5): 1404 - 1409.
[Abstract] [Full Text] [PDF]

Home page
 AM J HOSP PALLIAT CAREHome page
P. Rousseau
Malignant pleural effusions: A brief synopsis
American Journal of Hospice and Palliative Medicine, November 1, 1997; 14(6): 302 - 304.
[PDF]

Home page
 Ann. Thorac. Surg.Home page
D. Weissberg and Y. Refaely
Pleural Empyema: 24-Year Experience
Ann. Thorac. Surg., October 1, 1996; 62(4): 1026 - 1029.
[Abstract] [Full Text]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 1980 by the American College of Chest Physicians.