Thoracoscopy and video-assisted thoracic surgery.
Thoracoscopy is an old technique that has been recently revived with the development of video-endoscopic technology. Video-assisted thoracic surgery (VATS) is now an established surgical approach with proven benefits in the management of pleural diseases. It has been found to be particularly useful in establishing the diagnosis of pleural metastasis with an option for treatment. It also has an established therapeutic role in the management of the fibrinopurulent phase of empyema and the treatment of hemothorax. The technique is still continually evolving, and refinement of instrumentation promises to further reduce surgical trauma in selected procedures.
Department of Surgery, Chinese University of Hong Kong, Prince of Wales Hospital, China. yimap@cuhk.edu.hk
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D002986:Clinical Trials as Topic; D019723:Endoscopes; D004724:Endoscopy / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D010995:Pleural Diseases / Q000175:diagnosis / Q000601:surgery; D010997:Pleural Neoplasms / Q000175:diagnosis / Q000601:surgery*; D012680:Sensitivity and Specificity; D013906:Thoracoscopy / Q000379:methods; D016896:Treatment Outcome; D014741:Video Recording