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https://www.readbyqxmd.com/read/27882037/uniportal-video-assisted-thoracoscopic-lobectomy-an-alternative-surgical-method-for-pulmonary-carcinoma
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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
#7
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
#8
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/statistically-worse-long-term-survival-after-single-port-lung-cancer-lobectomy-comparative-study-of-different-videothoracoscopic-approaches
#9
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
#10
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
#11
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
https://www.readbyqxmd.com/read/27358509/reduced-port-thoracoscopic-surgery-for-mediastinal-and-pleural-disease-experiences-in-a-single-institution
#12
Masaya Tamura, Yosuke Shimizu, Yasuo Hashizume
The purpose of this study was to present our current experience with reduced port thoracoscopic surgery (RPTS) for the treatment of mediastinal and pleural disease and thereafter discuss its indications and technical challenges. A total of 11 patients underwent surgery by the RPTS approach for the following conditions: thymoma (n = 2), bronchogenic cyst (n = 2), metastatic pleural tumor, thymic cyst, solitary fibrous tumor, pulmonary sequestration, pericardial cyst, neurinoma, and malignant lymphoma (n = 1)...
June 2016: Indian Journal of Surgery
https://www.readbyqxmd.com/read/27335293/-evolution-and-development-trend-of-lung-cancer-surgical-incision
#13
Dong Xie, Chang Chen, Gening Jiang
Minimally invasive, safe and tumor-free are the main principles of the choice of surgical incision in lung cancer surgery. In recent years, with the advances in minimally invasive techniques, single-port video assisted thoracic surgery (VATS), robot-assisted thoracoscopic (RATS), suboxiphoid single-port VATS, simultaneous bilateral VATS pulmonary resection, are emerging approaches, single-port VATS has become one of the most exciting new developments in minimally invasive thoracic surgery in recent years. This paper reviews the evolution and trends of surgical incision in lung cancer surgery...
June 20, 2016: Zhongguo Fei Ai za Zhi, Chinese Journal of Lung Cancer
https://www.readbyqxmd.com/read/27293849/comparison-of-treatment-outcomes-between-single-port-video-assisted-thoracoscopic-anatomic-segmentectomy-and-lobectomy-for-non-small-cell-lung-cancer-of-early-stage-a-retrospective-observational-study
#14
Yuxing Lin, Wei Zheng, Yong Zhu, Zhaohui Guo, Bin Zheng, Chun Chen
BACKGROUND: There are few reports of single-port video-assisted thoracoscopic surgery (S-VATS) anatomic segmentectomy and S-VATS lobectomy for early-stage non-small cell lung cancer (NSCLC) and no comparisons between them have yet been reported. Therefore, the aim of this study was to compare the safety and efficacy of S-VATS anatomic segmentectomy and S-VATS lobectomy for early-stage NSCLC. METHODS: In this retrospective observational study, the outcomes of 79 consecutive patients who had undergone S-VATS anatomic segmentectomy (32 patients) or S-VATS lobectomy (47 patients) for early-stage NSCLC from April 2014 to June 2015 were examined...
June 2016: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/27293824/management-of-post-operative-pain-by-placement-of-an-intraoperative-intercostal-catheter-after-single-port-video-assisted-thoracoscopic-surgery-a-propensity-score-matched-study
#15
Ching-Feng Wu, Ming-Ju Hsieh, Hung-Pin Liu, Diego Gonzalez-Rivas, Yun-Hen Liu, Yi-Cheng Wu, Yin-Kai Chao, Ching-Yang Wu
BACKGROUND: The establishment of a golden standard for post-operative analgesia after thoracic surgery remains an unresolved issue. Benefiting from the rapid development of single port video-assisted thoracoscopic surgery (VATS), a good candidate for the alleviation of patients' pain is the placement of an intercostal catheter (ICC) safely after uniport VATS. We hypothesized that continual infusion through ICC could provide effective analgesia for patients with only one wound and we evaluate its postoperative analgesic function in uniport VATS patients with or without intercostal nerve blockade...
June 2016: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/27251823/modified-uniportal-video-assisted-thoracic-surgery-in-children
#16
Israel Fernandez-Pineda, Aaron D Seims
Video-assisted thoracic surgery (VATS) has been traditionally performed by a multi-port approach, but uniportal VATS is gaining popularity among thoracic surgeons. The use of only one intercostal space may result in less pain, but competition among camera and operating instruments may be a disadvantage. In children, the limited space in the thorax makes the uniportal VATS difficult to accomplish. We present a modification of the uniportal VATS, using a single skin incision but placing the thoracoscope in the superior or inferior intercostal space relative to the working instruments to increase instrument range of motion within a single intercostal space...
October 2016: Journal of Minimal Access Surgery
https://www.readbyqxmd.com/read/27134836/single-port-vats-mediastinal-tumor-resection-taiwan-experience
#17
Ching-Yang Wu, Ming-Ju Heish, Ching-Feng Wu
BACKGROUND: To present the technique of single-port video-assisted thoracoscopic mediastinal tumor resection, which includes limited thymectomy, extended thymectomy, cyst excision and posterior mediastinal tumor excision, and the early results of resection with the use of this technique. METHODS: Forty patients with mediastinal tumors were treated with single-port thoracoscopic mediastinal resection at Chang Gung Memorial Hospital between April 2014 and September 2015...
March 2016: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/27134835/uniportal-video-assisted-thoracoscopic-surgery-safety-efficacy-and-learning-curve-during-the-first-250-cases-in-quebec-canada
#18
Gabrielle Drevet, Paula Ugalde Figueroa
BACKGROUND: Video-assisted thoracoscopic surgery (VATS) using a single incision (uniportal) may result in better pain control, earlier mobilization and shorter hospital stays. Here, we review the safety and efficiency of our initial experience with uniportal VATS and evaluate our learning curve. METHODS: We conducted a retrospective review of uniportal VATS using a prospectively maintained departmental database and analyzed patients who had undergone a lung anatomic resection separately from patients who underwent other resections...
March 2016: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/27134834/transition-from-multiple-port-to-single-port-video-assisted-thoracoscopic-anatomic-pulmonary-resection-early-experience-and-comparison-of-perioperative-outcomes
#19
Daniel G French, Calvin Thompson, Sebastien Gilbert
BACKGROUND: Single port thoracoscopy is an approach aimed at minimizing trauma to the chest wall during lung resection. The objectives of this study were to describe early experience in the transition from multiple port video-assisted thoracic surgery (VATS) to single port surgery (S-VATS) and to compare perioperative outcomes between approaches. METHODS: Consecutive anatomic lung resections using S-VATS were reviewed and compared to a historical, prospective cohort of multiple port VATS cases...
March 2016: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/27134833/uniportal-thoracoscopic-surgery-from-medical-thoracoscopy-to-non-intubated-uniportal-video-assisted-major-pulmonary-resections
#20
REVIEW
Diego Gonzalez-Rivas
The development of thoracoscopy has more than one hundred years of history since Jacobaeus described the first procedure in 1910. He used the thoracoscope to lyse adhesions in tuberculosis patients. This technique was adopted throughout Europe in the early decades of the 20(th) century for minor and diagnostic procedures. It is only in the last two decades that interest in minimally invasive thoracic surgery was reintroduced by two key technological improvements: the development of better thoracoscopic cameras and the availability of endoscopic linear mechanical staplers...
March 2016: Annals of Cardiothoracic Surgery
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