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Surgical Thoracoscopy

After a practical description of the endoscopic anatomy, the first part of the book deals with such topics as preparing and positioning the patient, anaesthesia, operation theatre layout and operating team, inducing pneumothorax, general operative steps, after-care in the hospital, prevention of thrombosis, prophylactic antibiotics, dangers and risks of the method, and the use of documentation. General operative steps such as thoracoscopic exploration and palpation intervention haemostasis andparenchymal leaks are described in a separate section. A special part isdevoted to the diagnostic possibilities and current indications for thoroscopy including: spontaneous pneumothorax, haemothorax, chylothorax; pleural empyema, bronchopleural fistula, extrathoracic and intrapulmonary cysts and tumours, pericardial fenestration, treatment of malignant effusions, and thoracal sympathectomy.
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Table of Contents

A General.- 1 Historical Development.- 2 Endoscopic Anatomy.- 3 Operative Technique.- 3.1 Instrument Set.- 3.2 The Operating Team.- 3.3 Preparing the Patient.- 3.4 Patient Positioning.- 3.5 Anaesthesia.- 3.6 Inducing the Pneumothorax.- 3.7 Drainage.- 3.8 Operating Theatre Layout.- 3.9 Incision Sites.- 3.10 General Operative Steps.- 3.11 After-Care in the Hospital.- 4 Dangers and Risks of the Method.- 5 Prevention of Thrombosis and Prophylactic Antibiotics.- 5.1 Prevention of Thrombosis.- 5.2 Prophylactic Antibiotics.- 6 Prerequisites for Performing Surgical Thoracoscopy.- 7 Documentation - Methods and Uses.- B Specific Techniques.- 8 Thoracoscopy in Diagnosis.- 8.1 General.- 8.2 Operative Procedure.- 8.3 Our Own Experience.- 8.4 Possible Complications.- 8.5 Other Thoracoscopic Methods.- 9 Spontaneous Pneumothorax.- 9.1 General.- 9.2 Operative Procedure.- 9.3 Our Own Experience.- 9.4 Conclusions.- 9.5 Other Thoracoscopic Methods.- 10 Haemothorax.- 10.1 General.- 10.2 Operative Procedure.- 10.3 Our Own Experience.- 10.4 Conclusions.- 10.5 Other Thoracoscopic Methods.- 11 Chylothorax.- 11.1 General.- 11.2 Case Reports.- 11.3 Conclusions.- 12 Pleural Empyema.- 12.1 General.- 12.2 Operative Procedure.- 12.3 Our Own Experience.- 12.4 Conclusions.- 13 Bronchopleural Fistula.- 13.1 General.- 13.2 Operative Procedure.- 13.3 Our Own Experience.- 13.4 Conclusions.- 14 Sympathectomy.- 14.1 General.- 14.2 Operative Procedure.- 14.3 Our Own Experience.- 14.4 Conclusions.- 14.5 Other Methods.- 15 Resection of Cysts and Tumours in the Thoracic Cavity.- 15.1 Extrathoracic Tumours.- 15.2 Intrapulmonary Tumours.- 16 Pericardial Fenestration.- 16.1 General.- 16.2 Operative Procedure.- 16.3 Our Own Experience.- 16.4 Conclusions.- 17 Therapy of Malignant Effusions.- 17.1 General.- 17.2 Operative Procedure.- 17.3 Our Own Experience.- 17.4 Conclusions.- 18 Helpful Hints.- 19 The Current Situation and Prospects for the Future.- References.

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