Pleural fluid collections and ultrasound guided percutaneous drainage Ann. Ital. Chir., 81, 6, 2010 429 Ann


COD: 06_2010_429-432 Categorie: ,

Massimo Cajozzo, Girolamo Geraci, Chiara Lo Nigro, Manuela Palazzolo, Francesco Raffaele, Roberto Pinna, Marta Cajozzo, Giuseppe Modica

Ann. Ital. Chir., 2010 81: 429-432

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for diagnostic and therapeutic purposes.
Aim of our study is the retrospective evaluation of our experience in diagnostic and therapeutic thoracic drainage, to
stress the cause of failure and to emphasise the cost-effectiveness of the technique.
MATERIALS AND METHODS: From January 1995 to May 2009, 564 therapeutic and diagnostic ultrasound (US) guided
percutaneous drainages of pleural fluid collection were performed in 412 patients.
RESULTS: The macroscopic, biochemical, cytological and microbiological examination of the drained fluid diagnosed the
presence of 80 (19.4%) transudates, 101 (24.5%) non neoplastic exudates, 55 (13.4%) neoplastic exudates, 152 (36.9%)
empyema and 24 (5.8%) haemothorax.
There were no major complications. Minor complications were present in 23/564 cases (4.0 %).
CONCLUSIONS: The US guided puncture of the pleural fluid collection allows a high rate of success (in correct detection
and drainage of chronic pleural effusions), reduces the rate of complications and is well accepted by patients.