Thoracoscopy today

Last published at 23 Dec 2022


Also known as video-assisted thoracic surgery (VATS), thoracoscopy is a minimally invasive surgical procedure that is used to diagnose and treat conditions in the chest, including the lungs, pleural space, and chest wall. It involves making a small incision in the chest and inserting a thin, flexible tube with a camera and light on the end, called a thoracoscope. The thoracoscope allows the surgeon to view the inside of the chest and perform procedures such as biopsies, drainage, and removal of abnormal tissue.

One of the main advantages of thoracoscopy is that it is less invasive than traditional open surgery, which requires a larger incision and a longer recovery time. Because thoracoscopy is minimally invasive, it is associated with fewer complications, such as infection and scarring, and a shorter hospital stay. It is also typically associated with less pain and a quicker recovery time compared to open surgery.

Thoracoscopy is also highly precise and allows the surgeon to visualize the inside of the chest in real-time, which can be particularly useful in identifying and removing small or hard-to-reach abnormalities. It is also a useful tool for staging cancer, as it allows the surgeon to collect tissue samples for biopsy and assess the extent of the cancer.

In recent years, there have been several developments in the field of thoracoscopy that have made the procedure even more precise and less invasive. One of these developments is the use of robotic technology, which allows the surgeon to control the thoracoscope and perform the procedure remotely using a computer console. This can improve the accuracy and precision of the surgery, as well as reduce the risk of complications.

Another development in thoracoscopy is the use of virtual reality (VR) technology, which allows the surgeon to visualize the inside of the chest in 3D and plan the surgery in advance. This can help to improve the accuracy and efficiency of the procedure and reduce the risk of complications.

Despite these advances, there are also some limitations to thoracoscopy. One of the main limitations is that it may not be suitable for all patients or all types of conditions. For example, it may not be effective in treating large or advanced abnormalities or in patients with underlying health conditions that increase their risk of complications. Additionally, thoracoscopy may not be available at all hospitals or centers, and may require a referral to a specialist.

In conclusion, thoracoscopy is a minimally invasive surgical procedure that is used to diagnose and treat conditions in the chest. It is associated with fewer complications, less pain, and a quicker recovery time compared to traditional open surgery. There have been several recent developments in the field of thoracoscopy, including the use of robotic and VR technology, which have made the procedure even more precise and less invasive. However, it may not be suitable for all patients or conditions and may not be widely available.