RT Journal Article SR Electronic T1 Use of medical thoracoscopy in managing pleural malignancy JF Breathe JO Breathe FD European Respiratory Society SP 230174 DO 10.1183/20734735.0174-2023 VO 20 IS 2 A1 Aujayeb, Avinash A1 Astoul, Philippe YR 2024 UL http://breathe.ersjournals.com/content/20/2/230174.abstract 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