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patent ductus arteriosus thoracoscopy

Kazuo Oshima, Hiroo Uchida, Takahisa Tainaka, Akihide Tanano, Chiyoe Shirota, Kazuki Yokota, Naruhiko Murase, Ryo Shirotsuki, Kosuke Chiba, Akinari Hinoki
A right aortic arch (RAA) is found in 5% of neonates with tracheoesophageal fistulae (TEF) and may be associated with vascular rings. Oesophageal repairs for TEF with an RAA via the right chest often pose surgical difficulties. We report for the first time in the world a successful two-stage repair by left-sided thoracoscope for TEF with an RAA and a vascular ring. We switched from right to left thoracoscopy after finding an RAA. A proximal oesophageal pouch was hemmed into the vascular ring; therefore, we selected a two-stage repair...
January 2017: Journal of Minimal Access Surgery
Tomasz Stankowski, Sleiman Sebastian Aboul-Hassan, Jakub Marczak, Romuald Cichon
A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was whether thoracoscopic patent ductus arteriosus (PDA) closure is superior to conventional surgery. Altogether 821 papers were found using the reported search, 11 of which represented the best evidence to answer the clinical question. The authors, journal, date and country of publication, patient group studied, study type, relevant outcomes and results of these papers are tabulated. Eleven studies included in the analysis consisted of two prospective and three retrospective, non-randomized studies and six case series...
October 2015: Interactive Cardiovascular and Thoracic Surgery
Nguyen Thanh Liem, Cao Viet Tung, Nguyen Van Linh, To Manh Tuan, Le Hong Quang, Tran Thanh Tu
AIM: To compare outcomes of thoracoscopic clipping (TC) versus transcatheter occlusion (TO) for patent ductus arteriosus (PDA). PATIENTS AND METHODS: One hundred patients were enrolled in the study from May 2010 to December 2011. Those patients were randomized into 2 groups: group one received TC, group two received TO. RESULT: There were no significant differences concerning width or length of the ductus (P>0.05). However the median age and median weight of patients in the TO group were greater than in the TC group (P<0...
February 2014: Journal of Pediatric Surgery
Iu A Kozlov, V A Novozhilov, I V Ezhova, V N Medvedev, A V Medvedev, A V Iaroshevich, N I Mikheeva, N V Syrkin, M I Kononenko, N N Kuznetsova
BACKGROUND: Thoracoscopic clipping of the patent ductus arteriosus is an alternative to conventional surgical closure via thoracotomy in low birth weight infants. The aim of this study is to compare of these two groups of patients for the last 11 years. METHODS: We reported the data of 127 small children's who underwent standard transaxillary thoracotomy (101 patients - Group I) and video-assisted thoracoscopic surgery for patent ductus arteriosus clipping (26 patients - Group II)...
2014: Khirurgiia
Nguyen Thanh Liem, Tu Manh Tuan, Nguyen Van Linh
AIM: To present a modified and safe technique of thoracoscopic clipping of patent ductus arteriosus (PDA) in children and its early outcomes. PATIENTS AND METHODS: Patients are anesthetized, ventilated via single-lung ventilation, and placed in a right lateral position. The surgeon and the assistant stand at the patient's feet, and a monitor is placed at the patient's head. The ductus is pulled forward with a Vicryl(®) (Ethicon) thread and clipped completely. RESULTS: From May 2010 to February 2011, 58 patients with PDA (27 boys and 31 girls) were operated on using the same technique...
May 2012: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
M Lima, V Carlini, E Calleja, G Ruggeri, N Salfi, C Napoleone Pace, T Gargano, E La Pergola
Spontaneous aneurysms of the ductus arteriosus are rare complications of a patent ductus arteriosus. It is met at any age but it is most commonly seen in children under two months of age. Echocardiography is the best test to diagnose a ductus arteriosus, but actually the role of thoracoscopy is to help in differential diagnosis of mediastinal masses. Surgery should be recommended without delay, to avoid fatal complications, with the resection of the thrombosed aneurysm of the ductus arteriosus.
