Is there a role for a needle thoracoscopic pleural biopsy under local anesthesia for pleural effusions?
- Authors
- Son H.S.; Lee S.H.; Darlong L.M.; Jung, Jae Seung; Sun K.; Kim K.T.; Kim H.J.; Lee K.; Lee S.H.; Lee J.T.
- Issue Date
- Apr-2014
- Publisher
- Korean Society for Thoracic and Cardiovascular Surgery
- Keywords
- Biopsy; Pleural disease; Pleural effusion; Tumor malignant; Video-assisted thoracic surgery (VATS)
- Citation
- Korean Journal of Thoracic and Cardiovascular Surgery, v.47, no.2, pp 124 - 128
- Pages
- 5
- Indexed
- SCOPUS
KCI
- Journal Title
- Korean Journal of Thoracic and Cardiovascular Surgery
- Volume
- 47
- Number
- 2
- Start Page
- 124
- End Page
- 128
- URI
- https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/9878
- DOI
- 10.5090/kjtcs.2014.47.2.124
- ISSN
- 2233-601X
2093-6516
- 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. © The Korean Society for Thoracic and Cardiovascular Surgery. 2014.
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Collections - 2. Clinical Science > Department of Thoracic and Cardiovascular Surgery > 1. Journal Articles
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