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https://www.readbyqxmd.com/read/28442014/-surgical-quality-surveillance-and-sustaining-improvement-of-lung-cancer-surgery-based-on-standard-operation-procedure-sop-experience-of-single-surgical-team
#1
Xing Wang, Shi Yan, Yaqi Wang, Nan Wu
BACKGROUND: Standard operation procedure (SOP) could standardize treatment procedure and reduce medical expenses, but SOP drawn by the government may not suit all medical institutions, so individual adjustment made by surgical team is necessary. METHODS: We recorded the information of patients undergoing lung resection, including postoperative hospital stay, medical expenses and ratio of video-assisted thoracoscopic surgery (VATS) rate to evaluate surgical quality sustaining improvement in terms of structure indicator, process indicator and outcome indicator, aiming at exploring the ideal postoperative hospital stay and the best indicators to evaluate surgical quality improvement...
April 20, 2017: Zhongguo Fei Ai za Zhi, Chinese Journal of Lung Cancer
https://www.readbyqxmd.com/read/28414698/the-feasibility-of-thoracoscopic-resection-in-bronchiectasis
#2
Volkan Baysungur, Talha Dogruyol, Ilhan Ocakcioglu, Aysun Misirlioglu, Serdar Evman, Serda Kanbur, Levent Alpay, Cagatay Tezel
INTRODUCTION: Minimally invasive surgery is the treatment of choice in early-stage lung cancer. However, experience in infectious lung disease, primarily bronchiectasis, is limited probably because of the presence of dense pleural adhesions, multiple lymph nodes, and spiral bronchial arteries. The present study shows our experience of video-assisted thoracoscopic surgery (VATS) lobectomy and segmentectomy in the treatment of bronchiectasis. MATERIALS AND METHODS: Patients who underwent VATS lobectomy or segmentectomy in our clinic between April 2008 and 2015 were retrospectively evaluated...
April 14, 2017: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://www.readbyqxmd.com/read/28410634/three-hundred-fifty-one-patients-with-pneumothorax-undergoing-uniportal-single-port-video-assisted-thoracic-surgery
#3
Hicham Masmoudi, Harry Etienne, Raphaëlle Sylvestre, Diane Evrard, Raphaël Ouede, Marielle Le Roux, Mihaela Giol, Jalal Assouad
BACKGROUND: Video-assisted thoracic surgery (VATS) is usually performed using three ports. Uniportal VATS has not yet been widely developed. We report our single institution experience in uniportal VATS for the surgical management of 351 patients with pneumothorax. METHODS: Between November 2009 and February 2016, we conducted a study in 351 patients treated for pneumothorax using uniportal VATS. Resection of apical bullae associated with partial pleurectomy, pleural abrasion, or talc effusion was performed...
April 12, 2017: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/28395387/novel-techniques-and-approaches-to-minimally-invasive-thoracic-surgery
#4
Osita Onugha, Rasheed Ivey, Robert McKenna
Approximately two decades ago, thoracic surgery witnessed the leap from thoracotomy to the first video-assisted thoracic surgery (VATS) lobectomy. Minimally invasive lobectomy and hilar lymphadenectomy is now widely established as a safe and oncological sound technique that is the standard of care for early-stage lung cancer. The move toward less invasive surgery has no doubt driven the innovation of sophisticated instruments and technology to cope with the demanding need of working through a restricted incision...
April 11, 2017: Surgical Technology International
https://www.readbyqxmd.com/read/28338551/standardizing-robotic-lobectomy-feasibility-and-safety-in-128-consecutive-lobectomies-within-a-single-healthcare-system
#5
John F Lazar, Laurence N Spier, Alan R Hartman, Richard S Lazzaro
OBJECTIVE: Single-surgeon cohorts assessing robotically assisted video-assisted thoracic (RA-VATS) lobectomy have reported good outcomes, but there are little data regarding multiple surgeons applying a standard technique in separate hospitals. The purpose of this study was to show how a standardized robotic technique is both safe and reproducible between surgeons and institutions. METHODS: From July 1, 2012, to October 1, 2013, patients undergoing RA-VATS lobectomy for both benign and malignant disease were identified from a prospectively collected database of two thoracic surgeons from different hospitals within the same healthcare system and retrospectively analyzed...
