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https://www.readbyqxmd.com/read/29135327/coil-localization-guided-video-assisted-thoracoscopic-surgery-for-lung-nodules
#1
Yu-Fei Fu, Miao Zhang, Wen-Bin Wu, Tao Wang
PURPOSE: To determine the clinical efficacy of preoperative coil localization-guided video-assisted thoracoscopic surgery (VATS) for lung nodules. MATERIALS AND METHODS: Between November 2015 and July 2017, 56 patients with lung nodules underwent coil localization-guided VATS procedure. The coil implantation was performed under the guidance of computed tomography (CT). The end tail of the coil remained above the visceral pleura. The target lung nodules were removed by VATS wedge resection...
November 14, 2017: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/29078698/needlescopic-assisted-uniportal-video-assisted-thoracoscopic-pulmonary-anatomical-segmentectomy
#2
Shun-Mao Yang, Wen-Ting Wu, Yu-Hsuan Liu, Huan-Jang Ko
BACKGROUND: Pulmonary segmentectomy can be an oncologic equivalent of lobectomy for small non-small cell lung cancer. Uniportal video-assisted thoracoscopic surgery (VATS) has recently showed favorable surgical outcomes, but remains technical demanding, especially in a complex procedure like anatomic segmentectomy. This manuscript demonstrates the surgical techniques for uniportal VATS segmentectomies with the assistance of additional needlescopic instruments. METHODS: Data of 22 consecutive patients who underwent 24 needlescopic-assisted uniportal VATS segmentectomies between December 2016 and June 2017 was analyzed...
2017: J Vis Surg
https://www.readbyqxmd.com/read/29078696/vats-segmentectomy-an-underused-option
#3
REVIEW
Paolo Mendogni, Davide Tosi, Lorenzo Rosso, Alessandro Palleschi, Margherita Cattaneo, Alessandra Mazzucco, Mario Nosotti
It is well known that the "gold standard" procedure for surgically resectable early-stage non-small cell lung cancer (NSCLC), is pulmonary lobectomy. Even though sublobar resections (SLR), particularly segmentectomy, seem attractive as an alternative to lobectomy in early stage lung cancers, they are still debated procedures. The aim of this study is to answer to the question: "Is VATS lung segmentectomy an underused option?" To obtain an answer to this query, the authors carried out a review of the "state of the art" as follows: (I) performing a non-systematic review of the literature; (II) analyzing the review articles published; (III) looking at the ongoing studies, the results of which have not yet published; (IV) scanning the technical aspect of lung segmentectomy...
2017: J Vis Surg
https://www.readbyqxmd.com/read/29078683/anatomic-thoracoscopic-segmentectomy-for-early-stage-lung-cancer
#4
REVIEW
Chi-Fu Jeffrey Yang, Zachary W Fitch, S Scott Balderson, John Z Deng, Thomas A D'Amico
Over the past 20 years, there have been significant advancements in thoracoscopic surgical techniques as well as in lung cancer screening protocols, which have identified greater numbers of smaller lung tumors (<2 cm) that are more frequently operable and curable. These advancements have led to new interest in the thoracoscopic (VATS) approach to segmentectomy. This article will discuss the outcomes and technical considerations associated with VATS segmentectomy.
2017: J Vis Surg
https://www.readbyqxmd.com/read/29078674/single-incision-video-assisted-thoracoscopic-surgery-left-lower-lobe-anterior-segmentectomy-s8
#5
Carlos Galvez, Francisco Lirio, Julio Sesma, Benno Baschwitz, Sergio Bolufer
Unusual anatomical segmentectomies are technically demanding procedures that require a deep knowledge of intralobar anatomy and surgical skill. In the other hand, these procedures preserve more normal lung parenchyma for lesions located in specific anatomical segments, and are indicated for benign lesions, metastasis and also early stage adenocarcinomas without nodal involvement. A 32-year-old woman was diagnosed of a benign pneumocytoma in the anterior segment of the left-lower lobe (S8, LLL), so we performed a single-incision video-assisted thoracoscopic surgery (SI-VATS) anatomical S8 segmentectomy in 140 minutes under intercostal block...
