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Thoracoscopy is a medical procedure to study and treat the chest cavity diseases using a type of endoscope instrument known as thoracoscope. This instrument is inserted by making small chest incision which provides direct visuals to the doctor to examine the lungs, mediastinum, and pleura. A chest surgeon or a pulmonary specialist with his team performs this procedure under general anesthesia or under sedation to: Identify and examine any sign of abnormality in lungs, pleura or mediastinum. Acquire tissue samples from the linings of lungs, pleural spaces, chest wall, mediastinum, and pericardium. Remove small lung tumors or tissue and drain excess fluid or pus in the pleural cavity or pleural cysts. Get the samples of tissues for examination and thereby diagnosing the inflammation, infection or cancer. Place medicine and other treatments directly into the lungs (pleurodesis).