Medical thoracoscopy/pleuroscopy: manual and atlas by Robert Loddenkemper, Praveen N. Mathur, Marc Noppen, Pyng

By Robert Loddenkemper, Praveen N. Mathur, Marc Noppen, Pyng Lee

In Medical Thoracoscopy/Pleuroscopy: handbook and Atlas, foreign specialists clarify the present technique and exhibit diversified technical ways to scientific thoracoscopy/pleuroscopy (MT/P) within the analysis and therapy of pleuropulmonary diseases.

A mixture of instructive handbook and atlas, this publication provides scientific instances with symptoms, ideas, and results for every approach. within the 'Atlas', endoscopic pictures display the appliance of this minimally invasive method in quite a few pathologies, from pleural effusion to varied manifestations of lung cancer.


  • Diagnostic and healing symptoms mirror new
    technology comparable to the semi-rigid/semi-flexible pleuroscope, CT/MR imaging, and
    video-assisted thoracoscopic surgical procedure (VATS)
  • Over a hundred and fifty full-color endoscopic photos and one hundred twenty
    figures improve the textual content
  • An accompanying DVD includes videos of eight commonplace
    clinical circumstances, plus useful details at the use of talc poudrage, the
    induction of a pneumothorax, and more

This complete visible consultant is an crucial primer for citizens and fellows in pulmonology or pneumology, and for breathing physicians, internists, or thoracic surgeons.

System specifications for the DVD: Language: English; sector code: zero; photograph layout: 4:3 NTSC; length: 33 mins (approximately); disk structure: DVD-5.

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Extra resources for Medical thoracoscopy/pleuroscopy: manual and atlas

Example text

Decortication VATS has been used successfully in the treatment of empyema, especially in the later stages (Angelillo-Mackinlay et al. 1999; Cameron 2002; Chen et al. 2002; Hampson et al. 2008; Luh et al. 2008; Medford et al. 2008). If the purulenteffusion (empyema) cannotbe drained due to multiple loculations, the patient remains febrile, and more conservative therapies including antibiotics are failing, VATS should be considered, in particular when decortication is needed (empyema stage III) and the patient does not have a high surgical risk.

Among noncardiac effusions, parapneumonic effusions are the most common at 34 %. Malignant pleural effusions follow, with 23 % of cases. Pleural effusion is secondary to pulmonary embolism in 17 %, to viral etiology in 11 %, to liver cirrhosis in 6%, and to gastrointestinal diseases in 3 % of cases. Many other possible causes, albeit rare or extremely rare, play an important role in differential diagnosis. The discrepancy between the estimated incidence and the frequency distribution in the respiratory literature, in which the malignant causes are the most common—followed by infectious causes and idiopathic effusions—most probably results from patient selection (Loddenkemper 2004 a).

1986; Celikoglu et al. 1992; Kawahara et al. 2008; Steiropoulos et al. 2009) and in their differential diagnosis (Schwarz et al. 2009). An additional advantage is that the diagnostic procedure can easily be combined with the therapeutic procedure of talc poudrage for pleurodesis (see “Thoracoscopic Talc Pleurodesis,” pp. 38–41, and Chapter 11, p. 93–94). In addition, MT/P is helpful in staging of lung cancer, diffuse malignant mesothelioma, and metastatic cancers (Colt 1995 b). In lung cancer patients MT/P can determine whether the tumor has spread to the pleura, is secondary to venous or lymphatic obstruction, or is parapneumonic (Antony et al.

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