Diffuse Lung Diseases
21 Diffuse Lung Diseases Fig. 21.1 Sarcoidosis stage II. After induction of a right-sided pneumothorax, in the interlobular septae, anthracotic pigment is seen outlining subpleural lymphatics. Upper lobe (1). In the…
Other Indications22 Other Indications
22 Other Indications Fig. 22.1 a Malignant pericardial effusion. View of the pericardium from the left side. b Thoracoscopic pericardial fenestration. Same case, showing the fenestration of the pericardium created by…
Malignant Pleural Effusions due to Lung Cancer
14 Malignant Pleural Effusions due to Lung Cancer Fig. 14.1 a Malignant pleural effusion due to small-cell lung cancer. After drainage of 4200 mL of serous effusion, the view toward the…
Tuberculous Pleural Effusions
18 Tuberculous Pleural Effusions Fig. 18.1 a Tuberculous pleural effusion. After drainage of 800 mL of serous effusion: typical miliary sagolike nodules in all parts of the right parietal pleura, here…
Pneumothorax
20 Pneumothorax Fig. 20.1 Primary spontaneous pneumothorax. After introduction of the thoracoscope into the sixth intercostal space in the mid-axillary line, the lung is retracted. Visceral and parietal pleura are normal….
Introduction
1 Introduction The Role of Medical Thoracoscopy/ Pleuroscopy in Respiratory Medicine Endoscopic procedures play an essential role in the diagnostic evaluation of patients with respiratory diseases. These techniques were mainly developed…
Pleural Effusions due to Malignant Lymphoma/Myeloproliferative Neoplasm
17 Pleural Effusions due to Malignant Lymphoma/Myeloproliferative Neoplasm Fig. 17.1 Malignant pleural effusion due to lymphoplasmocytic lymphoma (immunocytoma). After drainage of 2500 mL of cloudy serous effusion: cauliflower-like tumor (→) on…
Knowledge and Skills Required
10 Knowledge and Skills Required To learn medical thoracoscopy/pleuroscopy (MT/P), a pulmonologist needs to know the exact topographical anatomy of the thorax, the pathophysiology and pathology of respiratory diseases, their diagnostic…
Contraindications
8 Contraindications Medical thoracoscopy/pleuroscopy (MT/P) is a safe procedure with only a few absolute and relative contraindications (Table 8.1), and these follow logically, for the most part, from the preceding chapter…
Teaching Methods
13 Teaching Methods Thoracoscopy skills should be developed over an extended period during which physicians acquire expertise in pleural diseases and procedures (see Chapter 10, “Knowledge and Skills Required”). Technical skills…