March 23, 2017: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://www.readbyqxmd.com/read/28213720/feasibility-of-single-incision-thoracoscopic-surgery-using-a-modified-chest-wall-pulley-for-primary-spontaneous-pneumothorax-a-propensity-score-matching-analysis
#6
Kenji Tsuboshima, Machiko Nagata, Teppei Wakahara, Yasumi Matoba, Yoshimasa Maniwa
PURPOSE: Recently, single-incision thoracoscopic surgery (SITS) has been recognized as a favorable treatment choice for primary spontaneous pneumothorax (PSP) compared with conventional three-port video-assisted thoracoscopic surgery (VATS). However, conventional SITS bullectomy often results in collisions with surgical devices. Therefore, we devised a method of SITS using a chest wall pulley for lung excision (PulLE) and modified PulLE (mPulLE) system, which substitutes threads to eliminate such collisions...
February 17, 2017: Surgery Today
https://www.readbyqxmd.com/read/28203430/single-port-video-assisted-thoracoscopic-surgery-for-a-huge-epiphrenic-esophageal-diverticulum
#7
Do Kyun Kang
Epiphrenic esophageal diverticulum is uncommon disease, which is defined as the herniation of the mucosa and submucosa through the muscle layers of the esophageal wall in distal third of the esophagus. Traditionally, thoracotomy has been the preferred surgical approach. Recently, many surgeons have attempted minimally invasive surgeries for epiphrenic esophageal diverticula. They reported that minimally invasive surgery (MIS) for epiphrenic esophageal diverticula was a safe and feasible approach which had many advantages...
January 2017: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/28149550/management-of-acute-postoperative-pain-with-continuous-intercostal-nerve-block-after-single-port-video-assisted-thoracoscopic-anatomic-resection
#8
Ming-Ju Hsieh, Kuo-Cheng Wang, Hung-Pin Liu, Diego Gonzalez-Rivas, Ching-Yang Wu, Yun-Hen Liu, Yi-Cheng Wu, Yin-Kai Chao, Ching-Feng Wu
BACKGROUND: Effective postoperative pain control for thoracic surgery is very important, not only because it reduces pulmonary complications but also because it accelerates the pace of recovery. Moreover, it increases patients' satisfaction with the surgery. In this study, we present a simple approach involving the safe placement of intercostal catheter (ICC) after single port video-assisted thoracoscopic surgery (VATS) anatomic resection and we evaluate postoperative analgesic function with and without it...
December 2016: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/28058494/-oncologic-esophageal-resection-and-reconstruction-open-hybrid-minimally-invasive-or-robotic
#9
I Gockel, D Lorenz
Minimally invasive resections are increasingly employed in oncologic surgery for esophageal carcinoma. The new German S3 guideline states that esophagectomy, as well as reconstruction of the esophagus, can be performed minimally invasively or in combination with open techniques (hybrid). However, the current value of different techniques - ranging from complete minimally invasive esophagectomy over hybrid to robotic surgery - remains unregarded.This review provides a critical comparison of these techniques based on current evidence...
January 5, 2017: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
https://www.readbyqxmd.com/read/27882037/uniportal-video-assisted-thoracoscopic-lobectomy-an-alternative-surgical-method-for-pulmonary-carcinoma
#10
Fengwu Lin, Chuan Zhang, Qiang Zhang, Kunpeng Cheng, Yan Zhao
OBJECTIVES: To explore the effects and feasibility of single-port video-assisted thoracic surgery (VATS) on lobectomy for pulmonary carcinoma. METHODS: A total of 67 patients were enrolled in this study, in which 21 patients were treated by single-port VATS (Sing-port Group) and 46 patients by double-port VATS (Double-port Group). Blood loss, duration of thoracic drainage, length of post-operative hospital stay and post-operative pain ratings were compared between the two groups...
