Outcome of medical thoracoscopy in patients admitted to abbasia chest hospital
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...
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| Format: | Article |
| Language: | English |
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SpringerOpen
2019-02-01
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| Series: | The Egyptian Journal of Bronchology |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.4103/ejb.ejb_63_18 |
| _version_ | 1828403181687668736 |
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| author | Hanan Mohamed Mohamed Rashad Emad Eldeen Abdel Wahab Korraa Maryam Ali Abdelkader |
| author_facet | Hanan Mohamed Mohamed Rashad Emad Eldeen Abdel Wahab Korraa Maryam Ali Abdelkader |
| author_sort | Hanan Mohamed Mohamed Rashad |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-10T10:14:44Z |
| format | Article |
| id | doaj.art-37cdae5214244afdbe25da3520aa4bce |
| institution | Directory Open Access Journal |
| issn | 1687-8426 2314-8551 |
| language | English |
| last_indexed | 2024-12-10T10:14:44Z |
| publishDate | 2019-02-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | The Egyptian Journal of Bronchology |
| spelling | doaj.art-37cdae5214244afdbe25da3520aa4bce2022-12-22T01:53:02ZengSpringerOpenThe Egyptian Journal of Bronchology1687-84262314-85512019-02-01131818610.4103/ejb.ejb_63_18Outcome of medical thoracoscopy in patients admitted to abbasia chest hospitalHanan Mohamed Mohamed Rashad0Emad Eldeen Abdel Wahab Korraa1Maryam Ali Abdelkader2Faculty of Medicine, Ain Shams UniversityFaculty of Medicine, Ain Shams UniversityFaculty of Medicine, Ain Shams UniversityAbstract 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.http://link.springer.com/article/10.4103/ejb.ejb_63_18mesotheliomapleural effusionthoracoscopy outcometuberculous pleural effusion |
| spellingShingle | Hanan Mohamed Mohamed Rashad Emad Eldeen Abdel Wahab Korraa Maryam Ali Abdelkader Outcome of medical thoracoscopy in patients admitted to abbasia chest hospital The Egyptian Journal of Bronchology mesothelioma pleural effusion thoracoscopy outcome tuberculous pleural effusion |
| title | Outcome of medical thoracoscopy in patients admitted to abbasia chest hospital |
| title_full | Outcome of medical thoracoscopy in patients admitted to abbasia chest hospital |
| title_fullStr | Outcome of medical thoracoscopy in patients admitted to abbasia chest hospital |
| title_full_unstemmed | Outcome of medical thoracoscopy in patients admitted to abbasia chest hospital |
| title_short | Outcome of medical thoracoscopy in patients admitted to abbasia chest hospital |
| title_sort | outcome of medical thoracoscopy in patients admitted to abbasia chest hospital |
| topic | mesothelioma pleural effusion thoracoscopy outcome tuberculous pleural effusion |
| url | http://link.springer.com/article/10.4103/ejb.ejb_63_18 |
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