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Ann Thorac Surg 1994;57:770-771
© 1994 The Society of Thoracic Surgeons

Articles

A thoracoscopic peek: What did Jacobaeus see?

Paul A. Thomas, Jr, MD*

Veterans Administration West Side Medical Center and University of Illinois at Chicago College of Medicine, Chicago, Illinois USA

* Address reprint requests to Dr Thomas, Veterans Administration West Side Medical Center, 820 South Damen Ave, Chicago, IL 60612.
Aus dem westlichen Krankenhausc der Allgemeinen Fürsorge-anstalt in Stockholm (Oberarzt: Dr. G. W likens). Ueber die Mëgllchkeit die Zystoskepie bei Unterawchung seröser Höhlungen anzuwenden Vorläufige Mitleillung. Von R. C. Jacobaeus, Privatdozent in Stockholm.

More than 80 years ago, Jacobaeus inserted a cystoscope into the pleural space of patients with pleural diseases to visually examine the pathology. Subsequently, he courageously inserted a galvanocautery instrument into the pleural space through a separate entry site to divide adhesions between the lung and chest wall under direct vision. This was done to establish therapeutic pneumothorax for patients with pulmonary tuberculosis. The discovery of effective antituberculosis chemotherapy eliminated the need for lung collapse therapy, and thoracoscopy was discarded as no longer useful. Today, the enthusiasm for thoracoscopic surgical intervention, both diagnostic and therapeutic, is a result of applied technologic innovations. Rediscovery of thoracoscopy is exciting and expands the vision for both diagnostic and therapeutic applications predicted by Jacobaeus.






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