September 2016: Pakistan Journal of Medical Sciences Quarterly
https://www.readbyqxmd.com/read/27867575/stepwise-approaches-to-optimize-strategy-for-holding-thoracoscope-during-single-port-video-assisted-thoracoscopic-surgery
#11
Chengwu Liu, Senyi Deng, Hu Liao, Lin Ma, Qiang Pu, Jiandong Mei, Lunxu Liu
Coordination between the thoracoscope assistant and the surgeon was difficult during single port video-assisted thoracoscopic surgery (SP-VATS). What's more, holding the thoracoscope was an exhausting work for the assistant and optimized strategies were intensely needed. This paper aims to share our experience in making the thoracoscope assistant feel comfortable by illustrating the stepwise approaches in optimizing the strategies for holding the thoracoscope during our practice of SP-VATS. The evolution of techniques were divided into four stages: stage I, traditional 10-mm 30° thoracoscope placed at the posterior part of the incision; stage II, 5-mm thoracoscope towed and fixed via a silk suture; stage III, 5-mm thoracoscope placed outside of a plastic wound protector; stage IV, 5-mm thoracoscope introduced into the thoracic cavity through a 5-mm laparoscopic trocar outside of a plastic wound protector and the assistant stood at a foot-stool...
October 2016: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/27867569/does-11-5-mm-guided-single-port-surgery-has-clinical-advantage-than-multi-port-thoracoscopic-surgery-in-spontaneous-pneumothorax
#12
Hyun Woo Jeon, Young-Du Kim
BACKGROUND: Video-assisted thoracoscopic surgery (VATS) has been widely used for spontaneous pneumothorax (SP). In recent years, thoracic surgeons have attempted single incision or single port surgery with the development of surgical technology and skills. Theoretically, single port surgery is expected to provide benefits such as less pain and early recovery. The purpose of this study was to determine the benefits of single port surgery in SP. METHODS: The 107 patients with SP who underwent surgery, between July 2013 and May 2015, were reviewed retrospectively...
October 2016: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/27867563/single-port-video-assisted-thoracic-surgery-in-the-treatment-of-non-small-cell-lung-cancer-a-propensity-matched-comparative-analysis
#13
Fuqiang Dai, Shenglan Meng, Longyong Mei, Chen Guan, Zheng Ma
BACKGROUND: Video-assisted thoracic surgery (VATS)-assisted lobectomy is widely used to treat non-small cell lung carcinoma (NSCLC). There are no reports concerning the comparison between single-port VATS and two-port VATS in treating NSCLC. This study aimed to compare the perioperative and short-term follow-up results between these two methods for treating NSCLC. METHODS: A retrospective surgical evaluation of patients undergoing either single-port VATS or two-port VATS for NSCLC between January 2013 and June 2015 was conducted...
October 2016: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/27651937/recent-clinical-innovations-in-thoracic-surgery-in-hong-kong
#14
REVIEW
Ze-Rui Zhao, Zheng Li, Dong-Rong Situ, Calvin S H Ng
The concept of personalized medicine, which aims to provide patients with targeted therapies while greatly reducing surgical trauma, is gaining popularity among Asian clinicians. Single port video-assisted thoracic surgery (VATS) has rapidly gained popularity in Hong Kong for major lung resections, despite bringing new challenges such as interference between surgical instruments and insertion of the optical source through a single incision. Novel types of endocutters and thoracoscopes can help reduce the difficulties commonly encountered during single-port VATS...
August 2016: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/27621885/a-reverse-direction-technique-of-single-port-left-upper-pulmonary-resection
#15
Min Zhang, Alan D L Sihoe, Ming Du
BACKGROUND: Single-port video-assisted thoracoscopic surgery (VATS) left upper lobectomy is difficult amongst all the lobes. At the beginning of single-port lobectomies, the upper lobes were believed not to be amenable for single-port approach due to the difficult angulation for staplers. Gonzalez reported the first single-port VATS left upper lobectomy in 2011. METHODS: We report a new technique of single-port VATS left upper lobectomy with the concept of "reverse direction"...
