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Torakoskopija - analiza 129 posegov = Thoracoscopy, a study of 129 proceduresRozman, Aleš, 1973- ; Debeljak, Andrej, 1940- ; Kern, IzidorBackground: Medical thoracoscopy is a procedure which enables pneumologist to inspect the pleural space, perform biopsy, pleurodesis, and facilitates optimal chest tube placement and drainage in ... patients with pleural effusion. We made a retrospective analysis of the procedures, performed at the University Hospital Golnik between January 2002 and December 2007. Patients and methods: We evaluated 129 thoracoscopies, performed in 125 patients in a 5-year period. All patients had pleural effusion or a pleural mass, which failed to be diagnosed by less invasive diagnostic methods. In the study groupthere were 90 (72.0 %) men and 35 (28.0 %) women. Their median age was 63years (from 28 to 81 years). All procedures were performed under local anaesthesia with a videothoracoscope Olympus A5252A. Pleurodesis was performedby insufflation of 5g of talc. Results: 78 (62.4 %) of patients had malignant infiltration of the pleura and 47 (37.6 %) had a benign pleural disease. The diagnostic accuracy of thoracoscopy was 91.5 %. The sensitivity in the diagnostics of malignant pleural disease was 86.1 %, the negative predictive value was 82.0 %. Talc pleurodesis was performed in 14 patients with malignant pleural infiltration. Complications were detected in 33 (26.4 %) patients, most of them were not severe. Severe complications, such as empyema, bronchopleural fistula, prolonged duration of drainage, perforation of the diaphragm and trapped lung, occurred in 8 (6.4 %) patients. 30-day mortality rate after the procedure was 0%. Conclusions: Thoracoscopy has a high diagnostic yield with an acceptably low rate of complications. Nevertheless, it is an invasive procedure, which requires careful indications,patientćs consent, best surgical technique and an accurate postoperative follow up.Vir: Zdravniški vestnik : glasilo Slovenskega zdravniškega društva = Slovenian medical journal = journal of Slovenian Medical Association. - ISSN 1318-0347 (Letn. 80, št. 7/8, jul.-avg. 2011, str. 546-552)Vrsta gradiva - članek, sestavni delLeto - 2011Jezik - slovenskiCOBISS.SI-ID - 28773593
Avtor
Rozman, Aleš, 1973- |
Debeljak, Andrej, 1940- |
Kern, Izidor
Teme
Pleural Neoplasms |
Pleural Effusion |
Mesothelioma |
Thoracoscopy |
Methods |
Utilization |
Pleurisy |
Pleurodesis |
Biopsy |
Plevralni izliv |
Plevritis |
Prsna mrena, novotvorbe |
Torakoskopija |
Mezoteliom |
Biopsija |
Plevrodeza
vir: Zdravniški vestnik : glasilo Slovenskega zdravniškega društva = Slovenian medical journal = journal of Slovenian Medical Association. - ISSN 1318-0347 (Letn. 80, št. 7/8, jul.-avg. 2011, str. 546-552)
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JCR | SNIP | JCR | SNIP | JCR | SNIP | JCR | SNIP |
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Rozman, Aleš, 1973- | 25177 |
Debeljak, Andrej, 1940- | 01726 |
Kern, Izidor | 15781 |
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