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The Annals of Thoracic Surgery, Vol 29, 205-208, Copyright © 1980 by The Society of Thoracic Surgeons

ARTICLES

Pleuroscopy in patients with pleural effusion and pleural masses

D Weissberg, M Kaufman and Z Zurkowski

We performed diagnostic pleuroscopy in 66 patients with pleural effusion and in 14 with pleural masses. The findings were diagnostic in 76 patients (95%). Pleural metastases were found in 63 patients, primary pleural or lung tumor in 5, and less common findings in the remainder. Only 1 minor complication occurred, and there were no deaths. Malignant pleural effusion causing dyspnea was managed successfully by talc insufflation under direct vision in 31 of 35 patients. Talc also was used with equal success and without complications in management of recurrent pneumothorax. We conclude that pleuroscopy is a useful diagnostic and therapeutic procedure. It is simple and well tolerated, has a diagnostic yield of 95%, and is virtually free from complications. It provides the best way of insufflating talc for pleurodesis.

This article has been cited by other articles:

				D. Weissberg and Y. Refaely Pleural Empyema: 24-Year Experience Ann. Thorac. Surg., October 1, 1996; 62(4): 1026 - 1029. [Abstract] [Full Text]