The best replacement for thoracoscopy is thoracotomy.

The best alternatives to thoracoscopy are rated as following:
★★★★★  thoracotomy
★★★★  bronchoscopy
★★  mediastinoscopy
★★  vats

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No companions for thoracoscopy have been suggested so far.
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Google Trends

Scale is based on the average worldwide traffic of thoracoscopy in all years. Click on graph for more.
thoracoscopy
thoracotomy
bronchoscopy