How to do a thoracoscopy

The operation process of thoracoscopic medical examination is as follows: the patient is placed in the decubitus position on the healthy side, the puncture point is selected, 2% lidocaine is used for local anesthesia, the skin is incised, the trocar is vertically inserted into the pleural cavity along the upper edge of the rib, the needle core is pulled out and inserted into the pleural cavity. Thoracoscopy. The pleural effusion was sucked out by the suction tube, and the pleural cavity was observed comprehensively. If the adhesion of fibers affects the observation, it can be separated.

Carefully observe the shape and distribution of the lesions to determine the location, distribution, size, texture, color, surface condition, presence or absence of vascular dilatation or pulsation, and the presence or absence of fusion of the lesions, the size of the base, the activity, and the relationship with surrounding tissues , and perform pleural biopsy or lung biopsy and certain treatments according to the disease condition under direct vision. After the operation, the thoracoscope and cannula were pulled out, a chest drainage tube was placed, and the skin was sutured.

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