Medical thoracoscopy

被引：0
作者：
Cyrus Daneshvar
David P. Breen
机构：
[1] Galway University Hospitals,Department of Respiratory Medicine
[2] Galway University Hospitals,Respiratory Physician, Clinical Lead for Lung Cancer Services
来源：
Current Respiratory Care Reports | 2013年 / 2卷 / 1期
关键词：
Medical thoracoscopy; Malignancy; Pleural infection; Empyema; Talc; Slurry; Poudrage; Indwelling pleural catheter; Education;
D O I：
10.1007/s13665-012-0037-6
中图分类号：
学科分类号：
摘要：
Medical thoracoscopy is an important technique for assessment of undiagnosed exudative pleural effusion. It is also important in the management of pleural disease, benign or malignant. Standard equipment available from several manufacturers enables the procedure to be performed through a single port of entry, frequently under conscious sedation. With good patient selection, thoracoscopy is a highly successful and safe procedure. Adequate training is mandatory and a period of mentoring is highly recommended. In this paper we discuss the use of thoracoscopy for some benign and malignant conditions and reveal that controversy remains over issues including the optimum mode and agent for pleurodesis. In addition, opinions differ on the precise role of thoracoscopy for pleural infection. In this paper we discuss key background information necessary for the safe provision of thoracoscopy. We then undertake a review of recent literature addressing important aspects of this procedure.
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页码：47 / 53
页数：6
相关论文
共 69 条
[1]  
Gordon S(1866)Case in which the operation of Trephining of the Spine was performed Med Chir Trans 49 21-28
[2]  
Jacobaeus HC(1910)Uber die Moglichkeit die Zystoskopie bei Untersuchung seroser Hohlungen anzuwenden [About the possibility to apply the cystoscopy in the investigation of serous cavities] Munch Med Woch 57 2090-2092
[3]  
Rahman NM(2010)Local anaesthetic thoracoscopy: British thoracic society pleural disease guideline 2010 Thorax 65 ii54-ii60
[4]  
Rodriguez-Panadero F(2008)Medical thoracoscopy Respiration 76 363-372
[5]  
Macha HN(1993)The role of ultrasound assisted thoracoscopy in the diagnosis of pleural disease. Clinical experience in 687 cases Eur J Cardiothorac Surg 7 19-22
[6]  
Hersh CP(2003)Ultrasound guidance for medical thoracoscopy: a novel approach Respiration 70 299-301
[7]  
Tassi GF(2011)Minithoracoscopy: a complementary technique for medical thoracoscopy Respiration 82 204-206
[8]  
Marchetti GP(2003)Minithoracoscopy: a less invasive approach to thoracoscopy Chest 124 1975-1977
[9]  
Pinelli V(2003)Comparison of the 2.0 mm and 3.5 mm minithoracoscopy set to standard equipment for medical thoracoscopy Eur Respir J 22 S541-886
[10]  
Tassi G(2007)Prospective evaluation of flex-rigid pleuroscopy for indeterminate pleural effusion: accuracy, safety and outcome Respirology 12 881-574
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