title: [Diagnostic and therapeutic thoracoscopy: apropos of 100 cases].
abstract: Results and complications of 100 consecutive thoracoscopies performed with local anesthesia, in our department of pneumology are reviewed. The group is constituted by 60 men and 40 women with an average age of 56.1 +/- 16.7 years (13-81). Age difference between tumoral (n = 58) and tuberculous patients (n = 13) was statistically significant (59.6 +/- 12.8 vs 39.3 +/- 18.7; p < 0.001). The most frequent symptom on presentation was dyspnea, an significant association was detected between fever and tuberculosis (p < 0.001). Final diagnosis were: tumor (n = 58), non-specific inflammation (n = 16), tuberculosis (n = 13), pneumothorax (n = 11) and pneumonia (n = 2). In 14 patients some complication of the procedure appeared, all of these had little clinical significance and were resolved with minimal nursing care. To diagnose tumor, macroscopic aspect showed a sensitivity of 96.1%, specificity of 86% and 92% assurance.
authors.affiliation: Departamento de Medicina Interna, Hospital Universitario Regional Infanta Cristina, INSALUD, Badajoz.
authors.forename: J M
authors.initials: JM
authors.lastname: Antona Gómez
authors.forename: T
authors.initials: T
authors.lastname: Domínguez Platas
authors.forename: L M
authors.initials: LM
authors.lastname: Entrenas Costa
authors.forename: J M
authors.initials: JM
authors.lastname: Checa Pinilla
authors.forename: F
authors.initials: F
authors.lastname: Fuentes Otero
authors.forename: M
authors.initials: M
authors.lastname: Pérez Miranda
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001706:Biopsy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010996:Pleural Effusion / Q000473:pathology; D013896:Thoracic Diseases / Q000175:diagnosis* / Q000628:therapy; D013906:Thoracoscopy
vernacular_title: Toracoscopia diagnóstica y terapéutica: a propósito de 100 casos.