Thoracoscopy with Biopsy cost in India

Know More About Procedure & Surgery

What is Thoracoscopy?

Thoracoscopy with biopsy is a minimally invasive procedure that allows surgeons to examine the pleural lining of the lungs and the surface of the lungs. Internal images and video obtained from this technique help doctors identify signs of pleural mesothelioma such as inflammation, pleural plaques and pleural thickening.

Why it is done?

Surgeons use the video-assisted thoracoscopic surgery technique to perform a variety of procedures, such as:

• Biopsy to diagnose lung cancer, mesothelioma and other chest cancers
• Lung surgery, such as surgery to treat lung cancer and lung volume reduction surgery
• Procedures to remove excess fluid or air from the area around the lungs
• Surgery to relieve excessive sweating (hyperhidrosis)
• Surgery to treat certain types of esophageal disorders
• Surgery to remove part or all of the esophagus (esophagectomy)
• Hiatal hernia repair
• Thymus gland removal surgery (thymectomy)
• Certain procedures involving the heart, ribs, spine and diaphragm

Risk involved in Thoracoscopic procedure

• Air leak
• Partial collapsed lung (atelectasis)
• Abnormal heart rhythms
• Excess bleeding
• Pneumonia
• Collection of thick pus in the chest cavity (empyema)
• Wound infection
• Blood clot. This can lead to pulmonary embolism or stroke.
• Shock
• Complications from anesthesia

Preparation for Thoracoscopic procedure

• You may need to stop taking certain medicine before the surgery, like blood thinners. Talk with your healthcare provider about all the medicines you take, including over-the-counter medicines.
• If you smoke, you need to quit before your surgery.
• Daily exercise is an important part of getting ready.
• You might need to do breathing exercises.
• Avoid eating or drinking anything after midnight before your surgery.

Diagnosis

• Chest X-ray to see the heart and lungs
• Chest CT scan to get more detailed pictures of the lungs
• Positron emission tomography to look for cancer tissue
• Electrocardiogram to check the heart rhythm
• Pulmonary function tests to see how well your lungs are working
• Blood tests to check overall health

Any hair over the surgical area may be removed with clippers before the surgery.

During Procedure

• You will probably get antibiotics that will prevent infection.
• You will be given anesthesia before the surgery starts. It will cause you to sleep deeply and painlessly during the operation. You won’t remember it afterward.
• The operation will take several hours.
• Your surgeon makes several cuts over your chest wall.
• The surgeon puts a small video camera (thoracoscope) through one of these incisions.
• The surgeon puts other small instruments through other small incisions as needed to do the procedure.
• Your surgeon does the procedure. For example, he or she may remove part of a lung.
• If you need to have part of your lung removed because of cancer, your surgeon might take out some lymph nodes as well. These can help show how advanced a cancer might be.
• Once the procedure has been completed, the camera and other instruments will be removed.
• Your surgeon will surgically close the chest incisions. A bandage will be applied.

After procedure

• You might wake up a couple of hours after the surgery, or a little later.
• You will be hooked up to several machines so the medical staff can carefully watch your heart rate and other vital signs.
• You may get oxygen through small tubes placed in your nose. It’s usually temporary.
• You will feel some soreness. But you shouldn’t feel severe pain. If you need it, you can ask for pain medicine.
• You will probably have a chest tube to help collect fluid from your lungs.
• You will use a device that encourages you to breathe deeply to prevent an infection from developing.
• You may wear special stockings to help prevent blood clots.
• You will need to stay in the hospital for a few days.

While leaving  the hospital:

• Make sure you have someone to drive you home. You will also need some help at home for a while.
• You will probably have your stitches or staples removed in a follow-up appointment. Be sure to keep all your follow-up appointments.
• You may tire easily after the surgery. But you will gradually start to recover your strength. It may be several weeks before you fully recover.
• You need to be up and walking several times a day.
• Ask your healthcare provider when it will be safe for you to drive.
• Avoid lifting anything heavy for several weeks.
• Follow all the instructions your healthcare provider gives you for medicine, exercise, diet, and wound care.
• Call your healthcare provider right away if you have any signs of infection, fever, swelling, or pain that is getting worse. A small amount of drainage from your incision is normal.

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