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Year : 2020  |  Volume : 26  |  Issue : 2  |  Page : 154-157

Diagnostic thoracoscopy using a laparoscope

1 Department of Surgical Oncology, Regional Cancer Centre, Trivandrum, Kerala, India
2 Department of Bio-statistics, Regional Cancer Centre, Trivandrum, Kerala, India

Correspondence Address:
Dr. Chandramohan Krishnan Nair
Department of Surgical Oncology, Regional Cancer Centre, Trivandrum, Kerala
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ksj.ksj_33_20

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Introduction: Minimally invasive surgery has revolutionized thoracic oncology. Although there are various nonsurgical methods of biopsy, some patient's require a surgical biopsy. We present an innovative use of laparoscope for thoracoscopic biopsy. Materials and Methods: This is a retrospective analysis of 33 patients who underwent thoracoscopic biopsies for undiagnosed thoracic lesions in our hospital. Diagnostic thoracoscopy was performed with the laparoscopy unit used for abdominal surgeries. Results: Thoracoscopic biopsy yielded a histopathological diagnosis in 32 patients (96.67%). Median surgery duration was 40 min. Conversion rate was 6%. Morbidity rate was 10.7% with no mortality. The sensitivity and specificity of thoracoscopic biopsy was 95.83% and 100% respectively. The positive predictive value was100% and negative predictive value was 90%. Conclusion: Thoracoscopic biopsy using the laparoscopy unit can be done with minimal morbidity and without any additional financial burden in a low resource setting.

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