By Robert Loddenkemper, Praveen N. Mathur, Marc Noppen, Pyng Lee
In Medical Thoracoscopy/Pleuroscopy: guide and Atlas, overseas specialists clarify the present method and show diversified technical techniques to scientific thoracoscopy/pleuroscopy (MT/P) within the analysis and therapy of pleuropulmonary diseases.
A mix of instructive guide and atlas, this publication provides medical situations with symptoms, options, and results for every strategy. within the 'Atlas', endoscopic photos display the appliance of this minimally invasive procedure in numerous pathologies, from pleural effusion to varied manifestations of lung cancer.
Features:
- Diagnostic and healing symptoms mirror new
technology similar to the semi-rigid/semi-flexible pleuroscope, CT/MR imaging, and
video-assisted thoracoscopic surgical procedure (VATS) - Over one hundred fifty full-color endoscopic images and a hundred and twenty
figures improve the textual content - An accompanying DVD comprises movies of eight ordinary
clinical circumstances, plus useful details at the use of talc poudrage, the
induction of a pneumothorax, and more
This accomplished visible advisor is an crucial primer for citizens and fellows in pulmonology or pneumology, and for respiration physicians, internists, or thoracic surgeons.
System requisites for the DVD: Language: English; area code: zero; photograph structure: 4:3 NTSC; length: 33 mins (approximately); disk layout: DVD-5.
Read Online or Download Medical thoracoscopy/pleuroscopy: manual and atlas PDF
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Extra info for Medical thoracoscopy/pleuroscopy: manual and atlas
Example text
A 1-cm incision is made in the anterior axillary line at the inferior margin of the hair line. A trocar and the thoracoscope are passed through the incision. There are several approaches for the procedure. Some surgeons resect part of the nerve or burn the ganglion, while others transect or clip the nerve. The results appear to be similar after all procedures. Many patients have accessory nerves, and an attempt is made to identify and transect these nerves. The lung is then reexpanded, and the procedure is performed on the opposite side.
Most important is that this unit has to work as a team and its members must understand each otherʼs needs. Indications and Contraindications Most thoracic surgery can now be performed with VATS, provided the necessary training is completed and the practice guidelines for VATS are observed, such as those proposed by the Society of Thoracic Surgeons (McKneally et al. 1992; Society of Thoracic Surgeons 1994; Kaiser 1994 b). For example, a large number of lobectomies are performed by VATS. The surgeon has to determine when a thoracotomy or VATS is appropriate.
LVRS provides increased survival for patients with upper lobe emphysema and low exercise tolerance. LVRS involves resection of approximately 30% of the parenchyma of each lung. The National Emphysema Treatment Trial (NETT) showed that LVRS can be performed with equal efficacy by VATS and by thoracotomy via median sternotomy, but the VATS approach provided easier recovery with less expense. LVRS can also be performed by VATS, with the patient in the lateral decubitus position. The standard three incisions are used.
