The Ho-YAG laser can be easily applied endoscopically through the operative channel of the thoracoscope
. If laser energy is to be applied directly to the parietal pleura, a large pleural abrasion and permanent pleurodesis can be obtained.
It can be performed using either a rigid thoracoscope
or a semirigid pleuroscope .
We successfully repaired the tracheal rupture under a thoracoscope
using a pedicled muscle flap.
Putting a spinal needle from the marker site and visualizing the tip of needle through the thoracoscope
further confirmed the correct level.
With the aid of a thoracoscope
, it is possible to drain effusions, perform pleural and lung biopsies, and resect small nodules or even Stage I lung cancers with a wedge resection.
is defined as "an endoscope for examining the pleural cavity; it is instead into the cavity through a skin incision in an intercostals space." Id.
The chest tube was removed and the thoracoscope
entered the pleural cavity through a port.
Ultrasound and computed tomography of chest are now standard investigations in most centres prior to biopsy and aspiration in order to detect evidence of malignant diseases, either primary or secondary.8,9 These are useful in localising the site for pleural fluid aspiration and biopsy.10 If clinical examination, aspiration and biopsy fail to give the diagnosis thoracoscopy with rigid thoracoscope
or video assisted techniques with biopsy of any pleural lesions may be needed.11,12
In cases with purulent cysts of the lungs with signs of marked purulent intoxication, thoracocentesis into 3rd or 7th intercostal area along anterior and posterior auxiliary line was performed; thoracoscope
was introduced and exact localization of the cyst was determined as well.
Key factors to consider even before draining an effusion or inserting a thoracoscope
It is done through a small incision or with a videoassisted thoracoscope
inserted between the ribs, yesterday.