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https://www.readbyqxmd.com/read/29886669/-learning-curve-of-uniportal-video-assisted-thoracoscopic-surgery-lobectomy-for-the-treatment-of-resectable-lung-cancer
#1
R Xiong, G W Xu, H R Wu, C W Li, G X Wang, M Q Xu, M R Xie
Objective: To analyze the learning curve of uniportal video-assisted thoracoscopic surgery (VATS) lobectomy for the treatment of resectable lung cancer. Methods: The clinical data of 160 patients with resectable lung cancer who underwent uniportal VATS lobectomy by a single surgical team between May 2016 and April 2017 at Department of Thoracic Surgery, the First Affiliated Hospital of the University of Science and Technology of China were analyzed retrospectively. The study group consisted of 90 male and 70 female patients with age of 28 to 84 years (median: 62 years)...
June 1, 2018: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://www.readbyqxmd.com/read/29850122/uniport-versus-multiport-video-assisted-thoracoscopic-surgery-in-the-perioperative-treatment-of-patients-with-t1-3n0m0-non-small-cell-lung-cancer-a-systematic-review-and-meta-analysis
#2
Xinyu Yang, Ming Li, Xiaodong Yang, Mengnan Zhao, Yiwei Huang, Xiyu Dai, Tian Jiang, Mingxiang Feng, Cheng Zhan, Qun Wang
Background: Uniport video-assisted thoracoscopic surgery (VATS) has emerged as a less invasive approach for the treatment of non-small cell lung cancer (NSCLC). However, whether uniport VATS has more potential advantages over multiport VATS remains controversial. This meta-analysis aimed to compare the perioperative efficacy of uniport and multiport VATS for T1-3N0M0 NSCLC. Methods: An electronic and manual search of literature published before 1st October 2017 was conducted using PubMed, Embase, Web of Science, and the Wiley Online library...
April 2018: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/29785295/uniportal-video-assisted-thoracoscopic-segmentectomy
#3
Luis Angel Hernandez-Arenas, Rushmi D Purmessur, Diego Gonzalez-Rivas
Uniportal video-assisted thoracoscopic surgery (VATS) segmentectomy is a technically more complex procedure than uniportal VATS lobectomy, since a detailed comprehension of the segmental anatomy is required. Anatomic sublobar resection can achieve outcomes equivalent to lobectomy in selected patients with stage IA non-small cell lung carcinoma (NSCLC). In this paper we describe our clinical experiences and introduce the technical details of uniportal VATS segmentectomy, including expertise advice ("tips and tricks") in patient selection, positioning and incisions and technical highlights of the most common types of segmentectomies...
April 2018: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/29780724/uniportal-vats-lobectomies-masterclass-in-bratislava
#4
Miroslav Janik, Peter Juhos
On February 5-6, an event on uniportal VATS approach to pulmonary resections took place in Bratislava. It focused on developing uniportal VATS technique. The two-day event gave opportunity to discuss the topic with masters of thoracic surgery such as Prof. Hasan Batirel and Diego Gonzalez, to train basic skills on simulators developed by Dr. Tomaz Stupnik and to watch live surgery performed by Diego Gonzalez. Two patients underwent uniportal VATS lobectomy. This event was another step to advance miniinvasive major pulmonary procedures...
2018: Journal of Visualized Surgery
https://www.readbyqxmd.com/read/29780720/uniportal-video-assisted-thoracic-surgery-treatment-of-intra-operative-complications
#5
Vasilios Tentzeris, Kostas Papagiannopoulos
Background: The uniportal video-assisted thoracic surgery (U-VATS) approach is rapidly gaining attention. Still there is lack of gross engagement to this technique, even within the VATS surgeons. We believe that the uniportal approach needs the same attention as any newly introduced skill; it would be a great mistake to be considered as a simple variation of the standardised multi-portal VATS. Methods: We have evaluated personal and institutional experience, supported by international bibliography...
2018: Journal of Visualized Surgery
https://www.readbyqxmd.com/read/29732196/innovative-surgical-endoscopes-in-video-assisted-thoracic-surgery
#6
REVIEW
Truman Cheng, Calvin S H Ng, Zheng Li
In the past three decades, rod lens endoscopes had facilitated the development and wide spread applications of video-assisted thoracic surgery (VATS). With the rise of uniportal VATS in recent years, innovations in surgical instruments should once again complement the advancement in surgical technique. While articulated flexible endoscopes have expand the field of view, and can alter viewing direction with minimal maneuvers, they still suffer from problems like trocar crowding and interference with other instruments...
