Advances in pleuroscopy

Clin Respir J. 2018 Mar;12(3):839-847. doi: 10.1111/crj.12597. Epub 2017 Jan 11.


Objectives: To describe the technique of pleuroscopy, its clinical uses such as diagnosis of exudative pleural effusion, treatment of pleural infection, treatment of pneumothorax, and diagnosis and pleurodesis of malignant pleural mesothelioma. Also to describe the newer techniques developed such as minothoracoscopy, semirigid thoracoscopy, narrow band imaging pleuroscopy, infrared pleuroscopy, autofluorescence pleuroscopy.

Data source: We searched the pubmed the last decade for publications with the key words pleuroscopy, medical thoracoscopy, pneumothorax and pleuroscopy, malignant pleural mesothelioma, minothoracoscopy, semirigid thoracoscopy, autofluorescence pleuroscopy.

Conclusion: Medical thoracoscopy is the method of choice for investigation of the undiagnosed exudative pleural effusions. Newer techniques, such as narrow band imaging thoracoscopy, infrared thoracoscopy, autofluorescence thoracoscopy are offering a promising future for medical thoracoscopy.

Keywords: advanced techniques; malignant pleural mesothelioma; medical thoracoscopy; pleurodesis; pleuroscopy; pneumothorax.

Publication types

  • Review

MeSH terms

  • Humans
  • Lung Neoplasms / diagnosis*
  • Lung Neoplasms / metabolism
  • Lung Neoplasms / therapy
  • Mesothelioma / diagnosis*
  • Mesothelioma / metabolism
  • Mesothelioma / therapy
  • Mesothelioma, Malignant
  • Narrow Band Imaging / methods
  • Optical Imaging / methods
  • Pleural Diseases / diagnostic imaging*
  • Pleural Diseases / microbiology
  • Pleural Diseases / pathology
  • Pleural Diseases / therapy
  • Pleural Effusion / diagnostic imaging*
  • Pleural Effusion / therapy
  • Pleurodesis / methods*
  • Pneumothorax / diagnostic imaging
  • Pneumothorax / therapy
  • Predictive Value of Tests
  • Thoracoscopy / instrumentation*
  • Thoracoscopy / methods