Procedures: Procedures: Pleura |

Experience and Outcome of Medical Thoracoscopy Procedures With an Empty Pleural Space FREE TO VIEW

Qing-Hua Liu, MD; Zhou-Hong Yao, MD; Yun-Yan Wan, MD; Dian-Jie Lin, MD; Hans Lee, MD
Author and Funding Information

Shandong Provincial Hospital Affiliated to Shandong University, Jinan, China

Copyright 2016, American College of Chest Physicians. All Rights Reserved.

Chest. 2016;149(4_S):A445. doi:10.1016/j.chest.2016.02.463
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SESSION TITLE: Procedures: Pleura

SESSION TYPE: Original Investigation Poster

PRESENTED ON: Saturday, April 16, 2016 at 11:45 AM - 12:45 PM

PURPOSE: Fluid or air in the pleural space is a criteria for medical thoracoscopy when performed under moderate sedation or local anesthesia. We have recently performed several cases using a modified technique in order to safely enter the pleural spacel and trying to challenge the indication of medical thoracoscopy.

METHODS: A retrospective review was performed of medical thoracoscopy procedures for patients with an empty pleural space or with adhesions from 2011 to 2014. Clinical characteristics, pathology results, procedure reports, and complications were collected for analysis.

RESULTS: Forty-five procedures with a mean age 53.9±14 were reviewed. All procedures were performed under moderate sedation. Two procedures were flexible rigid medical thoracoscopy and forty three were rigid thoracoscopy. None of the procedures had a complication related to entering an empty pleural space (0/45). The predominant indication/diagnosis were for pleural tuberculosis (24.4%, 11/45). A malignant diagnosis was made in 33.3% (15/45) which included adenocarcinoma (10/15), mesothelioma (3/15), sarcomatoid carcinoma (2/15).

CONCLUSIONS: Medical thoracoscopy may be performed safely with a lack of a filled pleural space by experienced operators using a modified technique.

CLINICAL IMPLICATIONS: Medical thoracoscopy without a pleural space may be safely performed by experienced operators. Our result might challenge the traditionally considered contraindication to medical thoracoscopy.

DISCLOSURE: The following authors have nothing to disclose: Qing-Hua Liu, Zhou-Hong Yao, Yun-Yan Wan, Dian-Jie Lin, Hans Lee

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