Is There a Role for a Needle Thoracoscopic Pleural Biopsy under Local Anesthesia for Pleural Effusions?

저작시기 2014.04 |등록일 2014.07.24 | 최종수정일 2017.07.08 파일확장자어도비 PDF (pdf) | 5페이지 | 가격 6,000원
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발행기관 : 대한흉부외과학회 수록지정보 : The Korean Journal of Thoracic and Cardiovascular Surgery / 47권 / 2호
저자명 : Ho Sung Son, Sung Ho Lee, Laleng Mawia Darlong, Jae Seong Jung, Kyung Sun, Kwang Taik Kim, Hee Jung Kim, Kanghoon Lee, Seung Hun Lee, Jong Tae Lee

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INTRODUCTION
METHODS
RESULTS
DISCUSSION
CONFLICT OF INTEREST
REFERENCES

영어 초록

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.

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