La thoracoscopie médicale en pratique pneumologique: expérience du CHU de Liège

[en] Introduction: The incidence of pleural disease continues to increase worldwide. Medical thoracoscopy remains the standard method for exploration of the pleural cavity. Method: We report the retrospective evaluation, the efficacy and the observed complications in 1024 medical thoracoscopies undertaken in the University Hospital of Liège between 2000 and 2017. Results: In total, 100 pneumothoraces and 400 benign and 501 malignant pleural diseases were identified. The main indication for thoracoscopy remains the diagnosis of an exudative, lymphocytic pleural effusion of unknown aetiology after thoracocentesis. The diagnostic sensibility of thoracoscopy was 99.2% in distinguishing benign from malignant pleural disease. Talc pleurodesis was performed in 69.5% of the total population and in 66.1% of pleural effusions or thickening. Failure of pleurodesis was observed in 11% of the patients with recurrent pneumothorax and in 7.8% of neoplastic pleural effusion. We report a mortality of 0.6% in the 30 days post procedure, long duration of drainage in 8.3% and serious complications in 4.7%. In 22/1024 (2.1%) thoracoscopic evaluation was not feasible because of dense pleural fibrosis. Conclusion: Medical thoracoscopy is a safe, well-tolerated procedure with high accuracy in the diagnostic and therapeutic management of pleural disease. © 2019 SPLF

Disciplines :

Cardiovascular & respiratory systems

Author, co-author :

DUYSINX, Bernard ; Centre Hospitalier Universitaire de Liège - CHU > Département de médecine interne > Oncologie thoracique

HEINEN, Vincent ; Centre Hospitalier Universitaire de Liège - CHU > Département de médecine interne > Service de pneumologie - allergologie

Corhay, Jean-Louis ; Université de Liège - ULiège > Département des sciences cliniques > Département des sciences cliniques

VAILLANT, Frédérique ; Centre Hospitalier Universitaire de Liège - CHU > Département de médecine interne > Service de pneumologie - allergologie

Gomez, A.; Service de pneumologie, CHU de Sart-Tilman B35, Liège, B4000, Belgium

Louis, Renaud ; Université de Liège - ULiège > Département des sciences cliniques > Pneumologie - Allergologie

Language :

French

Title :

La thoracoscopie médicale en pratique pneumologique: expérience du CHU de Liège

Alternative titles :

[en] Medical thoracoscopy in respiratory medicine: The Liège University Hospital experience

Publication date :

2019

Journal title :

Revue des Maladies Respiratoires

ISSN :

0761-8425

eISSN :

1776-2588

Publisher :

Elsevier Masson SAS

Volume :

Pages :

688-696

Peer reviewed :

Peer Reviewed verified by ORBi

Available on ORBi :

since 11 November 2019

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