scholarly journals Pleuroscopy or video-assisted thoracoscopic surgery for exudative pleural effusion: a comparative overview

2019 ◽  
Vol 11 (7) ◽  
pp. 3207-3216 ◽  
Author(s):  
Muhammad Sajawal Ali ◽  
Richard W. Light ◽  
Fabien Maldonado
2018 ◽  
Vol 106 (2) ◽  
pp. 361-367 ◽  
Author(s):  
Christine M. McDonald ◽  
Camille Pierre ◽  
Marc de Perrot ◽  
Gail Darling ◽  
Marcelo Cypel ◽  
...  

2021 ◽  
Vol 14 (9) ◽  
pp. e245796
Author(s):  
Phyoe Kyaw Pyae ◽  
Rigers Cama ◽  
Andrew G Nicholson ◽  
Rama Vancheeswaran

We report a case of a 74-year-old male patient who was referred to the respiratory clinic with an incidental finding of a left sided pleural effusion. He was initially being treated by the general practitioner for chest infection with productive cough that had limited resolution after course of oral antibiotics. At the pleural clinic, 1.5 L of serosanguineous fluid was drained and sent for diagnostics. However, the diagnosis only reached as far as idiopathic exudative effusion with lymphocytes and plasma cells. He was then referred for video-assisted thoracoscopic surgery pleural biopsy and pleurodesis. It revealed black pleura with abundant IgG4 positive cells. He is followed up in respiratory clinic where further discussion and treatment has commenced.


2012 ◽  
Vol 125 (3) ◽  
pp. 646-648 ◽  
Author(s):  
Jenny M. Whitworth ◽  
Kellie E. Schneider ◽  
Janelle M. Fauci ◽  
Ayesha S. Bryant ◽  
Robert J. Cerfolio ◽  
...  

2019 ◽  
Vol 31 (1) ◽  
pp. 36-40
Author(s):  
Miktat Arif HABERAL ◽  
Özlem ŞENGÖREN DİKİŞ ◽  
Erkan AKAR ◽  
Halil KAYA

2021 ◽  
Vol 10 (2) ◽  
pp. 7-10
Author(s):  
Ravi Kumar Baral

Background: Exudative pleural effusions are common presentation of pleural disease. Long standing pleural effusion might complicate with loculations and cortex formation. Video assisted thoracoscopic surgery can be a useful tool for the diagnosis and the management of the complications. The aim of the study is to determine the cause and treat the complications related to the exudative pleural effusions. Materials and Methods: It is a retrospective analysis of prospectively collected data of all patients with exudative pleural effusions subjected to surgical management. Data were collected over a period of four years in a community hospital in Kathmandu. Results: Of 38 patients who underwent Video assisted thoracoscopic surgery only 33 were eligible for analysis. Male to female ratio was 2.3:1 with male (23) dominance. Twenty six (78.8%) had lymphocyte predominance and 23 (69.7%) had Adenosine deaminase level of more than 40 International unit in pleural fluid analysis. In histopathological examination most common finding was granulomatous inflammation 13 (39.4%), 9 (27.3%) were malignancy and 9 (27.3%) were nonspecific chronic inflammation. Of malignancies adenocarcinoma 3 (9.09%) was the most common finding, mesothelioma 2(6.06%) and 4 (12.12%) other. Conclusion: Video assisted thoracoscopic surgery has a role to play in diagnosis of exudative pleural effusions, particularly when there is dilemma in diagnosis. Video assisted thoracoscopic surgery definitely has a role in diagnosis and treatment of the complications related to pleural effusions.


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