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surgery. thoracic. VATS. Laparoscopy

Ming-Kuan Lu, Feng-Chen Chang, Wen-Zhe Wang, Chih-Cheng Hsieh, Fu-Jen Kao
In this work, a foldable ring-shaped light-emitting diode (LED) lighting assembly, designed to attach to a rubber wound retractor, is realized and tested through porcine animal experiments. Enabled by the small size and the high efficiency of LED chips, the lighting assembly is compact, flexible, and disposable while providing direct and high brightness lighting for more uniform background illumination in video-assisted thoracic surgery (VATS). When compared with a conventional fiber bundle coupled light source that is usually used in laparoscopy and endoscopy, the much broader solid angle of illumination enabled by the LED assembly allows greatly improved background lighting and imaging quality in VATS...
2014: Journal of Biomedical Optics
Daniela Molena, Benedetto Mungo, Miloslawa Stem, Anne O Lidor
BACKGROUND: The laparoscopic approach for repair of giant and/or recurrent paraesophageal hernias (PEH) is challenging, due to limited access to the dissection of the hernia sac into the proximal mediastinum and esophageal mobilization through the diaphragmatic hiatus. An esophageal lengthening procedure is often necessary, due to the difficulty in obtaining adequate intra-abdominal esophageal length. We, therefore, developed a VATS and laparoscopic technique, which allows for safe and extensive thoracic dissection and intra-abdominal gastric fixation and cruroplasty, yet preserving the benefits of minimally invasive surgery...
January 2015: Surgical Endoscopy
Ying-Ming Song, Chang-Hong Lian
In 1910, laparoscopy was applied in the cautery division of pleural adhesions for the first time for cavity pulmonary tuberculosis patients, which was the beginning of thoracoscopic surgery. After 1945, with the introduction of antituberculosis drugs like streptomycin and isoniazid, thoracoscopic surgery faded out. In the 1980s, success of video-assisted laparoscopic surgery in cholecystectomy created a basis for thoracoscopic surgery (VATS). In 1986, micro endoscopic technique was applied in thoracoscopy. In the 1990s, VATS was used in diagnosis and treatment of many kinds of diseases, such as palmar hyperhidrosis, pleural diseases, lung diseases, esophageal diseases and cardiac surgery...
September 2012: Zhonghua Yi Shi za Zhi, Chinese Journal of Medical History
A C Bobocea, B Trandafir, C Bolca, I Cordoş
Minimally invasive surgery produced major changes in treating abdominal malignancies and early stage lung cancer. Laparoscopy and thoracoscopy are less traumatic than open surgery: allow faster recovery, shorter hospital stay, better cosmesis. Although these clinical benefits are important, prolonged disease-free interval, long-term survival with improved quality of life are most important endpoints for oncologic surgery. Major surgery causes significant alteration of immunological response, of particular importance in oncologic patients, as postoperative immunosuppression has been related to septic complications, lower survival rate, tumor spread and metastases...
March 2012: Chirurgia
M Klar, J Farthmann, M Bossart, C Stremmel, G Gitsch, B Passlick, G Pache, J Woll, A Hasenburg
OBJECTIVES: The aim of this study was to assess the influence of video-assisted thoracic surgery (VATS) on our treatment decisions in FIGO III and IV ovarian cancer patients. METHODS: Patients with ovarian cancer and suspected supra-diaphragmatic involvement (pleural effusions, pleural carcinomatosis, lung metastasis, or enlarged supra-diaphragmatic lymph nodes) at chest computer tomography (CT) scan underwent VATS with or without laparoscopy (LSC) to decide for primary cytoreduction or neoadjuvant chemotherapy...
September 2012: Gynecologic Oncology
Hironori Tsujimoto, Risa Takahata, Shinsuke Nomura, Yoshihisa Yaguchi, Isao Kumano, Yusuke Matsumoto, Kazumichi Yoshida, Hiroyuki Horiguchi, Shuichi Hiraki, Satoshi Ono, Junji Yamamoto, Kazuo Hase
BACKGROUND: Less invasive operations such as laparoscopic surgery have been developed for treating gastrointestinal malignancies. However, the advantages of video-assisted thoracoscopic surgery for esophageal cancer (VATS-e) with regard to postoperative morbidity and mortality remains controversial. METHODS: We investigated the postoperative clinical course of patients who underwent esophagectomy for esophageal cancer in terms of systemic inflammatory response syndrome (SIRS) induced by VATS-e (VATS-e group) or conventional open surgery (OS group) combined with laparoscopic gastric tube reconstruction...
