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Thoracoscopy: Advances and Increasing Role for Interventional Pulmonologists
- Source :
- Seminars in Respiratory and Critical Care Medicine. 39:693-703
- Publication Year :
- 2018
- Publisher :
- Georg Thieme Verlag KG, 2018.
-
Abstract
- Thoracoscopy is an increasingly common procedure that provides significant clinical information and therapeutic applications. The procedure allows the physician to biopsy the parietal pleura under direct visualization with high accuracy. In addition, one can drain pleural fluid, place a chest tube in a precise location, and perform poudrage pleurodesis. Medical thoracoscopy (MT) is carried out in the operating room or procedure suite under moderate sedation with spontaneous ventilation. In comparison, video-assisted thoracoscopic surgery (VATS) is performed under general anesthesia with single lung ventilation and through multiple ports in the operating room. MT is less invasive, has a comparable diagnostic yield, and may be better tolerated in high-risk patients. The indications, complications, and advances in thoracoscopy will be discussed in this article. In the era of rapidly evolving therapeutics for lung cancer, immune-modulation and ever-increasing risks of immunosuppression, MT will evolve and continue to play a pivotal role in the evaluation and research of pleuropulmonary diseases.
- Subjects :
- Pulmonary and Respiratory Medicine
medicine.medical_specialty
Lung Neoplasms
Pleural effusion
Biopsy
medicine.medical_treatment
Critical Care and Intensive Care Medicine
03 medical and health sciences
0302 clinical medicine
Thoracoscopy
Humans
Medicine
030212 general & internal medicine
Lung cancer
Pulmonologists
medicine.diagnostic_test
Thoracic Surgery, Video-Assisted
business.industry
medicine.disease
Pleural Effusion, Malignant
Chest tube
030228 respiratory system
Cardiothoracic surgery
Pleura
Radiology
business
Pleurodesis
Subjects
Details
- ISSN :
- 10989048 and 10693424
- Volume :
- 39
- Database :
- OpenAIRE
- Journal :
- Seminars in Respiratory and Critical Care Medicine
- Accession number :
- edsair.doi.dedup.....7524bbec4467240f4cc3c279d1e8d7db