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lüll Pleuroscopy for diagnosis and therapy for pleural effusions Michaud G; Berkowitz DM; Ernst AChest 2010[Nov]; 138 (5): 1242-6Pleuroscopy, also known as medical thoracoscopy, is a minimally invasive procedure to inspect and perform a biopsy of the pleural space as well as to perform therapeutic interventions. It differs from conventional video-assisted thoracic surgery in that it may be performed under moderate sedation in the endoscopy suite without the need for intubation or single-lung ventilation. The diagnostic accuracy of this procedure approaches 100% in malignant and tuberculous pleural effusions. Complication rates are low (2%-5%) and are typically minor (subcutaneous emphysema, bleeding, infection), with mortality rates <0.1%. Therapeutic interventions, such as chemical pleurodesis, may be performed during pleuroscopy for recurrent, symptomatic malignant pleural effusions, with success rates approaching 90%. In trained hands, pleuroscopy is a safe and well-tolerated procedure with high diagnostic accuracy and therapeutic efficacy.|Diagnosis, Differential[MESH]|Humans[MESH]|Pleural Effusion/*diagnosis/*therapy[MESH]|Reproducibility of Results[MESH]|Thoracoscopy/*methods[MESH]|Video Recording[MESH] |