The diagnostic role of thoracoscopic biopsy in exudative pleural effusion and long-term follow-up results

Hıdır Esme

Makale detayları

The diagnostic role of thoracoscopic biopsy in exudative pleural effusion and long-term follow-up results

Yazarlar:

Hıdır Esme

Yayıncı:

Balıkesir University

Ana Başlıklar:

Klinik Tıp Bilimleri

Dergi:

Balıkesir Medical Journal Vol.7 Issue 3, pp.67-73

Belge Tipi:

Makale

Yayın Tarihi:

1/2024

Belge Dili:

Türkçe

Document ID (Org No.):

2001309853

pISSN:

2564-6664

Anahtar kelimeler:

Özet:

 Aim: In 20 of exudative pleural effusions, the diagnosis cannot be established despite repeated thoracentesis and percutaneous pleural biopsy. The aim of this study was to review the effectiveness of thoracoscopic biopsy performed in patients with exudative PE that could not be diagnosed with less invasive methods and their long-term follow-up after the procedure. Materials and Methods: Patients who underwent thoracoscopic biopsy for exudative PE between January 2016 and December 2020 were retrospectively analyzed. Patients who were followed up for at least 2 years postoperatively were included in the study. Clinical and physical examination, blood tests, biochemical, bacteriological and cytological examinations of pleural fluid, radiological and histopathological data were obtained. Results: Forty five 61.6 of the patients were male and 28 38.3 were female. The mean age was 56.513.2 years. No intraoperative complications developed in any patient. Complications developed in 7 9 patients in the postoperative period. Prolonged air leakage developed in three 4.1, wound infection in 2 2.7, and pneumonia in 2 2.7 patients. While malignancy was detected in 21 28.7 patients, benign pathologies were detected in 52 71.2 patients. During follow-up, malign mesothelioma was detected in 2 2.7 of 4 5.4 patients who were previously diagnosed with nonspecific pleuritis and underwent thoracoscopic biopsy due to recurrent PE. Conclusion: Thoracoscopic biopsy is a method with high diagnostic value and rare complications in the diagnosis of exudative PE. Although the development of malignancy after nonspecific pleuritis is usually within 1 year, it can also develop within 2 years. Therefore, we believe that the follow-up period after nonspecific pleuritis should be 2 years.

 Aim: In 20 of exudative pleural effusions, the diagnosis cannot be established despite repeated thoracentesis and percutaneous pleural biopsy. The aim of this study was to review the effectiveness of thoracoscopic biopsy performed in patients with exudative PE that could not be diagnosed with less invasive methods and their long-term follow-up after the procedure. Materials and Methods: Patients who underwent thoracoscopic biopsy for exudative PE between January 2016 and December 2020 were retrospectively analyzed. Patients who were followed up for at least 2 years postoperatively were included in the study. Clinical and physical examination, blood tests, biochemical, bacteriological and cytological examinations of pleural fluid, radiological and histopathological data were obtained. Results: Forty five 61.6 of the patients were male and 28 38.3 were female. The mean age was 56.513.2 years. No intraoperative complications developed in any patient. Complications developed in 7 9 patients in the postoperative period. Prolonged air leakage developed in three 4.1, wound infection in 2 2.7, and pneumonia in 2 2.7 patients. While malignancy was detected in 21 28.7 patients, benign pathologies were detected in 52 71.2 patients. During follow-up, malign mesothelioma was detected in 2 2.7 of 4 5.4 patients who were previously diagnosed with nonspecific pleuritis and underwent thoracoscopic biopsy due to recurrent PE. Conclusion: Thoracoscopic biopsy is a method with high diagnostic value and rare complications in the diagnosis of exudative PE. Although the development of malignancy after nonspecific pleuritis is usually within 1 year, it can also develop within 2 years. Therefore, we believe that the follow-up period after nonspecific pleuritis should be 2 years.

 Aim: In 20 of exudative pleural effusions, the diagnosis cannot be established despite repeated thoracentesis and percutaneous pleural biopsy. The aim of this study was to review the effectiveness of thoracoscopic biopsy performed in patients with exudative PE that could not be diagnosed with less invasive methods and their long-term follow-up after the procedure. Materials and Methods: Patients who underwent thoracoscopic biopsy for exudative PE between January 2016 and December 2020 were retrospectively analyzed. Patients who were followed up for at least 2 years postoperatively were included in the study. Clinical and physical examination, blood tests, biochemical, bacteriological and cytological examinations of pleural fluid, radiological and histopathological data were obtained. Results: Forty five 61.6 of the patients were male and 28 38.3 were female. The mean age was 56.513.2 years. No intraoperative complications developed in any patient. Complications developed in 7 9 patients in the postoperative period. Prolonged air leakage developed in three 4.1, wound infection in 2 2.7, and pneumonia in 2 2.7 patients. While malignancy was detected in 21 28.7 patients, benign pathologies were detected in 52 71.2 patients. During follow-up, malign mesothelioma was detected in 2 2.7 of 4 5.4 patients who were previously diagnosed with nonspecific pleuritis and underwent thoracoscopic biopsy due to recurrent PE. Conclusion: Thoracoscopic biopsy is a method with high diagnostic value and rare complications in the diagnosis of exudative PE. Although the development of malignancy after nonspecific pleuritis is usually within 1 year, it can also develop within 2 years. Therefore, we believe that the follow-up period after nonspecific pleuritis should be 2 years.

