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 various technical methods to scientific thoracoscopy/pleuroscopy (MT/P) within the prognosis and therapy of pleuropulmonary diseases.
A mixture of instructive guide and atlas, this ebook provides medical circumstances with symptoms, strategies, and results for every strategy. within the 'Atlas', endoscopic images reveal the appliance of this minimally invasive strategy in a number of pathologies, from pleural effusion to numerous manifestations of lung cancer.
- Diagnostic and healing symptoms mirror new
technology akin to the semi-rigid/semi-flexible pleuroscope, CT/MR imaging, and
video-assisted thoracoscopic surgical procedure (VATS)
- Over one hundred fifty full-color endoscopic pictures and a hundred and twenty
figures improve the textual content
- An accompanying DVD comprises movies of eight normal
clinical circumstances, plus sensible details at the use of talc poudrage, the
induction of a pneumothorax, and more
This entire visible consultant is an crucial primer for citizens and fellows in pulmonology or pneumology, and for breathing physicians, internists, or thoracic surgeons.
System necessities for the DVD: Language: English; quarter code: zero; photo layout: 4:3 NTSC; period: 33 mins (approximately); disk structure: DVD-5.
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Additional info for Medical thoracoscopy/pleuroscopy: manual and atlas
Waller and Antonio E. Martin-Ucar from the United Kingdom predict in their chapter on “Surgery for Pleural Diseases” that medical thoracoscopy will be increasingly applied as initial diagnostic procedure, together with pleurodesis, when considering a malignant etiology of the pleural effusion (Waller and Martin-Ucar 2008). Some authors feel that it is not necessary to perform MT/P in persistent pleural effusions to obtain a correct diagnosis, because the disease is incurable anyway and the prognosis is therefore poor.
Tumor markers such as carcinoembryonic antigen (CEA), Leu-1, and mucin may be helpful in establishing the diagnosis, as they are frequently positive in adenocarcinoma (50–90%) but rarely seen with mesothelial cells or mesothelioma (0–10 %). Flow cytometry can complement cytology in some cases, particularly in lymphocytic effusions where lymphoma is suspected (Das 2006). If the etiology remains unclear, invasive techniques are necessary to confirm the diagnosis. Closed needle biopsy of the chest wall pleura may establish the diagnosis in 3 Indications for and Results of Medical Thoracoscopy/Pleuroscopy some additional cases, but usually adds little to the cytological diagnosis in most cases (Antony et al.
Determined origin, and to perform closed needle biopsies of the pleura only in young patients (in whom tuberculous pleurisy is more likely, at least in countries with relatively high prevalence of tuberculosis), and in those patients who reject thoracoscopy or are too sick to tolerate it, or in whom, due to adhesions, a pneumothorax of adequate size most probably cannot be induced (here closed needle biopsies can be attempted) (Antony et al. 2000; RodriguezPanadero et al. 2006). 3 summarize the diagnostic and therapeutic advantages of MT/P.