By : Tejasvi Charan
Faster recovery and return to normal activities

Shorter hospital stay

Less pain

Little scarring

Minimal blood loss

No cutting of the ribs or breastbone (sternum)
Endobronchial ultrasound  ( EBUS) – EBUS is a minimally invasive method of diagnosing lung
  cancer, infections and other inflammatory diseases. EBUS enables doctors to obtain tissue or
  fluid samples from the lungs and surrounding lymph nodes. EBUS also provides real-time
  imaging of airways, blood vessels, lungs and lymph nodes.


Rapid access

Outpatient procedure

Performed under conscious sedation

Quick results

In many patients, EBUS can eliminate the need for surgical mediastinoscopy
Invasive diagnostic methods of chest, the trachea
   Rigid bronchoscopy – A bronchoscope (a long, thin
    tube) is inserted into an airway, usually through the
    nose or mouth. This test helps doctors look for
    abnormalities, such as foreign bodies, bleeding,
    tumors or inflammation, that could be blocking the
    airway. 

    Electromagnetic navigational bronchoscopy (ENB) –
    ENB is used to test or biopsy lesions or specimens
    that are too small or too difficult to reach using other,
    more common procedures
Invasive diagnostic methods of chest, the trachea
Invasive diagnostic methods of chest, the trachea
Invasive diagnostic methods of chest, the trachea
Invasive diagnostic methods of chest, the trachea
   Thoracentesis and pleural biopsy – This procedure
    removes fluid or air from the pleural space or body
    cavity surrounding the lungs. It is used to diagnose or
    treat diseases within the pleural cavity. 
    Chest tube with pleurodesis – A chest tube is inserted
    into the pleural cavity in order to perform pleurodesis.
    Pleurodesis is done to remove fluid surrounding the
    lungs and to prevent fluid from accumulating. 
Invasive diagnostic methods of chest, the trachea
Invasive diagnostic methods of chest, the trachea
A pleural aspiration is a procedure to remove some of
   this fluid, this is to help improve your breathing and up
   to one litre may be drained this
   way.
If the cause of the fluid is unknown a sample of this fluid
   will be sent to the laboratory to help to determine its
   cause.
Sometimes, a small piece of tissue from the pleura may
   also be removed (pleural biopsy).
This tissue is sent to the laboratory to help to determine
   the cause for the collection of fluid.
is a technique that involves insertion of a long, thin tube (called a
thoracoscope) with a camera attached to it through a small incision,
or port.
The thoracoscope allows the surgeon to examine inside the
chest cavity and to remove tissue using thin instruments inserted
through one or two additional ports.
 For more extensive operations such as lung resection for
cancer, an additional incision measuring about 5 centimeters is
made for the removal of the lung tissue.
We also perform removal of esophageal cancers using minimally
invasive techniques.
Invasive diagnostic methods of chest, the trachea
   Video-assisted thoracoscopic surgery - VATS
    (enables visualization of the chest cavity)  :

    Diagnostic assessment / Removal of indeterminate
    pulmonary masses

    Biopsy (removal of tissue for microscopic examination) to
    diagnose interstitial lung diseases, pathological
    processes in the pleura (costal pleura), and enlarged
    intrathoracic lymph nodes.

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Invasive diagnostic methods of chest, the trachea

  • 1. By : Tejasvi Charan
  • 2. Faster recovery and return to normal activities Shorter hospital stay Less pain Little scarring Minimal blood loss No cutting of the ribs or breastbone (sternum)
  • 3. Endobronchial ultrasound  ( EBUS) – EBUS is a minimally invasive method of diagnosing lung cancer, infections and other inflammatory diseases. EBUS enables doctors to obtain tissue or fluid samples from the lungs and surrounding lymph nodes. EBUS also provides real-time imaging of airways, blood vessels, lungs and lymph nodes. Rapid access Outpatient procedure Performed under conscious sedation Quick results In many patients, EBUS can eliminate the need for surgical mediastinoscopy
  • 5. Rigid bronchoscopy – A bronchoscope (a long, thin tube) is inserted into an airway, usually through the nose or mouth. This test helps doctors look for abnormalities, such as foreign bodies, bleeding, tumors or inflammation, that could be blocking the airway.  Electromagnetic navigational bronchoscopy (ENB) – ENB is used to test or biopsy lesions or specimens that are too small or too difficult to reach using other, more common procedures
  • 10. Thoracentesis and pleural biopsy – This procedure removes fluid or air from the pleural space or body cavity surrounding the lungs. It is used to diagnose or treat diseases within the pleural cavity.  Chest tube with pleurodesis – A chest tube is inserted into the pleural cavity in order to perform pleurodesis. Pleurodesis is done to remove fluid surrounding the lungs and to prevent fluid from accumulating. 
  • 13. A pleural aspiration is a procedure to remove some of this fluid, this is to help improve your breathing and up to one litre may be drained this way. If the cause of the fluid is unknown a sample of this fluid will be sent to the laboratory to help to determine its cause. Sometimes, a small piece of tissue from the pleura may also be removed (pleural biopsy). This tissue is sent to the laboratory to help to determine the cause for the collection of fluid.
  • 14. is a technique that involves insertion of a long, thin tube (called a thoracoscope) with a camera attached to it through a small incision, or port. The thoracoscope allows the surgeon to examine inside the chest cavity and to remove tissue using thin instruments inserted through one or two additional ports.  For more extensive operations such as lung resection for cancer, an additional incision measuring about 5 centimeters is made for the removal of the lung tissue. We also perform removal of esophageal cancers using minimally invasive techniques.
  • 16. Video-assisted thoracoscopic surgery - VATS (enables visualization of the chest cavity)  : Diagnostic assessment / Removal of indeterminate pulmonary masses Biopsy (removal of tissue for microscopic examination) to diagnose interstitial lung diseases, pathological processes in the pleura (costal pleura), and enlarged intrathoracic lymph nodes.