Abstract: |
For otherwise operable patients with bronchogenic carcinoma and ipsilateral cytologically negative pleural effusion, pleuroscopy should precede even the thought of thoractomy. With a diagnostic accuracy of 90 per cent and minimal morbidity, this procedure should be readily performed by surgeons who care for patients with lung cancer. It is clear that one can spare many patients the added morbidity and mortality of a thoracotomy from which they would derive no benefit if they already have pleural metastases. Pleurodesis may be easily performed at the same time as the diagnostic procedure. |