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Ann Thorac Surg 1978;26:68-72
© 1978 The Society of Thoracic Surgeons

Articles

Thoracoscopy: A Useful Tool in the Diagnosis of Thoracic Disease

Joseph I. Miller, M.D.*, Charles R. Hatcher, Jr., M.D.

Joseph B. Whitehead Department of Surgery, Division of Thoracic and Cardiovascular Surgery, Emory University School of Medicine, Atlanta, GA

* Address reprint requests to Dr. Miller, Department of Thoracic Surgery, 1365 Clifton Rd, NE, Atlanta, GA 30322

During a 12-month period, 11 patients underwent diagnostic thoracoscopy for previously undiagnosed thoracic disease. In all patients, the diagnosis had been unobtainable by the usual diagnostic modalities of bronchoscopy, scalene node biopsy, mediastinoscopy, thoracentesis, or closed pleural biopsy. Thoracoscopy was diagnostic in 10 of the 11 patients. There was no morbidity or mortality. In all patients the indication for thoracoscopy was suspected malignancy. The majority of patients had recurrent pleural effusions in which routine cytological studies and tissue biopsies had been nondiagnostic. Pathological findings were mesothelioma in 3 patients, primary carcinoma of the lung in 4, congestive heart failure with pleural effusion in 1, metastatic carcinoma in 2, and inflammatory disease in 1 patient. Indications, techniques, and results are discussed. Thoracoscopy is a valuable tool in the diagnosis of thoracic disease; with it, unnecessary thoracotomy can often be avoided.




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