PT  - JOURNAL ARTICLE
AU  - Aujayeb, Avinash
AU  - Astoul, Philippe
TI  - Use of medical thoracoscopy in managing pleural malignancy
AID  - 10.1183/20734735.0174-2023
DP  - 2024 Jun 01
TA  - Breathe
PG  - 230174
VI  - 20
IP  - 2
4099  - http://breathe.ersjournals.com/content/20/2/230174.short
4100  - http://breathe.ersjournals.com/content/20/2/230174.full
SO  - Breathe2024 Jun 01; 20
AB  - Local anaesthetic “medical” thoracoscopy is an important tool for the diagnosis and management of a unilateral pleural effusion. It is performed under conscious sedation and has a high diagnostic yield. Clinical experience has demonstrated that thoracoscopy is a safe procedure. This article is an expert review of various aspects of the procedures from two experienced practitioners and we suggest areas for potential future research.1) Medical thoracoscopy is a diagnostic and therapeutic procedure for unexplained pleural effusions. 2) In those patients with a high pre-test probability of mesothelioma, a direct to biopsy approach is advocated. 3) Thoracoscopy is very safe. https://bit.ly/48dgcE3