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Medford ARL et al. - The LAVAT service meets surgical VATS standards for diagnosis and safety with a good pleurodesis efficacy rate. It complements the surgical VATS service, offering a pleural diagnostic service for patients with non-complex pleural exudates or too frail for VATS. The data demonstrate there is a demand and potential for respiratory physicians dealing with pleural malignancy to develop LAVAT and enhance their local lung cancer and pleural diagnostic pathway.


Exclusive Author Commentary
A.R.L. Medford, 05/19/09

The purpose of this paper was firstly to demonstrate that there is a demand and place for a local anaesthetic thoracoscopy service even in a centre with on site thoracic surgery in the UK. Secondly, in the right setting, we have sought to demonstrate that local anaesthetic thoracoscopy performs well.



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