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The Use of Thoracoscopy in the Diagnosis of Pleural Disease

The Use of Thoracoscopy in the Diagnosis of Pleural Disease Abstract • Seventeen patients (ten male and seven female) between the ages of 21 and 76 years underwent thoracoscopy from 1976 through 1978 by the Stanford University Thoracic Surgical Service. There was no morbidity or mortality. This technique was used when other conventional methods such as thoracentesis and pleural biopsy failed to obtain a diagnosis of suspected thoracic pathology. Thoracoscopy was diagnostic in 16 of 17 cases. The diagnosis of malignancy was made in 11 cases, whereas benign disease was found in the remaining six cases. Of the latter group, there was one false-negative result, which on subsequent thoracotomy was diagnosed as recurrent Hodgkin's disease. The current revival of thoracoscopy as a diagnostic entity is proving to be very valuable in the evaluation of thoracic disease. An increased awareness of the tool and its use should decrease the number of major thoracotomy procedures. (Arch Surg 115:420-421, 1980) References 1. Jacobaeus HC: The practical importance of thoracoscopy in surgery of the chest . Surg Gynecol Obstet 34:289-296, 1922. 2. Lloyd MS: Thoracoscopy and biopsy in the diagnosis of pleurisy with effusion . Q Bull Sea View Hosp 14:128-133, 1953. 3. Brandt HJ, Mai J: Differential diagnosis of pleural effusion using thoracoscopy . Pneumonologie 145:192-203, 1971.Crossref 4. Friedel H: Importance of bronchologic examination in cases of pleural disease . Bronches 20:77-82, 1970. 5. DeCamp PT, Moseley PW, Scott ML, et al: Diagnostic thoracoscopy . Ann Thorac Surg 16:79-84, 1973.Crossref 6. Lewis RJ, Kunderman PJ, Sisler CE, et al: Direct diagnostic thoracoscopy . Ann Thorac Surg 21:536-539, 1976.Crossref 7. Radigan LR, Glover JL: Thoracoscopy . Surgery 82:425-428, 1977. 8. Canto A, Blasco E, Casillas M, et al: Thoracoscopy in the diagnosis of pleural effusion . Thorax 32:550-554, 1977.Crossref 9. Rodgers BM, Moazam F, Talbert JL: Thoracoscopy in children . Ann Surg 189:176-180, 1979.Crossref 10. Miller JI, Hatcher CR: Thoracoscopy: A useful tool in the diagnosis of thoracic disease . Ann Thorac Surg 26:68-72, 1978.Crossref 11. Boushy SF, North LB, Helgason AH: Thoracoscopy: Technique and results in eighteen patients with pleural effusion . Chest 74:386-389, 1978.Crossref 12. Bloomberg AE: Thoracoscopy in perspective . Surg Gynecol Obstet 147:433-443, 1978. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

The Use of Thoracoscopy in the Diagnosis of Pleural Disease

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Publisher
American Medical Association
Copyright
Copyright © 1980 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1980.01380040048008
Publisher site
See Article on Publisher Site

Abstract

Abstract • Seventeen patients (ten male and seven female) between the ages of 21 and 76 years underwent thoracoscopy from 1976 through 1978 by the Stanford University Thoracic Surgical Service. There was no morbidity or mortality. This technique was used when other conventional methods such as thoracentesis and pleural biopsy failed to obtain a diagnosis of suspected thoracic pathology. Thoracoscopy was diagnostic in 16 of 17 cases. The diagnosis of malignancy was made in 11 cases, whereas benign disease was found in the remaining six cases. Of the latter group, there was one false-negative result, which on subsequent thoracotomy was diagnosed as recurrent Hodgkin's disease. The current revival of thoracoscopy as a diagnostic entity is proving to be very valuable in the evaluation of thoracic disease. An increased awareness of the tool and its use should decrease the number of major thoracotomy procedures. (Arch Surg 115:420-421, 1980) References 1. Jacobaeus HC: The practical importance of thoracoscopy in surgery of the chest . Surg Gynecol Obstet 34:289-296, 1922. 2. Lloyd MS: Thoracoscopy and biopsy in the diagnosis of pleurisy with effusion . Q Bull Sea View Hosp 14:128-133, 1953. 3. Brandt HJ, Mai J: Differential diagnosis of pleural effusion using thoracoscopy . Pneumonologie 145:192-203, 1971.Crossref 4. Friedel H: Importance of bronchologic examination in cases of pleural disease . Bronches 20:77-82, 1970. 5. DeCamp PT, Moseley PW, Scott ML, et al: Diagnostic thoracoscopy . Ann Thorac Surg 16:79-84, 1973.Crossref 6. Lewis RJ, Kunderman PJ, Sisler CE, et al: Direct diagnostic thoracoscopy . Ann Thorac Surg 21:536-539, 1976.Crossref 7. Radigan LR, Glover JL: Thoracoscopy . Surgery 82:425-428, 1977. 8. Canto A, Blasco E, Casillas M, et al: Thoracoscopy in the diagnosis of pleural effusion . Thorax 32:550-554, 1977.Crossref 9. Rodgers BM, Moazam F, Talbert JL: Thoracoscopy in children . Ann Surg 189:176-180, 1979.Crossref 10. Miller JI, Hatcher CR: Thoracoscopy: A useful tool in the diagnosis of thoracic disease . Ann Thorac Surg 26:68-72, 1978.Crossref 11. Boushy SF, North LB, Helgason AH: Thoracoscopy: Technique and results in eighteen patients with pleural effusion . Chest 74:386-389, 1978.Crossref 12. Bloomberg AE: Thoracoscopy in perspective . Surg Gynecol Obstet 147:433-443, 1978.

Journal

Archives of SurgeryAmerican Medical Association

Published: Apr 1, 1980

References