Related Topics â–º Other TopicsMesothelioma Treatment - Surgery - Thoracoscopy
A thoracoscopy is a medical procedure in which doctors introduce a very long, thin tube into the body between two ribs. This tube has a viewing mirror or a very small camera attached that enables doctors to see the internal organs (to collect cells for diagnostic purposes).
In most cases, thoracoscopy is performed under general anesthesia. But some hospitals and doctors are beginning to use local anesthesia to perform this technique. In most mesothelioma cases, thoracoscopy is used to examine the lungs. This specific type of thoracoscopy is called pleuroscopy, named for the pleura (the mesothelial lining of the lungs).
During this surgical procedure, the lung in question will be deflated to create enough space for the tiny camera to investigate and patients will be hooked to a ventilator to help them breathe more easily. A surgical staff will monitor inhalation and exhalation to ensure there are no major problems.
The doctor begins by making a small incision in the chest between the ribs so that the tube can be inserted. The surgeon may take an x-ray before surgery so the procedure can be completed as quickly and efficiently as possible.
After the doctor makes an incision in the chest, a tube is carefully inserted. The camera or mirrors help the doctor explore the area, and samples of suspicious cells will be removed. This will help pathologists correctly confirm whether the cells are cancerous or not.
After the procedure is complete, stitches or staples are used to close the incisions. A drainage tube is placed in the chest that enables fluids to clear the lungs. This tube also helps release any excess air building in the chest cavity. The lungs are slowly and carefully brought back to full function and the patient is removed from the respirator. A cancer doctor may order more x-rays to review the progress of the procedure.
A few risks are associated with thoracoscopy. First, one of the lungs will need to be slightly or fully deflated to allow the camera to explore the area. Those with poor lung function are at risk, as the intake of oxygen may be compromised. In addition, this can be a dangerous procedure for those with health problems such as blood clots and heart disease.
Sources:
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