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Surgical thoracoscopy, also known as video-assisted thoracoscopic surgery (VATS), is a minimally invasive procedure used to access the thoracic cavity for diagnostic and therapeutic purposes. Excision of pericardial and mediastinal tissues may be performed to address conditions such as tumors, infections, or inflammatory diseases. This approach offers benefits such as reduced postoperative pain, shorter recovery times, and minimal scarring compared to traditional open surgery. The procedure is typically guided by video imaging, allowing for precise manipulation and removal of targeted tissues.

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