Pleuroscopy: Update on Indications, Techniques, and Limitations

Lee P, Colt HG. State of the art: pleuroscopy. J Thorac Oncol. 2007;2(7):663–70.

Article  PubMed  Google Scholar 

Casal RF, Eapen GA, Morice RC, Jimenez CA. Medical thoracoscopy. Curr Opin Pulm Med. 2009;15(4):313–20.

Article  PubMed  Google Scholar 

Rahman NM, Ali NJ, Brown G, Chapman SJ, Davies RJ, Downer NJ, et al. Local anaesthetic thoracoscopy: British Thoracic Society Pleural Disease Guideline 2010. Thorax. 2010;65 Suppl 2:ii54–60.

McDonald CM, Pierre C, de Perrot M, Darling G, Cypel M, Pierre A, et al. Efficacy and cost of awake thoracoscopy and video-assisted thoracoscopic surgery in the undiagnosed pleural effusion. Ann Thorac Surg. 2018;106(2):361–7.

Article  PubMed  Google Scholar 

• Hamoda HO, Hafez SAMA, ABDALLA DA, Shebl AAM, Elnahas M, Rezk A. Minithoracoscope versus conventional medical thoracoscope in patients with exudative pleural effusion. Clini Med Insights: Circ Respir Pulm Med. 2020;14:1–8. Randomized trial of mini-thoracoscope versus standard thoracoscope for pleural effusion. Yield was comparable with less pain in the mini-thoracoscope group.

Ernst A, Hersh CP, Herth F, Thurer R, LoCicero J 3rd, Beamis J, et al. A novel instrument for the evaluation of the pleural space: an experience in 34 patients. Chest. 2002;122(5):1530–4.

Article  PubMed  Google Scholar 

Lee P, Hsu A, Lo C, Colt HG. Prospective evaluation of flex-rigid pleuroscopy for indeterminate pleural effusion: accuracy, safety and outcome. Respirology. 2007;12(6):881–6.

Article  PubMed  Google Scholar 

Feller-Kopman D, Light R. Pleural Disease. N Engl J Med. 2018;378(8):740–51.

Article  CAS  PubMed  Google Scholar 

Light RW, Macgregor MI, Luchsinger PC, Ball WC Jr. Pleural effusions: the diagnostic separation of transudates and exudates. Ann Intern Med. 1972;77(4):507–13.

Article  CAS  PubMed  Google Scholar 

Light RW. Clinical practice. Pleural effusion N Engl J Med. 2002;346(25):1971–7.

Article  PubMed  Google Scholar 

Light RW. Pleural effusions. Med Clin North Am. 2011;95(6):1055–70.

Article  PubMed  Google Scholar 

Ali MS, Light RW, Maldonado F. Pleuroscopy or video-assisted thoracoscopic surgery for exudative pleural effusion: a comparative overview. J Thorac Dis. 2019;11(7):3207–16.

Article  PubMed  PubMed Central  Google Scholar 

Thomas M, Ibrahim WH, Raza T, Mushtaq K, Arshad A, Ahmed M, et al. Medical thoracoscopy for exudative pleural effusion: an eight-year experience from a country with a young population. BMC Pulm Med. 2017;17(1):151.

Article  PubMed  PubMed Central  Google Scholar 

Collins TR, Sahn SA. Thoracocentesis. Clinical value, complications, technical problems, and patient experience. Chest. 1987;91(6):817–22.

Diacon AH, Van de Wal BW, Wyser C, Smedema JP, Bezuidenhout J, Bolliger CT, et al. Diagnostic tools in tuberculous pleurisy: a direct comparative study. Eur Respir J. 2003;22(4):589–91.

Article  CAS  PubMed  Google Scholar 

Davies HE, Nicholson JE, Rahman NM, Wilkinson EM, Davies RJ, Lee YC. Outcome of patients with nonspecific pleuritis/fibrosis on thoracoscopic pleural biopsies. Eur J Cardiothorac Surg. 2010;38(4):472–7.

Article  PubMed  Google Scholar 

Light RW, Erozan YS, Ball WC, Jr. Cells in pleural fluid. Their value in differential diagnosis. Arch Intern Med. 1973;132(6):854–60.

Arnold DT, De Fonseka D, Perry S, Morley A, Harvey JE, Medford A, et al. Investigating unilateral pleural effusions: the role of cytology. Eur Respir J. 2018;52(5).

