[Thoracoscopic surgery--is thoracotomy still necessary?].
Thoracoscopic surgery has made substantial progress in recent years due to advances in video-optic systems and the development of new instruments for endoscopic surgery. Currently many interventions which routinely required thoracotomy can be performed thoracoscopically. This includes pleurectomy, decortication, wedge-resection, pericardial window, sympathectomy, biopsy or, in certain situations, resection of a mediastinal tumor. Thymectomy for myasthenia gravis or lobectomy can be performed thoracoscopically as well. The article gives on overview of the current standing of thoracoscopic surgery. The benefit of thoracoscopic surgery is reduced postoperative pain, including diminished impairment of pulmonary function, and hence a shorter hospital stay and a more rapid recovery.
Weder
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Klinik für Viszeralchirurgie, Departement Chirurgie, Universitätsspital Zürich.
D016724:Empyema, Pleural / Q000601:surgery; D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery; D008479:Mediastinal Neoplasms / Q000601:surgery; D011013:Pneumonectomy / Q000379:methods; D013562:Sympathectomy / Q000379:methods; D013896:Thoracic Diseases / Q000601:surgery*; D013906:Thoracoscopy / Q000379:methods*; D013908:Thoracotomy; D013934:Thymectomy / Q000379:methods
Thorakoskopische Chirurgie--ist eine Thorakotomie überhaupt noch notwendig?