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Updated: Jun 25, 2025

Local Anesthetic Thoracoscopy for Undiagnosed Pleural Effusion
Published on: November 10, 2023
Surgical management of chronic lymphatic pleural effusions and chronic lymphatic ascites
Pablo Laje1, Yoav Dori1, Christopher Smith1
1Center for Lymphatic Disorders, Children's Hospital of Philadelphia, University of Pennsylvania.
Abstract:
Patients with central lymphatic conduction disorders commonly have recalcitrant pleural effusions and or ascites. These conditions cause a profound deterioration in the patient's quality of life. Support measures such as low-fat diet and diuretics alone hardly ever provide meaningful improvement. New understanding of the pathophysiology of these disorders has opened the door in recent years to the development of several surgical procedures that have remarkable success rates. However, these patients must be managed by expert multidisciplinary teams.
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