April 2018: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/29707377/transaxillary-uniportal-video-assisted-thoracoscopic-surgery-for-right-upper-lobectomy
#7
Yaxing Shen, Yong Zhang, Jianchao Sun, Jianying Gu, Yunfeng Yuan, Qun Wang
Uniportal video-assisted thoracic surgery (VATS) was growing popular since its first introduction. Based on the conventional uniportal VATS, we modified the technique and introduced transaxillary uniportal VATS lobectomy in this case report. In March 2017, transaxillary uniportal VATS was firstly attempted on a patient suffering from right upper lobe lesion at the Department of Thoracic Surgery, Zhongshan Hospital, Fudan University. A 4-cm single incision was made at the fossa axillaris paralleled to the skin folds, to which a soft wound protector was applied to reach the third intercostal space along the anterior axillary line...
March 2018: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/29701373/uniportal-vats-lobectomy-subxiphoid-approach
#8
Catarina Carvalheiro, Javier Gallego-Poveda, Diego Gonzalez-Rivas, Jorge Cruz
INTRODUCTION: Interest in uniportal video-assisted thoracic surgery (VATS) is rapidly growing worldwide because it represents the surgical approach to the lung with the least possible trauma and in recent years the subxiphoid approach has been used in the field of thoracic surgery as it is associated with lesser pain because there is no intercostal nerve damage and it provides excellent cosmetic outcomes. This technique was recently introduced for major pulmonary resections and even bilateral approaches in selected patients...
July 2017: Revista Portuguesa de Cirurgia Cardio-torácica e Vascular
https://www.readbyqxmd.com/read/29701369/uniportal-video-assisted-thorascoscopic-surgery-the-new-paradigm-in-the-surgical-treatment-of-lung-cancer
#9
Pedro Fernandes, Susana Lareiro, Luís Vouga, Miguel Guerra, José Miranda
INTRODUCTION: The progressive development and improvement of minimally invasive approaches in the field of thoracic surgery allowed to establish video-assisted thoracoscopic (VATS) anatomic lung resections as the present technique of choice in the treatment of early stage lung cancer. METHODS: The purpose of this study was to evaluate the surgical outcomes of patients who performed uniportal VATS anatomic lung resections for the treatment of primary lung cancer...
July 2017: Revista Portuguesa de Cirurgia Cardio-torácica e Vascular
https://www.readbyqxmd.com/read/29701368/three-year-experience-on-477-patients-undergoing-uniportal-video-assisted-thoracoscopic-surgery
#10
Susana Lareiro, Pedro Fernandes, Luis Vouga, José Miranda, Miguel Guerra
INTRODUCTION: Uniportal video-assisted thoracic surgery (VATS) technique has been described both for diagnostic and therapeutic indications. Outcomes after uniportal VATS have never been reported in Portuguese large series. We review the safety and efficiency of our initial experience with uniportal VATS. METHODS: In a retrospective study of prospectively collected data, 477 uniportal VATS procedures were analyzed between June 2014 and June 2017. All procedures were performed without rib spreading...
July 2017: Revista Portuguesa de Cirurgia Cardio-torácica e Vascular
https://www.readbyqxmd.com/read/29690894/uniportal-video-assisted-thoracoscopic-surgery-following-neoadjuvant-chemotherapy-for-locally-advanced-lung-cancer
#11
Zhiqiang Yang, Chunbo Zhai
BACKGROUND: Several retrospective studies have confirmed that video-assisted thoracoscopic surgery (VATS) following neoadjuvant chemotherapy is a safe and feasible treatment for advanced non-small cell lung cancer patients. As a minimally invasive technique, VATS usually leads to better clinical outcomes and better compliance with adjuvant treatment than conventional thoracotomy. Uniportal VATS (U-VATS) as an alternative option to conventional multi-port VATS has attracted much attention recently because reduced number and size of incisions may help to decrease inflammatory response and reduce postoperative pain for patients...
April 24, 2018: Journal of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/29682467/extended-uniportal-video-assisted-thoracic-surgery-for-lung-cancer-is-it-feasible
#12
REVIEW
Iñigo Royo-Crespo, Arthur Vieira, Paula A Ugalde
Since the first description of uniportal video-assisted thoracic surgery (U-VATS) (or single-port) lobectomy, several centers in Asia and Europe rapidly adopted this technique as a standard approach for treatment of early stage non-small cell lung cancer (NSCLC). Despite the controversies regarding feasibility and completeness of resection, thoracic surgeons in high volume centers keep pushing the limits to perform very complex procedures also known as "extended resections" through minimally invasive surgery...
2018: Journal of Visualized Surgery
https://www.readbyqxmd.com/read/29682455/uniportal-video-assisted-thoracic-surgery-and-the-uni-surgeon-new-words-for-the-contemporary-world
#13
Marcello Migliore
Uniportal video-assisted thoracic surgery (U-VATS) is gaining popularity, and is currently performed by a team formed by one surgeon, one camera holder and one nurse. As expected, the new word "uni-surgeon" is becoming more and more common. In this article, using the example of thoracic surgery, I try briefly to analyze the pro and cons of the uniportal-single incision VATS and uni-surgeon in the modern world, and how uniportal surgery may bring a novel dimension to the future of surgery.
