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  • Diagnostična torakoskopija
    Debeljak, Andrej, 1940- ...
    Background. Diagnostic thoracoscopy helps in establishing diagnosis for patients with pleural diseases when more noninvasive procedures have failed. Whe article reviews our experience with this ... method. Methods. In a retrospective analysis the success of 138 thoracoscopies from 1985 to 1995 was evaluated. Procedures were performed in local anaesthesia with lidocain. pneumothorax was applied and controlled by roentgenogram prior to thoracoscopy. Through a Storz thoracoscope under visual control, 2 to 25 samples of pleura were obtained for histological and cytological examination. The patients were on drainage for 2.9 days after the procedure. Results. Thoracoscopy clarified the nature of the disease in 127 patients. In 70 cancer patients the sensitivity was 93 %, acuracy 94 % and specificity 100 %. Out 21 patients with lung cancer and pleural effusion, established by thoracoscopy, eiht underwent lobectomy or pulmonectomy. Pleurodesis with talcum was achieved in 13 out of 16 patients with pleural effusion in 25 days, and in 3 out of 5 patients with recurrent pneumothorax in 4 days. Five patients had drainage following pleurodesis for 2 to 4 weeks. The most frequent complications of thoracoscopy were subcutaneous emphysema and pain after talcum powder insufflation, the most serious being drainage for more than 7 days in 11 patients. Conclusion. Diagnostic thoracoscopy improves the diagnostics of pleural, pulmonary, mediastinal and chest wall diseases and makes a successful pleurodesis possible. Complications are rare.
    Vir: Zdravniški vestnik : glasilo Slovenskega zdravniškega društva = Slovenian medical journal = journal of Slovenian Medical Association. - ISSN 1318-0347 (Letn. 65, supl. 2, okt. 1996, str. 9-12)
    Vrsta gradiva - članek, sestavni del
    Leto - 1996
    Jezik - slovenski
    COBISS.SI-ID - 4832729

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