Medical thoracoscopy, pleuroscopy manual and atlas ; [DVD included]/ Robert Loddenkemper

In __**Medical Thoracoscopy/Pleuroscopy: Manual and Atlas**__, international experts explain the current methodology and demonstrate different technical approaches to medical thoracoscopy/pleuroscopy (MT/P) in the diagnosis and treatment of pleuropulmonary diseases. A combination of instructive manual and atlas, this book presents clinical cases with indications, techniques, and outcomes for each procedure. In the 'Atlas', endoscopic photographs demonstrate the application of this minimally invasive technique in various pathologies, from pleural effusion to various manifestations of lung cancer. **Features:** * Diagnostic and therapeutic indications reflect new technology such as the semi-rigid/semi-flexible pleuroscope, CT/MR imaging, and video-assisted thoracoscopic surgery (VATS) * Over 150 full-color endoscopic photographs and 120 figures enhance the text * An accompanying DVD contains video clips of 8 typical clinical cases, plus practical information on the use of talc poudrage, the induction of a pneumothorax, and more This comprehensive visual guide is an indispensable primer for residents and fellows in pulmonology or pneumology, and for respiratory physicians, internists, or thoracic surgeons. **System Requirements for the DVD:** Language: English; region code: 0; picture format: 4:3 NTSC; duration: 33 minutes (approximately); disk format: DVD-5. Medical Thoracoscopy/Pleuroscopy: Manual and Atlas 1 Title Page 4 Copyright 5 Foreword 6 Preface 8 Media Center Information 9 Table of Contents 10 Abbreviations 13 Section A: Manual 14 1 Introduction 16 The Role of Medical Thoracoscopy/Pleuroscopy in Respiratory Medicine 16 History and Development of Thoracoscopy/Pleuroscopy 17 Artificial Pneumothorax 17 Pleural Drainage 18 Introduction of Thoracoscopy as a Diagnostic Method 18 Use of Thoracoscopy for Diagnostic Purposes 20 Thoracoscopy as a Therapeutic Procedure in Tuberculosis (Jacobaeus Operation) 20 Thoracoscopy as a Therapeutic Tool in Nontuberculous Disease 23 Further Development of Thoracoscopy as an Important Diagnostic Tool 24 Development of Thoracoscopy for Minimally Invasive Thoracic Surgery (“Surgical Thoracoscopy”) 27 2 Differences between Medical Thoracoscopy/Pleuroscopy and Surgical Thoracoscopy/Video-assisted Thoracic Surgery 29 Video-assisted Thoracic Surgery (VATS) 29 General Approach to VATS Procedures 30 Anesthesia 31 Indications and Contraindications 31 Lung Procedures Performed with VATS 31 Lung Biopsy 31 Wedge Resection 31 Pulmonary Metastases 31 Lobectomy 32 Lung Volume Reduction Surgery 32 Pleural Procedures Performed with VATS 32 Treatment of Pneumothorax 32 Decortication 33 Esophageal Procedures Performed with VATS 33 Excision of Cysts and Benign Tumors 33 Anti-reflux Procedures 33 Esophagectomy 33 Mediastinal Procedures 33 Thymectomy 33 Thoracic Duct Ligation 33 Pericardial Window 33 Sympathectomy 34 Thoracic Lymphadenectomy 34 Cervical Mediastinoscopy versus VATS 34 Anterior Mediastinotomy versus VATS 34 Summary 34 3 Indications for and Results of Medical Thoracoscopy/Pleuroscopy 35 Management of Pleural Effusions 36 Diagnostic Approach 36 Malignant Pleural Effusions 38 Tuberculous Pleural Effusions 42 Parapneumonic Effusions and Pleural Empyema 44 Effusions of Other Origin 45 “Idiopathic” Pleural Effusions 46 Options in the Local Treatment of Pleural Effusions Including Thoracoscopic Talc Pleurodesis 48 The Place of Medical Thoracoscopy/Pleuroscopy in the Management of Pneumothorax 54 Primary Spontaneous Pneumothorax 55 Secondary Spontaneous Pneumothorax 57 Catamenial Pneumothorax 58 The Place of Medical Thoracoscopy/Pleuroscopy in the Diagnosis of Diffuse Lung Diseases 59 Medical Thoracoscopy/Pleuroscopy in Other Indications 61 Medical Thoracoscopic Sympathectomy 61 Splanchnicectomy 63 Pericardial Fenestration 63 Solitary Lung Lesions 64 Diseases in the Region of the Chest Wall, Diaphragm, and Thoracic Spine 64 Mediastinal Tumors 64 Postoperative Cavities 64 4 Medical Thoracoscopy/Pleuroscopy in Children 66 5 Medical Thoracoscopy/Pleuroscopy in Animals 67 Use for Diagnosis and Treatment in Animals 67 Use for Research in Animals 67 Use for Teaching of the Technique 67 6 Medical Thoracoscopy/Pleuroscopy in Research 69 Future Areas of Research 69 7 Clinical Prerequisites for Medical Thoracoscopy/Pleuroscopy 70 8 Contraindications 71 9 Complications and Their Prevention 73 Prethoracoscopic/Prepleuroscopic Complications 73 Air Embolism 73 Hypersensitivity Reaction to Local Anesthetic 74 Complications during Medical Thoracoscopy/Pleuroscopy 74 Pain 74 Hypoxemia 74 Hypoventilation 74 Cardiac Arrhythmias 74 Hypotension 74 Hemorrhage 74 Injury to Lung or Other Organs 74 Postthoracoscopic/Postpleuroscopic Complications 75 Reexpansion Pulmonary Edema 75 Pain 75 Postoperative Fever 75 Wound Infection 75 Empyema 75 Subcutaneous Emphysema 75 Persisting Pneumothorax 75 Prolonged Air Leakage 75 Continuing Pleural Fluid Production/Pleurodesis Failure 76 Early Complications after Talc Pleurodesis 76 Late Complications after Talc Pleurodesis 76 Seeding of Chest Wall by Tumor Cells/Implantation of Tumor Cells 76 Mortality 76 Summary 77 10 Knowledge and Skills Required 78 Knowledge of Respiratory Diseases 78 Knowledge of Thoracic Anatomy 78 Knowledge of the Pathophysiology of the Pleura Skills 80 11 Techniques of Medical Thoracoscopy/Pleuroscopy 82 Endoscopy Room 82 Sterile Conditions 83 Patient Monitoring during the Procedure 84 Personnel 84 Equipment 84 Rigid Thoracoscopes 85 The Semirigid (Semiflexible) Pleuroscope 86 Phases of Medical Thoracoscopy/Pleuroscopy 89 Patient Positioning 89 Selecting the Point of Entry 91 Point of Entry for Specific Localized Lesions 91 Techniques for Introduction of the Endoscope in Pleural Effusion, Pneumothorax, and Other Conditions 91 Access to the Pleural Space 91 Anesthesia for Medical Thoracoscopy/Pleuroscopy 97 Technique of Local Anesthesia 97 Additional Technical Suggestions 99 Performance of Rigid Thoracoscopy 99 Direct and Video-Controlled Inspection 101 Biopsy Techniques 102 Stapled Wedge Resection 104 Performance of Semirigid (Semiflexible) Pleuroscopy 105 Comparison of the Rigid and Semirigid Techniques 105 Evaluation of Specimens 106 Technique of Thoracoscopic Talc Pleurodesis 106 Chest Tube Care 108 Drainage Systems 108 Assessment of Chest Tube Function 109 Chest Tube Removal 111 12 Documentation 112 13 Teaching Methods 113 Suggestions for Learning the Technique 113 Section B: Atlas 114 14 Malignant Pleural Effusions due to Lung Cancer 116 15 Pleural Effusions due to Diffuse Malignant Mesothelioma and Asbestos-related Pleural Diseases 121 16 Malignant Pleural Effusions Secondary to Metastatic Neoplasms 128 17 Pleural Effusions due to Malignant Lymphoma/Myeloproliferative Neoplasm 135 18 Tuberculous Pleural Effusions 137 19 Pleural Effusions of Other Origin 143 20 Pneumothorax 150 21 Diffuse Lung Diseases 156 22 Other Indications 163 References 169 Subject Index 184