2018: Journal of Visualized Surgery
https://www.readbyqxmd.com/read/29596584/high-volume-intensive-training-course-a-new-paradigm-for-video-assisted-thoracoscopic-surgery-education
#14
Alan D L Sihoe, Diego Gonzalez-Rivas, Timothy Y Yang, Yuming Zhu, Gening Jiang
OBJECTIVES: The emergence of ultra-high-volume centres promises new opportunities for thoracic surgical training. The goal of this study was to investigate the effectiveness of a novel observership course in teaching video-assisted thoracoscopic surgery (VATS) at an ultra-high-volume centre. METHODS: Two-week courses in VATS at a specialist unit now performing >10 000 major lung resections annually (>50 daily on average) were attended by 230 surgeons from around the world from 2013 to 2016...
March 27, 2018: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/29587910/-is-uniportal-less-invasive-than-multi-portal-regarding-vats-lobectomy
#15
Jianjun Qin
No abstract text is available yet for this article.
April 20, 2018: Zhongguo Fei Ai za Zhi, Chinese Journal of Lung Cancer
https://www.readbyqxmd.com/read/29587901/-thinking-on-the-training-of-uniportal-video-assisted-thoracic-surgery
#16
Yuming Zhu, Gening Jiang
Recently, uniportal video-assisted thoracic surgery (VATS) has developed rapidly and has become the main theme of global surgical development. The specific, standardized and systematic training of this technology has become an important topic. Specific training in the uniportal VATS approach is crucial to ensure safety and radical treatment. Such training approach, including a direct interaction with experienced surgeons in high-volume centers, is crucial and represents an indispensable step. Another form of training that usually occurs after preceptorship is proctorship: an experienced mentor can be invited to a trainee's own center to provide specific on-site tutelage...
April 20, 2018: Zhongguo Fei Ai za Zhi, Chinese Journal of Lung Cancer
https://www.readbyqxmd.com/read/29552524/transcervical-uniportal-pulmonary-lobectomy
#17
Marcin Zieliński, Tomasz Nabialek, Juliusz Pankowski
Background: The aim of the study is a description of surgical technique of uniportal transcervical video-assisted thoracoscopic surgery (VATS) for pulmonary lobectomy. Methods: We used a collar neck incision (transcervical) of an average length 5-8 centimeters. The manubrium of the sternum is elevated with a hook connected to the Zakopane II frame (Aesculap-Chifa, B. Braun, Nowy Tomyśl, Poland). The first step is a transcervical extended mediastinal lymphadenectomy (TEMLA), for improved staging and possible improved survival...
2018: Journal of Visualized Surgery
https://www.readbyqxmd.com/read/29552516/first-international-symposium-uniportal-vats-international-course-uniportal-vats-buenos-aires-argentina
#18
Gustavo J Bondulich
This is a report of the first three days Uniportal VATS International Meeting. The conference included oral presentations at the Universidad Catolica Argentina (UCA), on the first day. Live Surgery from Shanghai Pulmonary Hospital, Tongji University, China, and Clinica San Camilo. Bs As, Argentina on the second day and a Wet lab in Fundación Triada Mininvasiva, Fatima Pilar on the final day.
2018: Journal of Visualized Surgery
https://www.readbyqxmd.com/read/29552511/a-word-of-caution-when-uniportal-vats-should-not-be-done
#19
REVIEW
Florian Augustin, Thomas Schmid
Uniportal VATS (U-VATS) is gaining more and more popularity. Herein, we discuss the current status of adoption of the technique and-from a "laggard's" point of view-some situations when the use of U-VATS should be reconsidered. As we all do lack scientific evidence for the superiority of one minimally invasive approach over the other, these situations reflect a gut feeling rather than solid arguments. The article should raise awareness of currently discussed issues with minimally invasive approaches...
2018: Journal of Visualized Surgery
https://www.readbyqxmd.com/read/29468327/-video-assisted-thoracic-surgery-a-global-development
#20
REVIEW
G Leschber
More than 200 years ago the first attempts at thoracoscopy were made but only after its introduction 25 years ago has video-assisted thoracoscopic surgery (VATS) experienced rapid progress. Due to worldwide cooperation and international networking tremendous progress of the technique was made by thoracic surgeons on all continents developing the technique into a less invasive operating procedure on the thorax. For patients this meant improvement in the quality of life and ultimately better survival rates following lung cancer surgery...
March 2018: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
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