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- W2157984998 abstract "Abstract Medical thoracoscopy is not widely available in Australia. A medical thoracoscopy service has been set up in a regional hospital using no specialized equipment and at minimal cost. Of the first 100 procedures carried out, 89 were for investigation of pleural effusion, 6 for pneumothorax and 6 for empyema. Of the 89 pleural effusions, 73 were diagnosed as malignant (43 carcinoma, 24 mesothelioma, 3 lymphoma, 2 melanoma and 1 sarcoma). The sensitivity for a malignant diagnosis was 94.5%, with 100% specificity. Four patients had unsuspected tuberculous effusions. Pleurodesis was carried out with instillation of dry sterile talc in 67 cases. In 92.5% of these, no further drainage procedure was needed. There was one fatality caused by pre‐existing sepsis in a debilitated patient with disseminated carcinoma. Medical thoracoscopy is a simple, safe and cost‐effective technique for diagnosing and treating pleural effusions and provides a useful service in the setting of a regional hospital." @default.
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- W2157984998 date "2007-03-27" @default.
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- W2157984998 title "Medical thoracoscopy in an Australian regional hospital" @default.
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- W2157984998 doi "https://doi.org/10.1111/j.1445-5994.2007.01312.x" @default.
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