Tsim S, Paterson S, Cartwright D, Fong CJ, Alexander L, Kelly C, et al. Baseline predictors of negative and incomplete pleural cytology in patients with suspected pleural malignancy - data supporting ‘direct to LAT’ in selected groups. Lung Cancer. 2019;133:123–9.

Article  PubMed  Google Scholar 

Antony VB, Loddenkemper R, Astoul P, Boutin C, Goldstraw P, Hott J, et al. Management of malignant pleural effusions. Eur Respir J. 2001;18(2):402–19.

Article  CAS  PubMed  Google Scholar 

Prakash UB, Reiman HM. Comparison of needle biopsy with cytologic analysis for the evaluation of pleural effusion: analysis of 414 cases. Mayo Clin Proc. 1985;60(3):158–64.

Article  CAS  PubMed  Google Scholar 

Loddenkemper R. Thoracoscopy–state of the art. Eur Respir J. 1998;11(1):213–21.

Article  CAS  PubMed  Google Scholar 

Maskell NA, Gleeson FV, Davies RJ. Standard pleural biopsy versus CT-guided cutting-needle biopsy for diagnosis of malignant disease in pleural effusions: a randomised controlled trial. Lancet. 2003;361(9366):1326–30.

Article  CAS  PubMed  Google Scholar 

Hooper C, Lee YC, Maskell N, Group BTSPG. Investigation of a unilateral pleural effusion in adults: British Thoracic Society Pleural Disease Guideline 2010. Thorax. 2010;65 Suppl 2:ii4–17.

Diacon AH, Schuurmans MM, Theron J, Schubert PT, Wright CA, Bolliger CT. Safety and yield of ultrasound-assisted transthoracic biopsy performed by pulmonologists. Respiration. 2004;71(5):519–22.

Article  CAS  PubMed  Google Scholar 

Diacon AH, Theron J, Schubert P, Brundyn K, Louw M, Wright CA, et al. Ultrasound-assisted transthoracic biopsy: fine-needle aspiration or cutting-needle biopsy? Eur Respir J. 2007;29(2):357–62.

Article  CAS  PubMed  Google Scholar 

Hallifax RJ, Corcoran JP, Ahmed A, Nagendran M, Rostom H, Hassan N, et al. Physician-based ultrasound-guided biopsy for diagnosing pleural disease. Chest. 2014;146(4):1001–6.

Article  PubMed  Google Scholar 

• Manoharan A, Argaez C. Pleuroscopy for the diagnosis of cancer in patients with pleural effusion: a review of the diagnostic accuracy, safety, cost-effectiveness and guidelines. CADTH Rapid Response Reports. Ottawa (ON)2020. A review of the role of pleuroscopy for pleural effusion by the Canadian Agency for Drugs and Technologies in Health focusing on both diagnostic outcomes and cost-effectiveness.

•• Sundaralingam A, Aujayeb A, Akca B, Tiedeman C, George V, Carling M, et al. Achieving molecular profiling in pleural biopsies: a multicenter, retrospective cohort study. Chest. 2023;163(5):1328–39. A retrospective multicenter trial evaluating predictors of adequate tissue for molecular profiling in MPE. Larger size tissue sample and pleuroscopy vs imaging-guided pleural biopsy as the biopsy method were associated with a higher odds of adequate tissue for molecular testing.

Article  CAS  PubMed  Google Scholar 

Vorster MJ, Allwood BW, Diacon AH, Koegelenberg CF. Tuberculous pleural effusions: advances and controversies. J Thorac Dis. 2015;7(6):981–91.

PubMed  PubMed Central  Google Scholar 

Bibby AC, Maskell NA. Pleural biopsies in undiagnosed pleural effusions; Abrams vs image-guided vs thoracoscopic biopsies. Curr Opin Pulm Med. 2016;22(4):392–8.

Article  PubMed  Google Scholar 

Wang Z, Xu LL, Wu YB, Wang XJ, Yang Y, Zhang J, et al. Diagnostic value and safety of medical thoracoscopy in tuberculous pleural effusion. Respir Med. 2015;109(9):1188–92.

Article  PubMed  Google Scholar 

Janssen J, Ramlal S, Mravunac M. The Long-term follow up of exudative pleural effusion after nondiagnostic thoracoscopy. J Bronchol. 2004;11:169–74.

Article  Google Scholar 

Venekamp LN, Velkeniers B, Noppen M. Does ‘idiopathic pleuritis’ exist? Natural history of non-specific pleuritis diagnosed after thoracoscopy. Respiration. 2005;72(1):74–8.

