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Minimally Invasive Techniques |

Direct Visual Guidance for Chest Tube Placement Through a Single-Port Thoracoscopy*: A Novel Technique

Michael A. Zgoda, MD; William Lunn, MD, FCCP; Simon Ashiku, MD; Armin Ernst, MD, FCCP; David Feller-Kopman, MD
Author and Funding Information

*From Interventional Pulmonology and Division of Cardiothoracic Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA.

Correspondence to: Michael Zgoda, MD, Division of Pulmonary/Critical Care and Sleep Medicine, Kentucky Clinic Room K528, 740 S Limestone, Lexington, KY 40536; e-mail: michael.zgoda@uky.edu



Chest. 2005;127(5):1805-1807. doi:10.1378/chest.127.5.1805
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Extract

Pleural disease is frequently encountered in pulmonary practice.1 Radiographic detection of pleural diseases has become more efficient as imaging modalities have become more sensitive; however, a specific diagnosis of those radiographic findings presents a challenge. Thoracoscopy is diagnostically useful and relatively simple and improves on the approximately 25% of pleural abnormalities that remain undiagnosed after thoracentesis and/or closed pleural biopsy.24 Medical thoracoscopy can be done in the typical endoscopy suite, with conscious sedation and adequate local anesthesia further minimizing the risks associated with video-assisted surgical thoracoscopy.

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