2017: J Vis Surg
https://www.readbyqxmd.com/read/29078673/the-results-of-video-assisted-thoracoscopic-thymectomies-in-saint-petersburg-russia-20-year-of-experience
#6
Piotr Yablonsky, Vadim Pischik, Marina G Tovbina, Mikhail Atiukov
BACKGROUND: During the period from 1996 to 2016, we have performed 281 thymectomies in patients with various diseases of the thymus. In 179 patients, thymic pathology was associated with autoimmune myasthenia gravis (MG), and, in 108 patients, thymoma was diagnosed. METHODS: The majority of surgeries [254] were performed using video thoracoscopy, 79 of them with an additional cervical approach. The long-term results of video thoracoscopic thymectomies in myasthenic patients were followed up for 1 to 15...
2017: J Vis Surg
https://www.readbyqxmd.com/read/29078653/uniportal-anatomic-combined-unusual-segmentectomies
#7
Diego González-Rivas, Francisco Lirio, Julio Sesma
Nowadays, sublobar anatomic resections are gaining momentum as a valid alternative for early stage lung cancer. Despite being technically demanding, anatomic segmentectomies can be performed by uniportal video-assisted thoracic surgery (VATS) approach to combine the benefits of minimally invasiveness with the maximum lung sparing. This procedure can be even more complex if a combined resection of multiple segments from different lobes has to be done. Here we report five cases of combined and unusual segmentectomies done by the same experienced surgeon in high volume institutions to show uniportal VATS is a feasible approach for these complex resections and to share an excellent educational resource...
2017: J Vis Surg
https://www.readbyqxmd.com/read/29078649/prevention-and-management-of-intraoperative-crisis-in-vats-and-open-chest-surgery-how-to-avoid-emergency-conversion
#8
REVIEW
Fernando M Safdie, Manuel Villa Sanchez, Inderpal S Sarkaria
Video assisted thoracic surgery (VATS) has become a routinely utilized approach to complex procedures of the chest, such as pulmonary resection. It has been associated with decreased postoperative pain, shorter length of stay and lower incidence of complications such as pneumonia. Limitations to this modality may include limited exposure, lack of tactile feedback, and a two-dimensional view of the surgical field. Furthermore, the lack of an open incision may incur technical challenges in preventing and controlling operative misadventures leading to major hemorrhage or other intraoperative emergencies...
2017: J Vis Surg
https://www.readbyqxmd.com/read/29078642/three-dimensional-video-assisted-thoracic-surgery-for-pulmonary-resections-an-update
#9
REVIEW
Duilio Divisi, Mirko Barone, Roberto Crisci
Video-assisted thoracic surgery (VATS) allows to treat pulmonary and mediastinal diseases although two-dimensional (2D) imaging can make difficult to estimate the morphological and topographical characteristics of a lesion. Some technical aspects have certainly been corrected with the introduction of robot-assisted thoracic surgery (RATS), although not widespread in less economically developed countries. As an emerging imaging system and technique, 3D VATS is an interesting resource for thoracic surgeons and it may be a proper and valid aid in minimally-invasive surgery, but not an alternative or a compromise to the most expensive robotic technology...
2017: J Vis Surg
https://www.readbyqxmd.com/read/29078641/robotic-assisted-lobectomy-for-locally-advanced-lung-cancer
#10
REVIEW
Giulia Veronesi, Pierluigi Novellis, Orazio Difrancesco, Mark Dylewski
Some series report the use of video-assisted thoracic surgery (VATS) in patients with locally advanced non-small cell lung cancer (NSCLC) but, few studies describe the use of the robotic approach specifically for locally advanced disease. One potential advantage of the robotic approach over traditional VATS is the increased radicality. While the benefit of the robotic approach over open thoracotomy is directly related to reduced surgical trauma and the improved tolerability in fragile patients that have received induction treatment...
