torakoskopie

Thoracoscopy is a minimally invasive surgical procedure used to examine and operate within the chest cavity. It involves the insertion of a small camera, called a thoracoscope, and surgical instruments through small incisions made in the chest wall, typically between the ribs. This allows surgeons to visualize the pleura, lungs, and other structures within the thoracic space without the need for a large open incision, a procedure known as a thoracotomy.

The primary indications for thoracoscopy include the diagnosis and treatment of various lung and pleural conditions. It is often used to obtain tissue samples for biopsy when suspicious masses or abnormalities are detected, to drain fluid or air from the pleural space (pleural effusion or pneumothorax), and to remove tumors or parts of the lung (lung resection). It can also be employed in procedures like pleurodesis, which is used to prevent the recurrence of pleural effusions or pneumothorax, and to treat conditions such as empyema, a collection of pus in the pleural space.

The procedure is typically performed under general anesthesia. After the incisions are made, a small tube may be inserted to inflate the lung or remove air and fluid. The surgeon then uses the thoracoscope to guide the instruments and perform the necessary interventions. The recovery time following thoracoscopy is generally shorter and associated with less pain compared to traditional thoracotomy, leading to a quicker return to normal activities for the patient. It is a valuable diagnostic and therapeutic tool in thoracic surgery.