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The Egyptian Journal of Bronchology
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Outcome of medical thoracoscopy in patients admitted to abbasia chest hospital

Egyptian Journal of Bronchology volume 13, pages 81–86 (2019)Cite this article

Abstract

Introduction

Medical thoracoscopy is an invasive procedure that may be performed by physicians for the investigation of exudative pleural effusion using local anesthesia, conscious sedation, and a rigid thoracoscope.

Objective

The aim was to evaluate the outcome of thoracoscopy in Abbassia Chest Hospital, Cairo.

Patients and methods

A retrospective study was conducted. The results of histopathological diagnosed was statistically analyzed.

Results

A total of 123 patients were available for analysis. Their mean age was 58.63 (22–80) years, and 64 (52%) were male. The mean duration of chest drain after procedure was 9.79 (3–41) days, and the duration of hospital stay was 24.54 (10–55) days.

Malignant histology was reported in 108 (87.8%) patients, with 75 (61%) cases of mesothelioma. In 108 (87.8%) patients, pleurodesis was performed.

The incidence of complications among the patients was 12.2% of all patients. The most common complications were blocked drain and empyema; other complications included subcutaneous emphysema, drain dislodgement, and bronchopleural fistula; and the least common complications were respiratory failure and atrial fibrillation.

Conclusion

Thoracoscopy is a minimally invasive procedure that allows visualization of the pleural space and intrathoracic structures. It enables taking pleural biopsies under direct vision, therapeutic drainage of effusions, and pleurodesis in one sitting.

References

  1. Seijo LM, Sterman DH. Interventional pulmonology. N Engl J Med 2001; 344: 740–749.

    Article  CAS  Google Scholar 

  2. Michaud G, Berkowitz DM, Ernst A. Pleuroscopy for diagnosis and therapy for pleural effusions. Chest 2010; 138: 1242.

    Article  Google Scholar 

  3. Rodriguez-Panadero F, Janssen JP, Astoul P. Thoracoscopy: general overview and place in the diagnosis and management of pleural effusion. Eur Respir J 2006; 28: 409.

    Article  CAS  Google Scholar 

  4. Rahman NM, Ali NJ, Brown G. British Thoracic Society Pleural Disease Guideline Group. Local anesthetic thoraco-scopy: British Thoracic Society Pleural Disease Guideline 2010. Thorax 2010; 65 (Suppl 2): ii54–ii60.

  5. Jacobaeus HC. The cauterization of adhesions in artificial pneumothorax treatment of pulmonary tuberculosis under thoracoscopic control. Proc R Soc Med 1923; 16: 45–62.

    CAS  PubMed  PubMed Central  Google Scholar 

  6. Chan YH. Biostatistics102: quantitative data – parametric & non-parametric tests. Singapore Med J 2003a; 44: 391–396.

  7. Chan YH. Biostatistics 103: qualitative data – tests of independence. Singapore Med J 2003b; 44: 498–503.

  8. Chan YH. Biostatistics 104: correlational analysis. Singapore Med J 2003c; 44: 614–619.

  9. Mabrouk H, Ashmawi SSA, Salem HM. Evaluation of medical thoracoscopy in diagnosis of unidentified exudative pleural effusion in Abbassia Chest Hospital fromJanuary 2010 to June 2012. 2013.

  10. Aleman C, Sanchez L, Alegre J, Ruiz E, Vazquez A. Differentiating between malignant and idiopathic pleural effusions: the value of diagnostic procedures. Q J Med 2007; 100: 351–359.

    Article  CAS  Google Scholar 

  11. Madkour MT, El Bokhary MS, Awad Allah HI, Awad AA, Mahmoud HF. Environmental exposure to asbestos and the ex-posure-response relationship with mesothelioma. East Mediterr Health J 2009; 15: 25–38.

    Article  CAS  Google Scholar 

  12. Ahmed MM, Abdel Halim HA, Aziz ET, El-Shorbagy RM. Outcomes and complications of medical thoracoscopy in undiagnosed exudative pleural effusion. Egypt J Bronchol 2016; 10: 93–99.

    Article  Google Scholar 

  13. Yousef ARI, Morsi AF, El-Shabrawy M, El Shahaat HA. The role of medical thoracoscopy in the diagnosis of exudative pleural effusion at the Chest Department of Zagazig University Hospitals. Egypt J Bronchol 2016; 10: 225–231.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Faculty of Medicine, Ain Shams University, Cairo, Egypt

    Hanan Mohamed Mohamed Rashad M.B.B.Ch (Professor of chest diseases, Lecturer of chest diseases)

  2. Faculty of Medicine, Ain Shams University, Cairo, Egypt

    Emad Eldeen Abdel Wahab Korraa M.B.B.Ch (Professor of chest diseases, Lecturer of chest diseases)

  3. Faculty of Medicine, Ain Shams University, 11865, Cairo, Egypt

    Maryam Ali Abdelkader M.B.B.Ch (Professor of chest diseases, Lecturer of chest diseases)

Authors
  1. Hanan Mohamed Mohamed Rashad M.B.B.Ch
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  2. Emad Eldeen Abdel Wahab Korraa M.B.B.Ch
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  3. Maryam Ali Abdelkader M.B.B.Ch
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Corresponding author

Correspondence to Maryam Ali Abdelkader M.B.B.Ch.

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Rashad, H.M.M., Korraa, E.E.A.W. & Abdelkader, M.A. Outcome of medical thoracoscopy in patients admitted to abbasia chest hospital. Egypt J Bronchol 13, 81–86 (2019). https://doi.org/10.4103/ejb.ejb_63_18

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  • DOI: https://doi.org/10.4103/ejb.ejb_63_18

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