Poster Presentations: Tuesday, November 2, 2010 |

Bedside Medical Thoracoscopy in Management of the Undiagnosed Refractory Exudative Pleural Effusion by Using a Flexible Bronchoscope and Pigtailed Catheter FREE TO VIEW

Hean Ooi; Ming C. Liu; Liang K. Chiu
Author and Funding Information

Tzu-Chi General Hospital, Taichung Branch, Tanzih Township Taichung, Taiwan ROC

Chest. 2010;138(4_MeetingAbstracts):347A. doi:10.1378/chest.10470
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PURPOSE: The advances of endoscopic technology provided high optical resolution and small diameters of the instruments . These always carried out in the endoscopy room or operating room. We used a flexible bronchoscope to entry a pleural space with undiagnosed and refractory exudative pleural effusion .The whole procedures were done either in the bedside or endoscopic room. A 16 Fr pig pig-tailed catheter inserted after the procedures.

METHODS: We used chest sonography to locate the entry in patients with undiagnosed and refractory exudative pleural effusion. Then the endoscopy went through a tocar 5.5mm under local anesthesia ; A 16 Fr pig pig-tailed catheter inserted after the procedure. Then the clinical data retrospectively stydied.

RESULTS: Thoracoscopy was done on 8 patients(67%) for diagnostic purposes and 6 (50%) for therapeutic purposes.In the diagnostic group 5 patients(42%) were proved to be malignant, 3(25%) were parapneumonic effusion and 1(8%) was empyema; 2 patients(17%) reported as tuberculosis and one was myofibrolastic tumor. 6 patients were received adhesiolysis.Half of the patients done the thoracoscopy in the endoscopic room while the other 6 patients carried out in the bedsides. There were no major complications noted.

CONCLUSION: This modified thoracoscopy is performed not only in the endoscopic room but also in the bedside for management undiagnosed and refractory exudative pleural effusion.

CLINICAL IMPLICATIONS: This is a simple and safe technique used as daily practice for medical pulmonologist.

DISCLOSURE: Hean Ooi, No Financial Disclosure Information; No Product/Research Disclosure Information

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