 Giriş: Eksudatif plevral efüzyonların 20sinde, tekrarlayan torasentez ve perkutan plevral biyopsiye rağmen tanısı konulamaz. Bu çalışmanın amacı daha az invaziv yöntemlerle tanısı konulamayan eksüdatif PE olan hastalarda yapılan torakoskopik biyopsinin etkinliği ve işlem sonrası uzun dönem takiplerin gözden geçirilmesidir. Gereç ve Yöntem: Ocak 2016 ile Aralık 2020 tarihleri arasında eksüdatif PE nedeniyle torakoskopik biyopsi uygulanan hastalar geriye dönük incelendi. Postoperatif en az 2 yıl takip edilebilen hastalar çalışmaya dahil edildi. Klinik ve fizik muayene, kan tahlilleri, plevral sıvının biyokimyasal, bakteriyolojik ve sitolojik incelemeleri, radyolojik ve histopatolojik veriler elde edildi. Bulgular: Hastaların 45i 61.6 erkek, 28i 38.3 kadındı. Yaş ortalaması 56,513,2 idi. Hiçbir hastada intraoperatif komplikasyon gelişmedi. Postoperatif dönemde 7 9 hastada komplikasyon gelişti. Üç 4.1 hastada uzamış hava kaçağı, 2 2.7 hastada yara yeri enfeksiyonu ve 2 2.7 hastada pnömoni gelişti. Hastaların 21inde 28.7 malignite saptanırken 52 71.2 hastada benign patolojiler saptandı. Takip sırasında daha önce nonspesifik plörit tanısı alan ve tekrarlayan PE nedeniyle torakoskopik biyopsi yapılan 4 5.4 hastadan 2sinde 2.7 malign mezotelyoma saptandı. Tartışma: Sonuç olarak eksudatif PEnin tanısında torakoskopik biyopsi tanısal değeri yüksek ve komplikasyonları nadir bir yöntemdir. Nonspesifik plevrit sonrası malignite gelişimi genellikle 1 yıl içerisinde olmakla birlikte nadiren 2 yıl içinde de gelişebilir. Bu nedenle nonspesifik plevrit sonrası takip süresinin 2 yıl olması gerektiği kanaatindeyiz.

Makale detayları

The diagnostic role of thoracoscopic biopsy in exudative pleural effusion and long-term follow-up results

Yazarlar:

Hıdır Esme

Yayıncı:

Balıkesir University

Ana Başlıklar:

Klinik Tıp Bilimleri

Dergi:

Balıkesir Medical Journal Vol.7 Issue 3, pp.67-73

Belge Tipi:

Makale

Yayın Tarihi:

1/2024

Belge Dili:

Türkçe

Document ID (Org No.):

2001309853

pISSN:

2564-6664

Exudate

thoracoscopy

follow-upEksüda

torakoskopi

takip

Sayı

Makale detayları

The diagnostic role of thoracoscopic biopsy in exudative pleural effusion and long-term follow-up results

Yazarlar: Hıdır Esme

Yayıncı: Balıkesir University

Ana Başlıklar: Klinik Tıp Bilimleri

Dergi: Balıkesir Medical Journal Vol.7 Issue 3, pp.67-73

Belge Tipi: Makale

Yayın Tarihi: 1/2024

Belge Dili: Türkçe

Document ID (Org No.): 2001309853

pISSN: 2564-6664

Exudate

thoracoscopy

follow-upEksüda

torakoskopi

takip

Sayı

Yazarlar:

Hıdır Esme

Yayıncı:

Balıkesir University

Ana Başlıklar:

Klinik Tıp Bilimleri

Dergi:

Balıkesir Medical Journal Vol.7 Issue 3, pp.67-73

Belge Tipi:

Makale

Yayın Tarihi:

1/2024

Belge Dili:

Türkçe

Document ID (Org No.):

2001309853

pISSN:

2564-6664