Die Thorakoskopie und ihre praktische Bedeutung<sup>3</sup>)

Jacobaeus, H.

doi:10.1055/s-0028-1140737

Cited by 22 publications

(15 citation statements)

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“…In reality, thoracoscopy under local anaesthesia, nowadays called medical thoracoscopy, has been used in Europe since 1910 to diagnose and treat pleurisies, including pleural empyema [8][9][10][11][12].…”

Section: Current Indicationsmentioning

confidence: 99%

Advanced techniques in medical thoracoscopy

Tassi¹,

Davies²,

Noppen³

2006

European Respiratory Journal

103

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For expert pulmonologists, advanced procedures in medical thoracoscopy are the nonroutine and more complex applications of the method. The main current indications are the treatment of infected pleural space, forceps lung biopsy and sympathectomy.In parapneumonic effusions and empyema, medical thoracoscopy is as a drainage procedure, intermediate between tube thoracostomy and video-assisted thoracoscopic surgery (VATS), which is efficient, significantly lower in cost and avoids surgical thoracoscopy under general anaesthesia. It is essential that it is performed early in the course of the disease and is particularly advisable for frail patients at high surgical risk.The efficacy of forceps lung biopsy has been demonstrated in diffuse lung diseases, whereas results in localised lung diseases and chest-wall lesions have been less positive. However, VATS is currently the preferred approach for these indications. The technique still maintains its efficacy for visceral pleura and peripheral lung biopsy, in particular in the presence of pleural effusion and lung disorders.At the present time, thoracoscopic sympathectomy is minimally invasive and is an accepted intervention for patients with a variety of autonomous nervous system disturbances. Essential hyperhidrosis patients, and well-selected patients with other disorders, can be helped with this procedure, which can also be performed by interventional pulmonologists.

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Section: Current Indicationsmentioning

confidence: 99%

Advanced techniques in medical thoracoscopy

Tassi¹,

Davies²,

Noppen³

2006

European Respiratory Journal

103

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“…In his excellent overview "Thoracoscopy and its practical importance" JACOBAEUS [1] published his accumulated experience of thoracoscopy in all the indications which are still in 1998 the domain of pneumologists [2]. With malignant effusion, he was frequently able to differentiate between primary and secondary tumours of the chest wall, pleura, lung and mediastinum.…”

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confidence: 99%

Thoracoscopy--state of the art

1998

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Number 12 in this SeriesThoracoscopy -state of the art R. Loddenkemper aa Thoracoscopy was introduced by JACOBAEUS [1], an internist in Stockholm in 1910, primarily as a diagnostic procedure in two cases of exudative (tuberculous) pleuritis. In his excellent overview "Thoracoscopy and its practical importance" JACOBAEUS [1] published his accumulated experience of thoracoscopy in all the indications which are still in 1998 the domain of pneumologists [2]. With malignant effusion, he was frequently able to differentiate between primary and secondary tumours of the chest wall, pleura, lung and mediastinum. He divided tuberculous pleurisy into different stages, studied rheumatic and nonspecific parapneumonic effusions and he performed thoracoscopy in more than 100 empyemas, many of which were nontuberculous. He also appreciated that, frequently, one could not visualize the defect in idiopathic, spontaneous pneumothorax. However, during the ensuing 40 yrs, thoracoscopy was applied on a worldwide scale almost exclusively for the lysis of pleural adhesions by means of thoracocautery ("Jacobaeus' Operation") to facilitate pneumothorax treatment of tuberculosis (TB) [3].With the advent of antibiotic therapy for TB, a generation of physicians, already familiar with the therapeutic application of thoracoscopy, began, mainly in Europe, to use this technique on a wider basis for evaluating many pleuropulmonary diseases [4,5]. Detailed descriptions of pleural disease, with emphasis on tuberculous and malignant effusions, appeared in the literature and the diagnostic potential was again verified. Concurrently, many American surgeons preferred thoracotomy and open biopsy for evaluation of these diseases.Due to technical improvements and a trend towards less invasive procedures, thoracoscopy was rediscovered by thoracic surgeons at the beginning of this decade, and termed "surgical" thoracoscopy, which is more precisely known as video-assisted thoracic surgery (VATS) [6][7][8]. Interestingly, this revival has also supported the introduction of "medical" thoracoscopy into the scope of respiratory physicians, in particular in the USA where, according to a national survey in 1994, already more than 5% of all pulmonologists were applying medical thoracoscopy [9]. In Thoracoscopy -state of the art. R. Loddenkemper. ERS Journals Ltd 1998. ABSTRACT: "Medical" thoracoscopy as compared with "surgical" thoracoscopy (which is more precisely known as video-assisted thoracic surgery (VATS)) has the advantage that it can be performed under local anaesthesia or conscious sedation, in an endoscopy suite, using nondisposible rigid instruments. Thus, it is considerably less invasive and less expensive.The main diagnostic and therapeutic indications for medical thoracoscopy are pleural effusions and pneumothorax. Due to its high diagnostic accuracy, approaching almost 100% in malignant and tuberculous pleural effusions, it should be used when pleural fluid analysis and needle biopsy are nondiagnostic. In addition, medical thoracoscopy provides st...

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“…The original "Jacobaeus operation" was performed through this unique skin incision, whose exact length remains unknown. Two incisions were occasionally used to improve visualization (9,10). For many decades this procedure was used by pulmonologists for mainly diagnostic purposes (11).…”

Section: The Startmentioning

confidence: 99%

A glance at the history of uniportal video-assisted thoracic surgery

Mineo¹,

Ambrogi²

2017

J. Vis. Surg.

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In the history of thoracic surgery, the advent of video-assisted thoracic surgery (VATS) had on effect equivalent to that provoked by a true revolution. VATS successfully allowed minor, major and complex procedures for various lung and mediastinal pathologies with small incision instead of the traditional accesses. These small incisions abolished ugly scars, generated less acute and chronic pain, reduced hospital stay and costs, allowed faster return to normal day life activities. Conventional VATS was initially performed

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Die Thorakoskopie und ihre praktische Bedeutung³)

Cited by 22 publications

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Advanced techniques in medical thoracoscopy

Advanced techniques in medical thoracoscopy

Thoracoscopy--state of the art

A glance at the history of uniportal video-assisted thoracic surgery

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Die Thorakoskopie und ihre praktische Bedeutung3)

Cited by 22 publications

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Advanced techniques in medical thoracoscopy

Advanced techniques in medical thoracoscopy

Thoracoscopy--state of the art

A glance at the history of uniportal video-assisted thoracic surgery

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Die Thorakoskopie und ihre praktische Bedeutung³)