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  • Diagnostična torakoskopija pri 201 bolniku od 1985 do 1998 = Diagnostic thoracoscopy done in 201 patients between 1985 and 1998
    Debeljak, Andrej, 1940- ...
    Background. The aim of our retrospective study was to determine the diagnosticand therapeutic success rate of thoracoscopies performed during the period 1985-1998. Patients and methods. Thoracoscopy ... was done in 201 patients in whom other less invasive diagnostic procedures had failed. Topical anaesthesia with lidocaine and added fentanyl was used. For histological and cytological studies 11.5 specimens were obrained under visual control. Results. Thoracoscopy provided the definitive diagnosis in 189 patients (94%).Malignant infiltration of the pleura was confirmed in 95 of the 111 patients with neoplastic disease. The accuracy rate of thoracoscopy in patients with neoplasia was 95%. Thoracoscopic preoperative assessment of 26 patients with lung cancer and pleural effusion revealed no pleural neoplasia in 15 patients; later 9 or these (35%) were sucessfully treated by surgery. Talc pleurodesis was done in 50 patients: in 41 with malignant pleural effusion, 3 with benign effusion and 6 with recurrent pneumothorax. Immediate success was achieved in 41 cases (82%). Thoracoscopy was most frequently complicated by subcutaneous emphysema (23 cases), and pain following talc instillation (16 cases). The most serious complications were bronchopleural fistula in 12 and trapped lung in 3 patients. Conclusions. Diagnostic thoracoscopy improves the accuracy of diagnosis of pleural diseases, and enables us to perform a successful pleurodesis.
    Vir: Endoskopska revija : glasilo Sekcije za endoskopsko kirurgijo in Sekcije za gastroenterološko endoskopijo Slovenije = Endoscopic review : journal of Slovenian Society of Endoscopic Surgery and Society of Gastroenterologic Endoscopy. - ISSN 1318-8941 (Letn. 3, št. 7, dec. 1998, str. 135-139)
    Vrsta gradiva - članek, sestavni del
    Leto - 1998
    Jezik - slovenski
    COBISS.SI-ID - 8163289

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