August 2016: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/27621881/modified-bronchial-anastomosis-in-video-assisted-thoracoscopic-sleeve-lobectomy-a-report-of-32-cases
#16
Hao Chen, Lin Huang, Guobing Xu, Bin Zheng, Wei Zheng, Yong Zhu, Zhaohui Guo, Chun Chen
BACKGROUND: Bronchial anastomosis is a key technical challenge in sleeve lobectomy, especially when using the video-assisted thoracoscopic surgery (VATS) approach. A retrospective study was conducted to evaluate the feasibility and safety of a modified bronchial anastomosis technique developed by the authors at Fujian Union Hospital. METHODS: From October 2010 to October 2015, we performed 32 cases of VATS sleeve lobectomy through a three-port or single-port approach...
August 2016: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/27621876/initial-experience-of-single-port-video-assisted-thoracoscopic-surgery-sleeve-lobectomy-and-systematic-mediastinal-lymphadenectomy-for-non-small-cell-lung-cancer
#17
Hao Chen, Guobing Xu, Bin Zheng, Wei Zheng, Yong Zhu, Zhaohui Guo, Chun Chen
BACKGROUND: In this study, we evaluate the feasibility and safety of single-port video-assisted thoracoscopic surgery (VATS) sleeve lobectomy (SL) and systematic mediastinal lymphadenectomy and summarize our surgical experience. METHODS: From October 2014 to December 2015, eight cases of single-port VATS SL [seven male patients and one female patient, median age 56.0 (range, 38-63) years] were performed by a single group of surgeons in Fujian Medical University Fujian Union Hospital...
August 2016: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/27614811/comparative-study-of-survival-following-videothoracoscopic-lobectomy-procedures-for-lung-cancer-single-versus-multiple-port-approaches
#18
José M Borro, Francisco Regueiro, Sonia Pértega, Manuel Constenla, Salvador Pita
INTRODUCTION: Video-assisted thoracoscopic surgery has become the technique of choice in the early stages of lung cancer in many centers although there is no evidence that all of the surgical approaches achieve the same long-term survival. METHOD: We carried out a retrospective review of 276 VATS lobectomies performed in our department, analyzing age, sex, comorbidities, current smoker, FEV1 and FCV, surgical approach, TNM and pathological stage, histologic type, neoadjuvant or coadjuvant chemotherapy, relapse and metastasis time, with the main aim of evaluating the survival rate and disease-free time, especially with regard to the two/three versus single port approach...
September 7, 2016: Archivos de Bronconeumología
https://www.readbyqxmd.com/read/27499933/a-propensity-matched-comparison-of-effects-between-video-assisted-thoracoscopic-single-port-two-port-and-three-port-pulmonary-resection-on-lung-cancer
#19
Ju-Wei Mu, Shu-Geng Gao, Qi Xue, You-Sheng Mao, Da-Li Wang, Jun Zhao, Yu-Shun Gao, Jin-Feng Huang, Jie He
BACKGROUND: To summarize our experiences of single-port, two-port vs. three-port VATS pulmonary resection for lung cancer patients. METHODS: Data of consecutive 1,553 patients who underwent video assisted thoracoscopic surgery (VATS) pulmonary resection for lung cancer in the Department of Thoracic Surgery of Cancer Hospital of Chinese Academy of Medical Sciences and Peking Union Medical College between November 2014 and January 2016 were prospectively collected and analyzed...
July 2016: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/27444651/single-incision-versus-conventional-three-port-video-assisted-surgery-in-the-treatment-of-pneumothorax-a-systematic-review-and-meta-analysis
#20
Yanlong Yang, Junjie Dong, Yunchao Huang
OBJECTIVES: Single-incision thoracoscopic surgery (SITS) has been applied in the treatment of pneumothorax. To establish the feasibility of SITS in comparison with conventional three-port video-assisted thoracoscopic surgery (3P-VATS), we conducted this meta-analysis. METHODS: Relevant studies were searched in PubMed, Cochrane Library, SpringerLink and ScienceDirect. Studies that compared the outcomes between SITS and 3P-VATS were included for analysis. RESULTS: Nine eligible studies with 768 participants were included...
November 2016: Interactive Cardiovascular and Thoracic Surgery
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