2017: J Vis Surg
https://www.readbyqxmd.com/read/29078628/video-assisted-thoracoscopic-surgery-training-with-a-polyvinyl-alcohol-hydrogel-model-mimicking-real-tissue
#11
Toshihiko Sato, Toshiaki Morikawa
Video-assisted thoracoscopic surgery (VATS) has become increasingly accepted, and the thoracic surgeon must be proficient in this technique. Although the advantages of VATS are widely acknowledged, the procedures are technically challenging and may result in catastrophic complications. Thus, the importance of VATS training has long been recognized and various training simulators are available. In this report, we introduce a training method using a new simulator comprising polyvinyl-alcohol (PVA) hydrogel mimicking real human anatomy and texture...
2017: J Vis Surg
https://www.readbyqxmd.com/read/29078623/uniportal-video-assisted-thoracoscopic-surgery-argentinian-experience
#12
Gustavo Bondulich, Diego Gonzalez Rivas
The acceptance of uniportal video-assisted thoracoscopic surgery (VATS) for minor and major thoracic procedures is growing in South America. This study presents the experience with uniportal VATS in Buenos Aires, Argentina. In a retrospective study, 181 patients were operated with uniportal VATS technique between December 2013 and October 2016. Uniportal procedures included minor and major procedures. Uniportal VATS were analyzed en terms of morbidity, mortality, conversion rate, hospital stay. A total of 181 patients were analyzed...
2017: J Vis Surg
https://www.readbyqxmd.com/read/29078595/technique-of-video-assisted-thoracoscopic-left-pneumonectomy
#13
Mark W Hennon, Todd L Demmy
Video-assisted thoracoscopic surgery (VATS) approaches to lobectomy for treatment of early stage non-small cell lung cancer (NSCLC) have generally been accepted to be beneficial. Experience and results for more extensive resections, including thoracoscopic pneumonectomy are limited. Here we report a case with attached videos describing key technical aspects of performing a thoracoscopic left pneumonectomy. This demonstrates the adoption of VATS for tumor pathology requiring pneumonectomy is feasible and can be done safely...
2017: J Vis Surg
https://www.readbyqxmd.com/read/29078587/subxiphoid-uniportal-lobectomy
#14
Mohamed M Moneer ElSaegh, Nur Aziah Ismail, Mohamed I Mydin, Marco Nardini, Joel Dunning
Video-assisted thoracic surgery (VATS) surgery has seen an evolution from multiple ports to uniportal and finally subxiphoid uniportal recently. In traditional VATS surgery, the instruments and the thoracoscope enter the thoracic cavity through two to four operating ports on the lateral chest wall, which can cause chronic pain and chest wall numbness. However single-portal VATS surgery could potentially cause similar problems as the port is placed in between the ribs. In March 2015 Liu et al. reported a VATS bilateral pulmonary metastasectomy and right middle lobectomy via a subxiphoid uniportal technique...
2017: J Vis Surg
https://www.readbyqxmd.com/read/29078584/anatomical-video-assisted-thoracoscopic-surgery-segmentectomies-based-on-the-three-dimensional-reformation-images
#15
Qianli Ma, Tong Bao, Haitao Zhang, Chaoyang Liang, Deruo Liu
Segmentectomy was first done in 1939 by Churchill and Belsey in 1939. Video-assisted thoracoscopic surgery (VATS) segmentectomies are still more technically challenging than VATS lobectomies. With the increasing rate of early stage lung carcinomas, the thoracoscopic segmentectomies may have a major role in a near future. Four anatomical VATS segmentectomy videos clips were shared in this study. CT three-dimensional reformation could exactly show the small pulmonary nodule's precise position, clarifies the surrounding structures' relationship like the pulmonary artery (PA), pulmonary vein (PV), bronchus (B), fissure, and lymph nodes...
