{"?xml":{"@version":"1.0"},"edm:RDF":{"@xmlns:dc":"http://purl.org/dc/elements/1.1/","@xmlns:edm":"http://www.europeana.eu/schemas/edm/","@xmlns:wgs84_pos":"http://www.w3.org/2003/01/geo/wgs84_pos","@xmlns:foaf":"http://xmlns.com/foaf/0.1/","@xmlns:rdaGr2":"http://rdvocab.info/ElementsGr2","@xmlns:oai":"http://www.openarchives.org/OAI/2.0/","@xmlns:owl":"http://www.w3.org/2002/07/owl#","@xmlns:rdf":"http://www.w3.org/1999/02/22-rdf-syntax-ns#","@xmlns:ore":"http://www.openarchives.org/ore/terms/","@xmlns:skos":"http://www.w3.org/2004/02/skos/core#","@xmlns:dcterms":"http://purl.org/dc/terms/","edm:WebResource":[{"@rdf:about":"http://www.dlib.si/stream/URN:NBN:SI:doc-IY0CTR5V/1c3487b5-795a-4598-a2fd-da34f5619aa0/HTML","dcterms:extent":"28 KB"},{"@rdf:about":"http://www.dlib.si/stream/URN:NBN:SI:doc-IY0CTR5V/c534f2cb-5f5c-4bd3-a7ed-36e5750a3e1c/PDF","dcterms:extent":"416 KB"},{"@rdf:about":"http://www.dlib.si/stream/URN:NBN:SI:doc-IY0CTR5V/dc6b19ae-5386-4bef-84b7-acbd23dfce12/TEXT","dcterms:extent":"24 KB"}],"edm:TimeSpan":{"@rdf:about":"1929-2026","edm:begin":{"@xml:lang":"en","#text":"1929"},"edm:end":{"@xml:lang":"en","#text":"2026"}},"edm:ProvidedCHO":{"@rdf:about":"URN:NBN:SI:doc-IY0CTR5V","dcterms:isPartOf":[{"@rdf:resource":"https://www.dlib.si/details/urn:nbn:si:spr-a30mfzkp"},{"@xml:lang":"sl","#text":"Zdravniški vestnik"}],"dcterms:issued":"2011","dc:creator":["Debeljak, Andrej","Kern, Izidor","Rozman, Aleš"],"dc:format":[{"@xml:lang":"sl","#text":"številka:7/8"},{"@xml:lang":"sl","#text":"letnik:80"},{"@xml:lang":"sl","#text":"str. 546-552"}],"dc:identifier":["ISSN:1318-0347","COBISSID:28773593","URN:URN:NBN:SI:doc-IY0CTR5V"],"dc:language":"sl","dc:publisher":{"@xml:lang":"sl","#text":"Slovensko zdravniško društvo"},"dc:subject":[{"@xml:lang":"sl","#text":"biopsija"},{"@xml:lang":"en","#text":"diagnostika"},{"@xml:lang":"sl","#text":"dihala"},{"@xml:lang":"sl","#text":"plevra"},{"@xml:lang":"sl","#text":"torakoskopija"},{"@xml:lang":"sl","#text":"toraks"}],"dcterms:temporal":{"@rdf:resource":"1929-2026"},"dc:title":{"@xml:lang":"sl","#text":"Torakoskopija - analiza 129 posegov| Thoracoscopy, a study of 129 procedures|"},"dc:description":{"@xml:lang":"sl","#text":"Background: Medical thoracoscopy is a procedure which enables pneumologist to inspect the pleural space, perform biopsy, pleurodesis, and facilitates optimal chest tube placement and drainage in patients with pleural effusion. We made a retrospective analysis of the procedures, performed at the University Hospital Golnik between January 2002 and December 2007. Patients and methods: We evaluated 129 thoracoscopies, performed in 125 patients in a 5-year period. All patients had pleural effusion or a pleural mass, which failed to be diagnosed by less invasive diagnostic methods. In the study groupthere were 90 (72.0 %) men and 35 (28.0 %) women. Their median age was 63years (from 28 to 81 years). All procedures were performed under local anaesthesia with a videothoracoscope Olympus A5252A. Pleurodesis was performedby insufflation of 5g of talc. Results: 78 (62.4 %) of patients had malignant infiltration of the pleura and 47 (37.6 %) had a benign pleural disease. The diagnostic accuracy of thoracoscopy was 91.5 %. The sensitivity in the diagnostics of malignant pleural disease was 86.1 %, the negative predictive value was 82.0 %. Talc pleurodesis was performed in 14 patients with malignant pleural infiltration. Complications were detected in 33 (26.4 %) patients, most of them were not severe. Severe complications, such as empyema, bronchopleural fistula, prolonged duration of drainage, perforation of the diaphragm and trapped lung, occurred in 8 (6.4 %) patients. 30-day mortality rate after the procedure was 0%. Conclusions: Thoracoscopy has a high diagnostic yield with an acceptably low rate of complications. Nevertheless, it is an invasive procedure, which requires careful indications,patientćs consent, best surgical technique and an accurate postoperative follow up"},"edm:type":"TEXT","dc:type":[{"@xml:lang":"sl","#text":"znanstveno časopisje"},{"@xml:lang":"en","#text":"journals"},{"@rdf:resource":"http://www.wikidata.org/entity/Q361785"}]},"ore:Aggregation":{"@rdf:about":"http://www.dlib.si/?URN=URN:NBN:SI:doc-IY0CTR5V","edm:aggregatedCHO":{"@rdf:resource":"URN:NBN:SI:doc-IY0CTR5V"},"edm:isShownBy":{"@rdf:resource":"http://www.dlib.si/stream/URN:NBN:SI:doc-IY0CTR5V/c534f2cb-5f5c-4bd3-a7ed-36e5750a3e1c/PDF"},"edm:rights":{"@rdf:resource":"http://creativecommons.org/licenses/by-nc/4.0/"},"edm:provider":"Slovenian National E-content Aggregator","edm:intermediateProvider":{"@xml:lang":"en","#text":"National and University Library of Slovenia"},"edm:dataProvider":{"@xml:lang":"sl","#text":"Slovensko zdravniško društvo"},"edm:object":{"@rdf:resource":"http://www.dlib.si/streamdb/URN:NBN:SI:doc-IY0CTR5V/maxi/edm"},"edm:isShownAt":{"@rdf:resource":"http://www.dlib.si/details/URN:NBN:SI:doc-IY0CTR5V"}}}}