May 2012: Surgery
Michael S Katz, Marshall Z Schwartz, Matthew L Moront, Lindsay G Arthur, Shaheen J Timmapuri, Brittany K Nagy, Rajeev Prasad
BACKGROUND: Single-incision pediatric endosurgery is gaining popularity, especially for abdominal operations. Several reports in the literature support the feasibility of the single-incision approach in pediatric laparoscopy. Here we compare our experience with single-incision thoracoscopic surgery (SITS) to traditional multiple-incision video-assisted thoracoscopic surgery (VATS) in children. METHODS: A chart review of all patients who underwent SITS at our institution was performed...
March 2012: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
Jang-Ming Lee, Jen-Wei Cheng, Ming-Tsang Lin, Pei-Ming Huang, Jin-Shing Chen, Yung-Chie Lee
BACKGROUND: The benefit of using the laparoscopic approach in minimally invasive esophagectomy (MIE) has not been established. We therefore compared the outcome of esophagectomy for patients with esophageal cancer performed with open surgery, video-assisted thoracic surgery (VATS)/laparotomy (hybrid MIE), and VATS/ laparoscopy (total MIE). METHODS: Patients with esophageal cancer undergoing tri-incisional esophagectomy with three different approaches between 2005 and 2009 were analyzed from a prospective database...
April 2011: World Journal of Surgery
Luis A Berlanga, Orlando Gigirey
BACKGROUND: Recent authors have pioneered the use of single-incision laparoscopic surgery (SILS) for umbilical cholecystectomy. The SILS approach has the potential of reducing the trauma of the surgical access and postoperative pain. Video-assisted thoracic surgery (VATS) greatly reduces patient postoperative pain compared with traditional thoracotomy incisions. The current trend is to use fewer working ports to reduce even more postoperative pain, chest wall paresthesia, and hospital stay...
June 2011: Surgical Endoscopy
George Sgourakis, Ines Gockel, Arnold Radtke, Thomas J Musholt, Stephan Timm, Andreas Rink, Achilleas Tsiamis, Constantine Karaliotas, Hauke Lang
BACKGROUND: A meta-analysis of the current literature was performed to compare the perioperative outcome measures and oncological impact between minimally invasive and open esophagectomy. METHODS: Using the electronic databases Medline, Embase, Pubmed and the Cochrane Library, we performed a meta-analysis pooling the effects of outcomes of 1,008 patients enrolled into eight comparative studies, using classic and modern meta-analytic methods. RESULTS: Two comparisons were considered for this systematic review: (I) open thoracotomy vs...
November 2010: Digestive Diseases and Sciences
Orlando Gigirey Castro, Luis Berlanga González, Esperanza Sánchez Gómez
Single Incision Laparoscopic Surgery (SILS) has recently been used by general surgeons to perform cholecystectomies and pre-peritoneal hernia repairs with mesh using minimally invasive surgery, thus decreasing post-operative pain and a more cosmetic result of the surgery being obtained. We describe the first cases of video-assisted thoracic surgery (VATS) in spontaneous pneumothorax using the SILS system. There are no previous reports on the use of the SILS system in VATS for spontaneous pneumothorax. This system also allows us to obtain a more cosmetic surgical result, as well as decreasing the mean post-operative hospital stay and the need for analgesics to improve the post-operative pain...
August 2010: Archivos de Bronconeumología
Masahiko Higashiyama, Jiro Okami, Jun Maeda, Toshiteru Tokunaga, Ayako Fujiwara, Ryu Kanzaki, Ken Kodama
Accurate diagnosis and staging are very important for the treatment of pleural mesothelioma. In particular, surgical indications based on diagnosis and staging must be determined carefully, since extrapleural pneumectomy (EPP) is a highly invasive surgical mode. Sufficient biopsy specimens to make a differential diagnosis of this disease should be obtained during video-assisted thoracoscopic surgery (VATS). Currently, the final diagnosis of mesothelioma is based not only on the results of hematoxylin and eosin staining but also of immunostaining using several differential markers...
November 2009: Nihon Geka Gakkai Zasshi
Georges Decker, Willy Coosemans, Paul De Leyn, Herbert Decaluwé, Philippe Nafteux, Dirk Van Raemdonck, Toni Lerut
Since 1992, various combinations of thoracoscopy (VATS), laparoscopy or hand-assisted thoracolaparoscopy have been used for 'minimally invasive' cancer esophagectomy (MIE). Despite widespread current use, indications and potential benefits of the many technical approaches remain controversial. A systematic literature search was conducted until June 2007. Out of 128 publications, 46 original series (1932 patients) met the inclusion criteria and were analyzed for surgical and oncological outcome. No prospective controlled study has compared any MIE technique to another or to open surgery...
