Is there a role for a needle thoracoscopic pleural biopsy under local anesthesia for pleural effusions?

Ho Sung Son, Sung Ho Lee, Laleng Mawia Darlong, Jae-Seung Jung, Kyung Sun, Kwang Taik Kim, Hee Jung Kim, Kanghoon Lee, Seung Hun Lee, Jong Tae Lee

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Background: A closed pleural biopsy is commonly performed for diagnosing patients exhibiting pleural effusion if prior thoracentesis is not diagnostic. However, the diagnostic yield of such biopsies is unsatisfactory. Instead, a thoracoscopic pleural biopsy is more useful and less painful. Methods: We compared the diagnostic yield of needle thoracoscopic pleural biopsy performed under local anesthesia with that of closed pleural biopsy. Sixty-seven patients with pleural effusion were randomized into groups A and B. Group A patients were subjected to closed pleural biopsies, and group B patients were subjected to pleural biopsies performed using needle thoracoscopy under local anesthesia. Results: The diagnostic yields and complication rates of the two groups were compared. The diagnostic yield was 55.6% in group A and 93.5% in group B (p≤0.05). Procedure-related complications developed in seven group A patients but not in any group B patients. Of the seven complications, five were pneumothorax and two were vasovagal syncope. Conclusion: Needle thoracoscopic pleural biopsy under local anesthesia is a simple and safe procedure that has a high diagnostic yield. This procedure is recommended as a useful diagnostic modality if prior thoracentesis is non-diagnostic.

Original languageEnglish
Pages (from-to)124-128
Number of pages5
JournalKorean Journal of Thoracic and Cardiovascular Surgery
Volume47
Issue number2
DOIs
Publication statusPublished - 2014 Jan 1

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Local Anesthesia
Pleural Effusion
Needles
Biopsy
Vasovagal Syncope
Thoracoscopy
Pneumothorax

Keywords

  • Biopsy
  • Pleural disease
  • Pleural effusion
  • Tumor malignant
  • Video-assisted thoracic surgery (VATS)

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine
  • Pulmonary and Respiratory Medicine

Cite this

Is there a role for a needle thoracoscopic pleural biopsy under local anesthesia for pleural effusions? / Son, Ho Sung; Lee, Sung Ho; Darlong, Laleng Mawia; Jung, Jae-Seung; Sun, Kyung; Kim, Kwang Taik; Kim, Hee Jung; Lee, Kanghoon; Lee, Seung Hun; Lee, Jong Tae.

In: Korean Journal of Thoracic and Cardiovascular Surgery, Vol. 47, No. 2, 01.01.2014, p. 124-128.

Research output: Contribution to journalArticle

Son, Ho Sung ; Lee, Sung Ho ; Darlong, Laleng Mawia ; Jung, Jae-Seung ; Sun, Kyung ; Kim, Kwang Taik ; Kim, Hee Jung ; Lee, Kanghoon ; Lee, Seung Hun ; Lee, Jong Tae. / Is there a role for a needle thoracoscopic pleural biopsy under local anesthesia for pleural effusions?. In: Korean Journal of Thoracic and Cardiovascular Surgery. 2014 ; Vol. 47, No. 2. pp. 124-128.
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