Volume : 7, Issue : 4, April - 2018

Medical Thoracoscopy: A minimal invasive procedure benefits in a tertiary care centre

Dr. Anuj V Gandhi, Dr. Bharat Toshniwal, Dr. Gauri P Godbole, Dr. Tejas Deshpande

Abstract :

<p>&nbsp;Background: Medical thoracoscopy or pleuroscopy is used in exploration of pleural space. Recently, has received</p> <div>importance due to its applied diagnostic and therapeutic management in diseases involving pleural spaces. In this</div> <div>study we share our experience with medical thoracoscopy at our institute.</div> <div>Objective: To review our methods and bene􀃶ts with rigid thoracoscopy</div> <div>Method: In a retrospective analysis of patients who underwent thoracoscopic procedures between June,2016 to December,2017. There</div> <div>were 46 medical thoracoscopy performed, most common indication was pleural biopsy performed in undiagnosed cases of pleural</div> <div>effusion; other indications like lung biopsy in diffuse lung disease, adhesionolysis of loculated pleural effusion and pleurodesis. The</div> <div>patient‘s demographic data, indication for medical thoracoscopy, complication and outcome were recorded and analyzed.</div> <div>Statistical Analysis: Statistical analysis of all 46 patients underwent thoracoscopy was done and 􀃶ndings expressed in terms of percentages.</div> <div>Results: A total of 46 patients out of which 32 were males and 14 were females; mean age was 42 years who underwent medical</div> <div>thoracoscopy. In 26 patients indicated for undiagnosed pleural effusion; the diagnostic yield was 92.30%. Out of which 53.85% were of</div> <div>tuberculous origin, while 38.46% were of malignant origin. In 8 cases of loculated pleural effusion, 4 patients showed good improvement</div> <div>on chest Xray. The mean number of days post thoracoscopy ICD was 4 days in cases of empyema, who underwent thoracoscopy. There were</div> <div>no major complication, while minor complication in 11.54% of cases.</div> <div>Conclusion: Medical thoracoscopy is a safe and simple valuable tool with low complication rates.</div>