Related Experiment Video
Updated: Sep 10, 2025

Local Anesthetic Thoracoscopy for Undiagnosed Pleural Effusion
Published on: November 10, 2023
Medical Thoracoscopy-assisted Thoracographic Fibrin Glue Sealing Method for Intractable Pneumothorax: A Case-based
So Takata1,2,3, Naoto Kitahara4, Susumu Takahashi5
1Department of Pulmonary and Critical Care Medicine, Osaka Habikino Medical Center, Japan.
Abstract:
We herein report a case of refractory pneumothorax in a patient with interstitial lung disease that was successfully treated using medical thoracoscopy-assisted thoracographic fibrin glue sealing (MTS-TGF). This novel hybrid technique enables accurate leak localization and safe delivery of fibrin glue under direct visualization and fluoroscopic guidance. The procedure achieved substantial leak reduction followed by complete resolution without surgical intervention. MTS-TGF may enhance the precision and safety of conventional TGF, particularly in anatomically complex or high-risk patients. This case supports MTS-TGF as a promising minimally invasive option for persistent air leaks when surgery is contraindicated.
Related Concept Videos
Flail Chest-II
Assessment:
1. Clinical Evaluation:
History:
Pneumothorax-II
Clinical Manifestations:
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques

