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Revista chilena de enfermedades respiratorias
versión On-line ISSN 0717-7348
Resumen
CLAVERO R, JOSE M. Video assisted thoracic surgery (VATS) and medical thoracoscopy in pleural diseases. Rev. chil. enferm. respir. [online]. 2008, vol.24, n.1, pp.27-34. ISSN 0717-7348. http://dx.doi.org/10.4067/S0717-73482008000100005.
In the last years important advances have taken place in the surgical field allowing to treat practically all pleural pathologies by video-assisted thoracic surgery (VATS), with prompt recovery and minimal morbidity and mortality. Internists had also perfected the medical thoracoscopy, a technique used for the study of pleural diseases, which also allows performing some therapeutic procedures. The present article briefly comments the history of medical thoracoscopy and VATS and their current applications. A critical analysis of the principal indications of medical thoracoscopy is presented: study of pleural effusions, management of malignant pleural effusion and spontaneous pneumothorax. The results are compared, in view of the existing evidence, with other less complex surgical procedures and VATS.
Palabras clave : pleura; thoracoscopy.