摘要: "Medical" thoracoscopy as compared with "surgical" (which is more precisely known video-assisted thoracic surgery (VATS)) has the advantage that it can be performed under local anaesthesia or conscious sedation, in an endoscopy suite, using nondisposible rigid instruments. Thus, considerably less invasive and expensive. The main diagnostic therapeutic indications for medical are pleural effusions pneumothorax. Due to its high accuracy, approaching almost 100% malignant tuberculous effusions, should used when fluid analysis needle biopsy nondiagnostic. In addition, provides staging lung cancer diffuse mesothelioma. Talc poudrage, best conservative method pleurodesis 1998, also thoracoscopy. It effectively early management of empyema. spontaneous pneumothorax allows staging, thereby facilitating treatment decisions, addition coagulation eventual blebs talc poudrage efficient pleurodesis. Medical a safe procedure which even easier learn than flexible bronchoscopy. efficiency, applied increasingly above-mentioned pleuropulmonary diseases.
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