{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T19:10:15Z","timestamp":1760123415095,"version":"build-2065373602"},"reference-count":14,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2023,2,22]],"date-time":"2023-02-22T00:00:00Z","timestamp":1677024000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicina"],"abstract":"<jats:p>Medical thoracoscopy\/pleuroscopy has become, after bronchoscopy, the second most commonly utilized endoscopic procedure in interventional pulmonology. Due to their common origin, medical thoracoscopy\/pleuroscopy and video-assisted thoracic surgery (VATS) are quite similar procedures technically. In contrast to the prevailing attitude that it should predominantly be performed by interventional pulmonologists, we believe that, like all hybrid-in-nature techniques, it should be implemented as part of a combined specialist care service\/team. Herewith, we describe our attempt to establish a multidisciplinary pleural disease program during a difficult economic period for our country, comprising thoracic surgeons, pulmonologists and anesthesiologists, all of whom brought in their experience, expertise and resources to establish and develop the service resulting in a hybridization of the technique, with, as reported, quite favorable results.<\/jats:p>","DOI":"10.3390\/medicina59030432","type":"journal-article","created":{"date-parts":[[2023,2,23]],"date-time":"2023-02-23T02:57:34Z","timestamp":1677121054000},"page":"432","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Establishing a Multidisciplinary Team-Based Pleural Service in the Era of Financial Austerity: The Role of the Thoracic Surgeon"],"prefix":"10.3390","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8354-4641","authenticated-orcid":false,"given":"Emmanouil I.","family":"Kapetanakis","sequence":"first","affiliation":[{"name":"Department of Thoracic Surgery, \u201cAttikon\u201d University Hospital, National and Kapodistrian University of Athens, 12462 Athens, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2937-639X","authenticated-orcid":false,"given":"Tatiana","family":"Sidiropoulou","sequence":"additional","affiliation":[{"name":"2nd Department of Anesthesiology, \u201cAttikon\u201d University Hospital, National and Kapodistrian University of Athens, 12462 Athens, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ioannis P.","family":"Tomos","sequence":"additional","affiliation":[{"name":"2nd Pulmonary Medicine Department, \u201cAttikon\u201d University Hospital, National and Kapodistrian University of Athens, 12462 Athens, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christos F.","family":"Kampolis","sequence":"additional","affiliation":[{"name":"Department of Clinical Pathophysiology, General Hospital of Athens \u201cLaiko\u201d, National and Kapodistrian University of Athens, 11527 Athens, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Raptakis","sequence":"additional","affiliation":[{"name":"2nd Pulmonary Medicine Department, \u201cAttikon\u201d University Hospital, National and Kapodistrian University of Athens, 12462 Athens, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Periklis I.","family":"Tomos","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, \u201cAttikon\u201d University Hospital, National and Kapodistrian University of Athens, 12462 Athens, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2023,2,22]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Loddenkemper, R., Mathur, P.N., Nopper, M., and Lee, P. (2011). Medical Thoracoscopy\/Pleuroscopy: Manual and Atlas, Thieme.","DOI":"10.1055\/b-002-79383"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"740","DOI":"10.1056\/NEJM200103083441007","article-title":"Interventional Pulmonology","volume":"344","author":"Seijo","year":"2001","journal-title":"N. Engl. J. Med."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"1028","DOI":"10.1111\/j.1440-1843.2010.01832.x","article-title":"Setting up a specialist pleural disease service","volume":"15","author":"Hooper","year":"2010","journal-title":"Respirology"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"523","DOI":"10.1159\/000514317","article-title":"Medical Thoracoscopy Implementation after a European Respiratory Society Course Held from 2003 to 2016: A Survey","volume":"100","author":"Froudarakis","year":"2021","journal-title":"Respiration"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"560","DOI":"10.1159\/000491674","article-title":"Local Anaesthetic (Medical) Thoracoscopy Services in the UK","volume":"96","author":"Bhatnagar","year":"2018","journal-title":"Respiration"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1097\/MCP.0b013e32832b8b2d","article-title":"Medical Thoracoscopy","volume":"15","author":"Casal","year":"2009","journal-title":"Curr. Opin. Pulm. Med."},{"key":"ref_7","first-page":"S449","article-title":"An interview between a pulmonologist and a thoracic surgeon\u2014Pleuroscopy: The re-appearance of an old definition","volume":"5","author":"Tsakiridis","year":"2013","journal-title":"J. Thorac. Dis."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1016\/j.healthpol.2013.05.017","article-title":"Financial crisis and austerity measures in Greece: Their impact on health promotion policies and public health care","volume":"113","author":"Ifanti","year":"2013","journal-title":"Health Policy"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"748","DOI":"10.1016\/S0140-6736(13)62291-6","article-title":"Greece\u2019s health crisis: From austerity to denialiasm","volume":"383","author":"Kentikelenis","year":"2014","journal-title":"Lancet"},{"key":"ref_10","unstructured":"Maresso, A., Mladovsky, P., Thomson, S., Sagan, A., Karanikolos, M., Richardson, E., Cylus, J., Evetovits, T., Jowett, M., and Figueras, J. (2014). Economic Crisis, Health Systems and Health in Europe: Country Experience, WHO\u2014European Observatory on Health Systems and Policies."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"198","DOI":"10.9738\/INTSURG-D-15-00116.1","article-title":"Major lung resections using manual suturing versus staplers during fiscal crisis","volume":"102","author":"Potaris","year":"2017","journal-title":"Int. Surg."},{"key":"ref_12","doi-asserted-by":"crossref","unstructured":"Wan, Y.Y., Zhai, C.C., Lin, X.S., Yao, Z.H., Liu, Q.H., Zhu, L., Li, D.Z., Li, X.L., Wang, N., and Lin, D.J. (2019). Safety and complications of medical thoracoscopy in the management of pleural diseases. BMC Pulm. Med., 19.","DOI":"10.1186\/s12890-019-0888-5"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"144","DOI":"10.1111\/j.1752-699X.2011.00254.x","article-title":"Outcomes and complications following medical thoracoscopy","volume":"6","author":"Brims","year":"2012","journal-title":"Clin. Respir. J."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"ii54","DOI":"10.1136\/thx.2010.137018","article-title":"Local anaesthetic thoracoscopy: British Thoracic Society (BTS) pleural disease guideline 2010","volume":"65","author":"Rahman","year":"2010","journal-title":"Thorax"}],"container-title":["Medicina"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1648-9144\/59\/3\/432\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T18:39:27Z","timestamp":1760121567000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1648-9144\/59\/3\/432"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,2,22]]},"references-count":14,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2023,3]]}},"alternative-id":["medicina59030432"],"URL":"https:\/\/doi.org\/10.3390\/medicina59030432","relation":{},"ISSN":["1648-9144"],"issn-type":[{"type":"electronic","value":"1648-9144"}],"subject":[],"published":{"date-parts":[[2023,2,22]]}}}