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Statistical significance was defined at the 95% level. Fifty-eight consecutive thoracoscopies were identified during this 12-month period, complete ADAMTS12 data were available for 57 events (98.2%). All patients had an undiagnosed exudative, cytology negative, pleural effusion and were predominantly male with right-sided effusions; full demographic details are presented in Table?1. Normality testing of the data demonstrated a non-Gaussian distribution, and therefore non-parametric tests were used for analysis. Malignant histology was reported in 40 (70.2%), with mesothelioma accounting for 25 (62.5%) of all malignancies, a full breakdown of histological diagnosis is presented in Table?2. One case reported as benign chronic lymphoid inflammation had an eventual diagnosis of non-Hodgkins lymphoma 3 months after the thoracoscopy. For the purposes sub-analysis, this patient remained in the ��benign�� cohort as this study was designed to examine short-term outcomes following thoracoscopy. Table?3 lists complications and outcomes for all cases, with any complication occurring in 23 (40.4%). No deaths occurred as a result of the procedure and there were no episodes of respiratory failure or ARDS. Four patients died within 1 month of the procedure, three had a malignant diagnosis, all had suffered HAI (see following). Trapped lung occurred in 11 patients (five malignant, six benign histology); seven had an attempt at pleurodesis. In all, there was prolonged overall hospital length learn more of stay (LOS) in this group [median (IQR): trapped lung 8.0 (4.0�C19.0), non-trapped 4.0 (2.0�C6.0) days; P?=?0.009]. All six patients who suffered HAI following the procedure had a malignant diagnosis. The presence of HAI was associated with a prolonged in patient stay (median (IQR): HAI 9.0 (7.5�C23.5) vs no HAI 4.0 (2.0�C7.0) days; P?=?0.006), but not to length of time with SB431542 ic50 a chest drain in (4.0 (2.5�C6.5) vs 3.0 (2.0�C5.0) days; P?=?0.575). Both cases of empyema had positive drain site swabs as well as pleural fluid cultures (both Staphylococcus Aureus). The four cases of pneumonia were diagnosed on clinical and radiological grounds, with no supportive microbiology. There was a non-significant trend towards increased likelihood of mortality at 1 month (death (yes/no): HAI 2/4 vs no HAI 2/49, P?=?0.051). Six cases had a prolonged in patient stay longer than 2 weeks, five of whom had a malignant diagnosis and three had a trapped lung. Four of the six had HAI (two pneumonia, two empyema); the remaining two both had acute renal failure (one suspected contrast nephropathy, one secondary to cardiac failure). LOS did not correlate with increasing age (r?=?0.237, P?=?0.078), nor attempt at pleurodesis (P?=?0.468), but was positively correlated to length of time with chest drain in (r?=?0.80, P?