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(Chest. 1999;116:1409-1415.)
© 1999 American College of Chest Physicians

Thoracoscopy*

Window to the Pleural Space

Henri G. Colt, MD, FCCP

* From the Division of Pulmonary and Critical Care Medicine, University of California, San Diego, CA.

Correspondence to: Henri G. Colt, MD, FCCP, Associate Professor of Medicine, Chief, Interventional Pulmonology, UCSD Medical Center, La Jolla, CA 92037; e-mail: hcolt{at}ucsd.edu

Abstract

Thoracoscopy has provided chest physicians and surgeons with an opportunity to rethink their approach to patients with pleural and pulmonary disease. In this brief review, several methods pertaining to videothoracoscopic procedures are described, followed by a summary of the major indications for this procedure. The question of whether a thoracoscopic approach to diagnosis or treatment could replace more conventional approaches is addressed for several disease processes. Finally, a few thoughts about future directions of this emerging technology are shared.

Key Words: pleural disease • technology • thoracoscopy • video-assisted thoracic surgery




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Copyright © 1999 by the American College of Chest Physicians.