September 2010: La Pediatria Medica e Chirurgica: Medical and Surgical Pediatrics
Eric Monnet
Thoracoscopy is a minimally invasive technique for viewing the internal structures of the thoracic cavity. The procedure uses a rigid telescope placed through a portal and positioned in the thoracic wall to examine the contents of the pleural cavity. Once the telescope is in place, either biopsy forceps or an assortment of surgical instruments can be introduced into the thoracic cavity through adjacent portals in the thoracic wall to perform various diagnostic or surgical procedures. The minimal invasiveness of the procedure, the rapid patient recovery, and the diagnostic accuracy make thoracoscopy an ideal technique compared with other more invasive procedures...
September 2009: Veterinary Clinics of North America. Small Animal Practice
Todd A Ponsky, Steven S Rothenberg, KuoJen Tsao, Daniel J Ostlie, Shawn D St Peter, G Whit Holcomb
PURPOSE: Historically, a chest tube or drain has been left following a thoracic operation to allow drainage of air or fluid in the postoperative period. However, in patients undergoing thoracoscopy, the tube is often the greatest source of postoperative pain. We began excluding chest tubes several years ago and therefore are reviewing our experience to evaluate the safety and efficacy of this approach. METHODS: A retrospective review of the medical record was performed on patients undergoing thoracoscopy at two centers from 1993 to 2007...
April 2009: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
Sohail R Shah, George K Gittes, Katherine A Barsness, Timothy D Kane
PURPOSE: Minimally invasive techniques continue to expand in pediatric surgery; however, there has been some debate over the appropriate operative technique for the management of congenital diaphragmatic hernias in neonates. We present a video of a thoracoscopic patch repair of a right-sided Bochdalek congenital diaphragmatic hernia (CDH) in a 3-day-old male. METHODS: Our patient was noted to have a right-sided CDH on chest X-ray following respiratory distress at the time of birth...
January 2009: Surgical Endoscopy
Ahmed M Mukhtar, Gihan M Obayah, Ashraf Elmasry, Nabil M Dessouky
BACKGROUND: Although the cardiovascular effect of CO2 insufflation has not been reported in pediatric thoracoscopy, several clinical trials have demonstrated significant hemodynamic deterioration in adults. We investigated the concept of therapeutic hypercapnia for counteracting the hemodynamic effect of induced capnothorax. METHODS: Twelve pediatric patients who underwent video-assisted thoracoscopic patent ductus arteriosus closure were enrolled in the study. Cardiorespiratory variables were determined during baseline T1 and after CO2 insufflation at pressures of 2 mm Hg T2, 4 mm Hg T3, 6 mm Hg T4, 8 mm Hg T5, and 10 mm Hg T6...
January 2008: Anesthesia and Analgesia
Takeshi Hiramatsu, Yoshitaka Okamura
We have performed 174 pediatric open-heart operations using a lower midline skin incision and a minimal sternotomy approach since 1996. There was no death or major complication caused by this approach, and the resulting scar in each patient is difficult to be seen under an ordinary undershirt. The technique of a lower mid-line skin incision and minimal sternotomy approach is a safe, reliable and cosmetically advantageous method for a pediatric cardiac operation. We have applied an autologous blood predonation protocol in pediatric open-heart surgery since 1996...
July 2006: Kyobu Geka. the Japanese Journal of Thoracic Surgery
Constantine Mavroudis
No abstract text is available yet for this article.
December 2005: Annals of Thoracic Surgery
Yoshihiro Suematsu, Bassem N Mora, Tomislav Mihaljevic, Pedro J del Nido
BACKGROUND: This study reports on our initial experience with robotically assisted patent ductus arteriosus (PDA) closure and vascular ring division in children. METHODS: From April 2002 to May 2004, 15 patients underwent PDA closure (n = 9) and vascular ring repair (n = 6) by a totally endoscopic approach, utilizing the Da Vinci robotic system. The mean age of the patients was 8.3 +/- 4.7 years (range, 3 to 18) and the mean weight, 35.5 +/- 19.0 kg (range, 14.1 to 77...
December 2005: Annals of Thoracic Surgery
P Betalli, C Zanatta, G Stefanutti, V Vida, G Stellin, P G Gamba
INTRODUCTION: Thoracoscopy is an important option in the treatment of many thoracic pathologies; its use in children, however, is still limited. We have retrospectively evaluated the thoracoscopic activity in our pediatric surgery department in the last six years. METHODS AND PROCEDURES: Video-Assisted Thoracoscopy (VATS) has been routinely adopted in our institutions since 1997. The data of 115 patients who have undergone VATS were reviewed and analysed. RESULTS: There were 47 males and 68 females...