2017: J Vis Surg
https://www.readbyqxmd.com/read/29078583/technological-innovation-in-video-assisted-thoracic-surgery
#16
Mehmet Oğuzhan Özyurtkan, Erkan Kaba, Alper Toker
The popularity of video-assisted thoracic surgery (VATS) which increased worldwide due to the recent innovations in thoracic surgical technics, equipment, electronic devices that carry light and vision and high definition monitors. Uniportal VATS (UVATS) is disseminated widely, creating a drive to develop new techniques and instruments, including new graspers and special staplers with more angulation capacities. During the history of VATS, the classical 10 mm 0° or 30° rigid rod lens system, has been replaced by new thoracoscopes providing a variable angle technology and allowing 0° and 120° range of vision...
2017: J Vis Surg
https://www.readbyqxmd.com/read/29078578/robotic-lung-resections-video-assisted-thoracic-surgery-based-approach
#17
REVIEW
Alper Toker, Erkan Kaba, Kemal Ayalp, Mehmet Oğuzhan Özyurtkan
Advances in technology cause major developments in minimally invasive thoracic surgery practice. The expected benefits of minimally invasive pulmonary surgery are clear and mostly as follows; shorter hospital stay, fast recovery, less pain, and decreased morbidity and mortality. Robotic surgery with improved visualization and instrumental technical capabilities has become an attractive tool for surgeons who are performing lung resections. However, robotic surgery still seems far away from standardization even in the basic fundamental which is "the best approach for docking"...
2017: J Vis Surg
https://www.readbyqxmd.com/read/29078566/video-assisted-thoracoscopic-surgery-and-open-chest-surgery-in-infectious-lung-diseases
#18
REVIEW
Agasthian Thirugnanam
Video-assisted thoracoscopic surgery (VATS) for infection or inflammatory conditions is uncommon as compared to lung cancer. In most developed countries less than 5% of all VATS procedures are for infective/inflammatory conditions. However VATS is technically more challenging in this situation and are more prone to postoperative complications. Principles of VATS for infectious diseases involve complete safe surgical removal of the diseased infected lung and prevention of major complications by minimally invasive technique...
2017: J Vis Surg
https://www.readbyqxmd.com/read/29049609/usefulness-of-near-infrared-angiography-for-identifying-the-intersegmental-plane-and-vascular-supply-during-video-assisted-thoracoscopic-segmentectomy
#19
Sébastien Guigard, Frédéric Triponez, Benoit Bédat, Jordi Vidal-Fortuny, Marc Licker, Wolfram Karenovics
OBJECTIVES: Segmentectomy by video-assisted thoracoscopic surgery (VATS) permits anatomical resection for diagnosis and treatment of small lung nodules but requires that intersegmental planes and segmental vessels be identified accurately. Near-infrared angiography with systemic injection of indocyanine green (ICG) can precisely identify the intersegmental plane. The purpose of this study was to confirm the usefulness of ICG angiography during VATS segmentectomy. METHODS: We retrospectively reviewed the records of 22 consecutive patients who underwent VATS segmentectomy performed with near-infrared angiography between November 2014 and October 2015...
November 1, 2017: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/28962714/training-in-uniportal-video-assisted-thoracic-surgery
#20
REVIEW
Alberto Sandri, Alan D L Sihoe, Michele Salati, Diego Gonzalez-Rivas, Alessandro Brunelli
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. Specific training in this surgical approach is crucial due to its technical implications, to perform it safely while upholding the required therapeutic radicality. Novel strategies, such as interactive learning technologies, simulators, high-volume preceptorships, and targeted proctorships, play important roles in the training for uniportal VATS which, ideally, should be standardized, governed, and credentialed by national and international surgical societies to ensure patient safety and academic responsibility...
November 2017: Thoracic Surgery Clinics
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