Professor Shlomo VaintraubOrthopedist, specialist in pediatric orthopedics
Modern Israeli medicine is actively developing and implementing new, minimally invasive methods for diagnosing internal organs into practical activities. In the thoracic surgery department of the Top Ihilov clinic, the best surgeons in Israel perform all types of lung surgeries using unique equipment.
Thoracoscopy is a minimally invasive procedure that allows for biopsy and examination of the surface of the lungs and pleural cavity through several small incisions in the chest, as well as the removal of small lung and mediastinal tumours. Since the surgical trauma is minimal, recovery in the postoperative period is much faster, which is especially important for elderly patients.
Leading thoracic surgeons at Top Ihilov performing diagnostic and therapeutic thoracoscopy
Technique of performing thoracoscopy in Israel
Highly qualified doctors at the Top Ihilov clinic use a minimally invasive method of thoracoscopy to treat various phthisiopulmonological diseases. There are two methods of performing thoracoscopy in world medicine:
- Friedel's method;
- fibrothoracoscopy.
Friedel's method is the most common method performed under local or general anesthesia. The doctor makes an incision and inserts a needle into the pleura. The needle helps to choose the correct direction for the thoracoscope. This device consists of a metal tube and two optical channels, which serve to illuminate the operated surface and transmit a high-precision image to the operating monitor. A trocar with a bronchoscopic tube is also inserted into the incision to remove fluid or pus.
Fibrothoracoscopy is a minimally invasive way of performing thoracoscopy for visual inspection of the pleura. This diagnostic method is performed under local anesthesia. The surgeon incises the skin and soft tissues in the area of thoracoscopy. Then, a purse-string suture is applied around the incision, a puncture is made in the pleura, and a fibrothoracoscope is inserted. This procedure leaves no scars and is minimally traumatic.
Thoracoscopy: indications for the procedure
Thoracoscopy is used for the diagnosis and treatment of the following diseases:
- various pathologies of the lungs, pleura, mediastinum, esophagus;
- obstructions;
- cysts, inflammatory processes, pneumothorax;
- oncological diseases;
- spinal deformities;
- osteochondrosis.
Before undergoing thoracoscopy, the patient must undergo a radiographic examination of the chest and determine the level of fluid in the pleura using bronchoscopy. For severe forms of pleuritis, pleural punctures are recommended one week before thoracoscopy.
Experienced doctors at the Israeli clinic choose the method of performing this procedure depending on the patient's condition, the characteristics of the pleural cavity, and the anticipated complications.
Diseases
- Bronchial fistula
- Spinal deformity
- Esophageal cancer
- Pleural cancer