January 2009: European Journal of Cardio-thoracic Surgery
Kazushi Tanaka, Isao Hara, Kohei Yamaguchi, Masashi Takeda, Atsushi Takenaka, Masato Fujisawa
INTRODUCTION: Either video-assisted thoracoscopic surgery (VATS) or a thoracotomy is usually performed for a resection of posterior mediastinal tumors. We used a laparoscopic approach to resect a lower posterior mediastinal tumor mimicking a right adrenal tumor that had been identified by a preoperative computed tomography (CT) scan, because this approach is less invasive than VATS or a thoracotomy, regarding the potential to cause damage to the respiratory organs. TECHNICAL CONSIDERATIONS: A preoperative CT scan showed a paraspinal mass measuring 5...
December 2007: Urology
François Becmeur, Olivier Reinberg, Corneliu Dimitriu, Raphael Moog, Paul Philippe
Minimal invasive surgery (MIS) has been first proposed in case of delayed congenital diaphragmatic hernia (CDH). Since then, about 32 cases of thoracoscopic CDH approach in newborns have been published. Conditions of thoracoscopy are reviewed and enlightened with our preliminary series. The advantages of thoracoscopy versus a laparoscopic approach are detailed. Since 1999, all children presenting with CDH after the immediate neonatal period were offered a MIS approach. We started treating stable newborns suffering a CDH by thoracoscopic procedures in 2003...
November 2007: Seminars in Pediatric Surgery
Margrit M Juretzka, Nadeem R Abu-Rustum, Yukio Sonoda, Robert J Downey, Raja M Flores, Bernard J Park, Martee L Hensley, Richard R Barakat, Dennis S Chi
OBJECTIVES: We previously reported our initial experience of patients with suspected advanced ovarian cancer and moderate to large pleural effusions who underwent video-assessed thoracic surgery (VATS) before planned abdominal exploration. The objective of this study was to report the surgical findings and management of patients who underwent VATS in an update of our experience. METHODS: We performed a retrospective review of all patients with suspected advanced ovarian cancer and moderate to large pleural effusions who underwent VATS for assessment of extent of intrathoracic disease at our institution between 6/01 and 8/05...
March 2007: Gynecologic Oncology
Kranenburg, Gossot
In laparoscopic surgery, the way of thinking about operating room design is beginning to include ergonomic requirements. No study has yet been published about ergonomic concerns in Video-Assisted Thoracic Surgery (VATS). The aim of this paper is to describe ergonomic issues encountered in VATS and to propose recommendations for operating room design for thoracoscopic surgery. To obtain an inventory of the ergonomic problems fifteen thoracoscopic operations were attended at the Institut Mutualiste Montsouris (Paris, France)...
June 2004: Minimally Invasive Therapy & Allied Technologies: MITAT
Hiran C Fernando, James D Luketich, John Samphire, Miguel Alvelo-Rivera, Neil A Christie, Percival O Buenaventura, Rodney J Landreneau
BACKGROUND: Mid and lower esophageal diverticula are rare entities usually managed by open operation. Morbidity can be significant with these complex procedures. This study evaluates our results of minimally invasive surgery for esophageal diverticula. METHODS: Over a 5-year period, 20 patients underwent operation for esophageal diverticula. Median age was 70.5 years. There were 16 epiphrenic and 4 midesophageal diverticula with a median size of 7.5 cm (range, 2-11 cm)...
December 2005: Annals of Thoracic Surgery
Calvin S H Ng, Richard L Whelan, Antonio M Lacy, Anthony P C Yim
Minimal-access surgical techniques have been shown to be beneficial to patients in terms of shorter convalescence, reduced pain, and improved cosmesis. Although systemic immune function is better preserved following laparoscopic procedures when compared with their respective open approaches, CO2 pneumoperitoneum may significantly affect local (i.e., infra-abdominal) cellular immunity by reducing regional macrophage function. Results to date are conflicting with regard to the impact of closed and open methods on intraabdominal immunity...
August 2005: World Journal of Surgery
Dennis S Chi, Nadeem R Abu-Rustum, Yukio Sonoda, Sharon Wen-Wen Chen, Raja M Flores, Robert Downey, Carol Aghajanian, Richard R Barakat
OBJECTIVE: To analyze the findings and impact on the management of video-assisted thoracoscopic surgery (VATS) before planned abdominal exploration in patients with suspected advanced ovarian cancer and moderate to large pleural effusions. METHODS: We reviewed the charts of all patients with suspected advanced ovarian cancer and moderate to large pleural effusions who underwent VATS from 10/01 to 7/03. VATS was performed under double lumen endotracheal anesthesia...
August 2004: Gynecologic Oncology
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