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Ann Thorac Surg 1993;56:639-640
© 1993 The Society of Thoracic Surgeons

Articles

Diagnostic thoracoscopy for pleural disease

Thomas M. Daniel, MD*

Department of Surgery, University of Virginia Health Sciences Center, Charlottesville, Virginia USA

* Address reprint requests to Dr Daniel, Department of Surgery, Box 181, University of Virginia Health Sciences Center, Charlottesville, VA 22908.

The most common use for diagnostic thoracoscopy in pleural disease is to clarify whether or not an effusion is malignant. General anesthesia with single-lung ventilation when combined with new endoscopic instrumentation produces a high diagnostic yield. These anesthetic and surgical techniques when used with talc pleurodesis yield a 90% success rate in treating benign and malignant pleural effusions.




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