Article  CAS  PubMed  Google Scholar 

Rahman NM, Maskell NA, West A, Teoh R, Arnold A, Mackinlay C, et al. Intrapleural use of tissue plasminogen activator and DNase in pleural infection. N Engl J Med. 2011;365(6):518–26.

Article  CAS  PubMed  Google Scholar 

• Chaddha U, Agrawal A, Feller-Kopman D, Kaul V, Shojaee S, Maldonado F, et al. Use of fibrinolytics and deoxyribonuclease in adult patients with pleural empyema: a consensus statement. Lancet Respir Med. 2021;9(9):1050–64. Clearly written consensus statement summarizing the data regarding IPFT for empyema and highlighting the current knowledge gaps and needs for future research.

Article  CAS  PubMed  Google Scholar 

Davies HE, Davies RJ, Davies CW, Group BTSPDG. Management of pleural infection in adults: British Thoracic Society Pleural Disease Guideline 2010. Thorax. 2010;65 Suppl 2:ii41–53.

Shen KR, Bribriesco A, Crabtree T, Denlinger C, Eby J, Eiken P, et al. The American Association for Thoracic Surgery consensus guidelines for the management of empyema. J Thorac Cardiovasc Surg. 2017;153(6):e129–46.

Article  PubMed  Google Scholar 

Wilshire CL, Jackson AS, Meggyesy AM, Buehler KE, Chang SC, Horslen LC, et al. Comparing initial surgery versus fibrinolytics for pleural space infections: a retrospective multicenter cohort study. Ann Am Thorac Soc. 2022;19(11):1827–33.

Article  PubMed  Google Scholar 

• Kheir F, Thakore S, Mehta H, Jantz M, Parikh M, Chee A, et al. Intrapleural fibrinolytic therapy versus early medical thoracoscopy for treatment of pleural infection. Randomized Controlled Clinical Trial. Ann Am Thorac Soc. 2020;17(8):958–64. Pilot study comparing early pleuroscopy to IPFT for pleural infection with a shorter median length of stay in the pleuroscopy group but no difference in most other outcomes.

Li K, Chan S, Chum H, Thung K, Ko K. Single-port video-assisted thoracic surgical pleurodesis for primary spontaneous pneumothorax. Surg Pract. 2013;17(4):180–2.

Article  Google Scholar 

Roberts ME, Neville E, Berrisford RG, Antunes G, Ali NJ, Group BTSPDG. Management of a malignant pleural effusion: British Thoracic Society Pleural Disease Guideline 2010. Thorax. 2010;65 Suppl 2:ii32–40.

Dipper A, Jones HE, Bhatnagar R, Preston NJ, Maskell N, Clive AO. Interventions for the management of malignant pleural effusions: a network meta-analysis. Cochrane Database Syst Rev. 2020;4:CD010529.

•• Bhatnagar R, Piotrowska HEG, Laskawiec-Szkonter M, Kahan BC, Luengo-Fernandez R, Pepperell JCT, et al. Effect of thoracoscopic talc poudrage vs talc slurry via chest tube on pleurodesis failure rate among patients with malignant pleural effusions: a randomized clinical trial. JAMA. 2020;323(1):60–9. Large randomized trial comparing talc poudrage to talc slurry for pleurodesis in MPE. No difference in effectiveness was found between the groups.

•• Sundaralingam A, Bedawi EO, Harriss EK, Munavvar M, Rahman NM. The frequency, risk factors, and management of complications from pleural procedures. Chest. 2022;161(5):1407–25. A thorough narrative review of the recent literature regarding complications of pleural procedures. The authors focus on studies published since the last iteration of the BTS pleural guidelines in 2010.

Article  PubMed  Google Scholar 

Sagar AS, Eapen GA, Casal RF, Ost D, Sarkiss M, Grosu HB. Safety of pleuroscopy performed in negative pressure bronchoscopy rooms. J Bronchology Interv Pulmonol. 2019;26(4):250–3.

Article  CAS  PubMed  Google Scholar 

Corcoran JP, Psallidas I, Hallifax RJ, Talwar A, Sykes A, Rahman NM. Ultrasound-guided pneumothorax induction prior to local anaesthetic thoracoscopy. Thorax. 2015;70(9):906–8.

Article  PubMed  Google Scholar 

Grosu HB, Vial-Rodriguez M, Vakil E, Casal RF, Eapen GA, Morice R, et al. Pleural touch preparations and direct visualization of the pleura during medical thoracoscopy for the diagnosis of malignancy. Ann Am Thorac Soc. 2017;14(8):1326–31.

Article  PubMed 

留言 (0)

沒有登入
gif