Although thoracic NOTES may not be ready for human trials, a new minimally invasive technique
to access the pleural cavity and perform pleural, pulmonary and mediastinal procedures would
be possible. Cervical Video Assisted Thoracoscopic Surgery (C-VATS) is a technique that
borrows from traditional VATS procedures, from cervical mediastinoscopy, and from flexible
endoscopy. All of these procedures are very familiar to the thoracic surgeon.
The current feasibility and safety study examines C-VATS as a method of evaluating, biopsying
and performing pleurodesis in patients with pleural disease and or effusion.