SEMI-RIGID Thoracoscopy: A Practical Demonstration with New Technologies

Clinical History:

•  Progressively worsening breathlessness and steadily accumulating pleural effusion. Pleural effusion sample confirmed an exudate and negative cytology

Technique description:

• Under Local Anaesthesia and sedation, in the Bronchoscopy unit, under perfect sterility, and a 12mm incisión, the new Thoracosope was introduced to drain the pleural effusion, take biopsies and place a chest drain

Procedure steps:

1. Ultrasound of the chest and mark the point of entry
2.  Sedation with midazolam and fentanyl
3. Drape and clean the site
4. Inject Local Anaesthesia
5. Incision and blunt dissection
6. Introduce trocar and cannula
7. Pass thoracoscope and drain effusion
8. Examine pleural surfaces in detail with WL and NBI
9.  Obtain biopsies
10. Talc poudrage if appropriate
11. Place chest drain +/- IPC
12. Suture and close

Trainings Objectives:

• Learn the principles and practice of Thoracoscopy
• Observe a step by step guide to safe performance of Semirigid Thoracoscopy
• Appreciate the unique qualities and advantages of the new LTF-H290 Thoracoscope
• Opportunity to interact and have your questions answered