March 2004: La Pediatria Medica e Chirurgica: Medical and Surgical Pediatrics
Keith E Georgeson, Daniel J Robertson
Minimally invasive surgery has been one of the most important surgical advances in the last 15 years. The development of smaller instruments has allowed pediatric surgeons to apply this rapidly evolving technology to neonates. Congenital neonatal deformities including tracheoesophageal fistula, patent ductus arteriosus, duodenal atresia and anorectal malformations are now being managed with minimally invasive surgery. This article summarizes the status of these techniques in neonates.
June 2004: Seminars in Perinatology
Nicolas Borenstein, Luc Behr, Valérie Chetboul, Dominique Tessier, Audrey Nicole, Julien Jacquet, Carolina Carlos, Jose Retortillo, Pascal Fayolle, Jean Louis Pouchelon, Pierre Daniel, François Laborde
OBJECTIVE: To report a technique for minimally invasive occlusion of patent ductus arteriosus (PDA) and outcome in 5 dogs. STUDY DESIGN: Clinical cases. ANIMALS: Five, 4-6-month-old, dogs with PDA. MATERIALS AND METHODS: Titanium ligating clips were used for PDA closure in all dogs. Three dogs had video-enhanced mini-thoracotomy PDA occlusion. Two other dogs had thoracoscopic PDA occlusion using a custom-designed thoracoscopy clip applicator...
July 2004: Veterinary Surgery: VS
Yu V Vasilenko, A I Kim, S A Kotov
The potentialities of videoendoscopic isolation and extravasal occlusion of large vessels with titanium clips were studied in acute and chronic experiments on 36 animals and anatomic studies on 5 human cadavers. The number and optimal sites for insertion of trocars and disposition of instruments and thoracoscope for isolation of open ductus arteriosus were determined. A method for videoendoscopic isolation of vessels is developed and possible complications and measures for their liquidation evaluated. High efficiency and low traumatism of videoendoscopic operation are proven under condition of strict adherence to methodology and sufficient qualification of the surgeon in endosurgical manipulations...
March 2003: Bulletin of Experimental Biology and Medicine
Jeremy W Cannon, Robert D Howe, Pierre E Dupont, John K Triedman, Gerald R Marx, Pedro J del Nido
Over the past 5 years, robotic systems that combine advanced endoscopic imaging with computer-enhanced instrument control have been used for both coronary revascularization and intracardiac procedures in adults. In addition, endoscope positioning systems and articulated instruments with a robotic wrist mechanism have further expanded the potential applications for robotics in cardiac surgery. In pediatric cardiac surgery, potential applications can be divided into simple scope manipulation versus the use of 3-dimensional imaging and a robotic wrist for dissection and reconstruction...
2003: Seminars in Thoracic and Cardiovascular Surgery. Pediatric Cardiac Surgery Annual
Shunei Kyo, Haruhiko Asano
The introduction of endoscopic technology to cardiovascular surgery was significantly delayed compared to abdominal and lung surgery, although it has been gradually introduced in this field during the past decade in closure of patent ductus arteriosus, repair of the vascular ring, implantation of pacemaker leads or AICD, and pericardectomy. Endoscopic technology also started to be used in harvesting saphenous vein grafts (SVG) and the left internal thoracic artery for coronary artery bypass grafting(CABG) from the mid-1990s...
October 2002: Nihon Geka Gakkai Zasshi
Emmanuel Le Bret, Spiridon Papadatos, Thierry Folliguet, Daniel Carbognani, Jean Pétrie, Yacine Aggoun, Alain Batisse, Jean Bachet, François Laborde
OBJECTIVES: If robotic surgery is to be widely used, the risks must be equivalent to those of standard techniques. This study analyzes the feasibility, safety, and efficiency of a robotically assisted technique for patent ductus arteriosus closure and compares the results with those of the videothoracoscopic technique. METHODS: During 2000, 56 children weighing 2.3 to 57 kg (mean, 12 kg) underwent surgical closure of a patent ductus arteriosus. They were distributed into 2 groups: 28 patients (group 1) underwent the videothoracoscopic technique, and 28 (group 2) underwent a robotically assisted (Zeus; Computer Motion, Inc, Goleta, Calif) approach...
May 2002: Journal of Thoracic and Cardiovascular Surgery
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