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Lung India Official publication of Indian Chest Society  
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ORIGINAL ARTICLE
Year : 2012  |  Volume : 29  |  Issue : 2  |  Page : 128-130

The role of pleuroscopy in undiagnosed exudative pleural effusion


Department of Respiratory Medicine, Apollo Hospitals, Chennai, India

Correspondence Address:
V G Prabhu
C/o Dr. R. Narasimhan, Sr. Consultant Pulmonologist, 21 Greams Lane, Off Greams Road, Chennai 600 006
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-2113.95304

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Aims: To find the diagnostic yield of a pleuroscopic pleural biopsy and to find the complication rates. Settings and Design: Institutional based prospective study. Materials and Methods: Sixty-eight consecutive patients who had undiagnosed exudative pleural effusion were recruited for pleuroscopy from September 2007 to August 2010. Results: A total of 68 patients (55 males and 13 females; mean age 49 years) underwent pleuroscopy. Malignancy was diagnosed in 24 patients, 22 patients had non-specific inflammation, tuberculosis was found in 16 patients, empyema was found in 2 patients, 1 patient had sarcoidosis, 1 patient had normal pleura and it was non-diagnostic in 2 patients. The diagnostic yield was 97%. There were no major complications, only four patients had minor complication like subcutaneous emphysema (three patients) and prolonged air leak (one patient). Conclusions: Pleuroscopy is a safe, simple, and valuable tool in the diagnosis of undiagnosed exudative pleural effusion with minimal complication rates.


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