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Ann Thorac Surg 1989;48:66-68
© 1989 The Society of Thoracic Surgeons

Articles

Thoracoscopy: A review of 121 consecutive surgical procedures

Richard D. Page, FRCS(Ed), Robert R. Jeffrey, FRCS(Ed), Raymund J. Donnelly, FRCS(Ed)*

Regional Adult Cardio-Thoracic Unit, Broadgreen Hospital, Liverpool, United Kingdom

Accepted for publication January 26, 1989.

* Address reprint requests to Mr Donnelly, RACTU, Broadgreen Hospital, Liverpool L14 3LB, United Kingdom.

The records of 121 patients who underwent surgical thoracoscopy between 1976 and 1987 were reviewed. The indications for thoracosopy were pleural effusion (38%), pleural thickening (7.4%), and a mass on the chest roentgenogram (15%). All procedure were performed under general anesthesia with a rigid thoracoscope and 91 patients (75%) were diagnosed as having a malignant process. Although thoracotomy was undertaken in 20 patients (16.5%), no patient with benign disease underwent diagnostic thoracotnmy. Thoracoscopy had a 98.9% sensitivity and a 93.3% specificity in this series. One patient died of a myocardial infarction after the procedure, and 11 patients (9.1%) had other, predominantly respiratory, complications. We confirm that surgical thoracoscopy is a useful procedure in the diagnosis of pleural processes.




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