A detailed guide to the latest endoscopic techniques in interventional pulmonology

In Medical Thoracoscopy/Pleuroscopy: Manual and Atlas, international experts explain the current methodology and demonstrate different technical approaches to medical thoracoscopy/pleuroscopy (MT/P) in the diagnosis and treatment of pleuropulmonary diseases.

A combination of instructive manual and atlas, this book presents clinical cases with indications, techniques, and outcomes for each procedure. In the 'Atlas', endoscopic photographs demonstrate the application of this minimally invasive technique in various pathologies, from pleural effusion to various manifestations of lung cancer.

Features:

• Diagnostic and therapeutic indications reflect new technology such as the semi-rigid/semi-flexible pleuroscope, CT/MR imaging, and video-assisted thoracoscopic surgery (VATS)
• Over 150 full-color endoscopic photographs and 120 figures enhance the text
• An accompanying DVD contains video clips of 8 typical clinical cases, plus practical information on the use of talc poudrage, the induction of a pneumothorax, and more

This comprehensive visual guide is an indispensable primer for residents and fellows in pulmonology or pneumology, and for respiratory physicians, internists, or thoracic surgeons.

System Requirements for the DVD: Language: English; region code: 0; picture format: 4:3 NTSC; duration: 33 minutes (approximately); disk format: DVD-5.

In Medical Thoracoscopy/Pleuroscopy: Manual and Atlas , international experts explain the current methodology and demonstrate different technical approaches to medical thoracoscopy/pleuroscopy (MT/P) in the diagnosis and treatment of pleuropulmonary diseases. A combination of instructive manual and atlas, this book presents clinical cases with indications, techniques, and outcomes for each procedure. In the 'Atlas', endoscopic photographs demonstrate the application of this minimally invasive technique in various pathologies, from pleural effusion to various manifestations of lung cancer. Features: Diagnostic and therapeutic indications reflect new technology such as the semi-rigid/semi-flexible pleuroscope, CT/MR imaging, and video-assisted thoracoscopic surgery (VATS) Over 150 full-color endoscopic photographs and 120 figures enhance the text An accompanying DVD contains video clips of 8 typical clinical cases, plus practical information on the use of talc poudrage, the induction of a pneumothorax, and more This comprehensive visual guide is an indispensable primer for residents and fellows in pulmonology or pneumology, and for respiratory physicians, internists, or thoracic surgeons. System Requirements for the DVD: Language: English; region code: 0; picture format: 4:3 NTSC; duration: 33 minutes (approximately); disk format: DVD-5.