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 use. In the thoracic surgery department of the Top Ichilov 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 lung surface and pleural cavity through several small incisions in the chest, as well as the removal of small lung and mediastinal tumors. Since the surgical trauma is minimal, recovery in the postoperative period occurs much faster, which is especially important for elderly patients.
Leading thoracic surgeons at Top Ichilov performing diagnostic and therapeutic thoracoscopy
Technique of thoracoscopy in Israel
Highly qualified doctors at the Top Ichilov clinic use a minimally invasive thoracoscopy method 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 used for illuminating the operating surface and transmitting high-precision images 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 method of performing thoracoscopy for visual examination of the pleura. This diagnostic method is performed under local anesthesia. The surgeon makes an incision in the skin and soft tissues at the site 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.
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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 curvature;
- 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 prior to 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 curvature
- Esophageal cancer
- Pleural cancer