scholarly journals Minimally invasive thoracoscopic surgery with laparoscopic assistance approaches in diaphragmatic eventration management

2017 ◽  
Vol 1 ◽  
pp. 26-30
Author(s):  
Siarhei Panko ◽  
Aliaksandr Karpitski ◽  
Gennadij Zhurbenko ◽  
Andrej Shestiuk ◽  
Rotislav Boufalik ◽  
...  
2020 ◽  
pp. 329-340
Author(s):  
Brianda Ripoll ◽  
Sara Volpi ◽  
Giuseppe Aresu

CHEST Journal ◽  
1997 ◽  
Vol 112 (2) ◽  
pp. 530-532 ◽  
Author(s):  
Yuji Suzumura ◽  
Yasuji Terada ◽  
Makoto Sonobe ◽  
Miyuki Nagasawa ◽  
Toru Shindo ◽  
...  

2019 ◽  
Vol 30 (8) ◽  
pp. 1297-1303 ◽  
Author(s):  
Seyed Hossein Aalaei‐Andabili ◽  
William M. Miles ◽  
Thomas A. Burkart ◽  
Mark E. Panna ◽  
Jamie B. Conti ◽  
...  

Author(s):  
Brandon S. Hendriksen ◽  
Michael F. Reed ◽  
Matthew D. Taylor ◽  
Christopher S. Hollenbeak

Objective Utilization of minimally invasive surgical modalities for lobectomy is increasing. Lobectomy can be associated with notable rates of readmission. As use of these modalities increases, evaluation of the impact on readmission is warranted. Methods Data from the Pennsylvania Health Care Cost Containment Council were used to identify lobectomy operations performed in Pennsylvania from 2011 through 2014. Operations were stratified by approach: open, video-assisted thoracoscopic surgery (VATS) or robotic. Differences in patient characteristics were assessed with analysis of variance and chi-squared tests. Logistic regression modeled risk of 30-day readmission and linear regression modeled length of stay (LOS) after controlling for confounders. Results We evaluated 4,939 lobectomy operations (2,501 open, 1,944 VATS, 494 robotic) with 583 readmissions (11.8%). Robotic cases increased 333% over 4 years. VATS and open cases increased 38% and 22%, respectively. Surgical approach was not associated with hospital readmission (VATS odds ratio (OR) = 0.95; P = 0.632; and robotic OR = 1.02; P = 0.916). Longer LOS was associated with a greater likelihood of readmission (OR = 1.58; P = 0.002). LOS was 1 day less for VATS ( P < 0.001) and 1.5 days less for robotic lobectomy ( P < 0.001) when compared to an open approach. The most common reasons for readmission were respiratory complications and nonrespiratory infection. Conclusions Surgical approach does not directly affect readmission. However, minimally invasive lobectomy appears to be associated with shorter LOS and results in more patients discharged home. Decreased LOS and discharge home are associated with fewer readmissions.


1998 ◽  
Vol 2 (3) ◽  
pp. 111-115 ◽  
Author(s):  
JAIME NIETO-ZERMEÑO ◽  
RICARDO ORDORICA-FLORES ◽  
FERNANDO MONTES-TAPIA ◽  
ROBERTO DAVILA-PEREZ ◽  
EDUARDO BRACHO-BLANCHET ◽  
...  

Author(s):  
Harmik J. Soukiasian ◽  
Daniel Shouhed ◽  
Derek Serna-Gallgos ◽  
Robert McKenna ◽  
Vahak J. Bairamian ◽  
...  

Objective Thoracic outlet syndrome (TOS) can be associated with neurologic, arterial, or venous deficiencies. When nonsurgical treatment has failed to adequately palliate TOS, surgical intervention is indicated. The supraclavicular and transaxillary approaches are currently the most commonly used approaches for first rib resection, yet little has been reported to date on outcomes of minimally invasive procedures, such as video-assisted thoracoscopic surgery (VATS). The purpose of this article was to describe a minimally invasive approach to TOS and the associated outcomes. Methods This study is a retrospective analysis of a prospectively maintained database. Patients who failed nonsurgical therapy for TOS were referred to our practice for evaluation of surgery with a VATS minimally invasive first rib resection. Between 2001 and 2010, 66 VATS procedures were performed on 58 patients (41 women, 17 men). Patients were followed postoperatively for a mean time of 13.5 months. Results Forty-one patients were women (70.7%), and the mean age was 40.5 years, with a patient age range of 17 to 59 years. The mean length of hospital stay was 2.47 days; median length of stay was 2 days. There were a total of eight complications (12.1%). There were no mortalities. Conclusions Video-assisted thoracoscopic surgery first rib resection for TOS is another feasible option for TOS, which can be added to the armamentarium of the thoracic surgeon. The outcomes associated with our technique are comparable with the outcomes related to other current standards of care.


Author(s):  
Caitlyn Johnson ◽  
Benny Weksler

Lung hernias are rare and are most commonly secondary to blunt or penetrating trauma. Few cases have been reported after video-assisted thoracoscopic surgery and only one case after video-assisted thoracoscopic surgery lobectomy. We report a case of lung hernia after video-assisted, thoracoscopic, right upper lobectomy. The hernia was demonstrated by computerized tomography and repaired by minimally invasive techniques. We believe that the combination of removal of a large lung specimen and the presence of emphysema may predispose to lung herniation after thoracoscopic lobectomy. Thoracic surgeons should be aware of this possible complication.


2005 ◽  
Vol 19 (6) ◽  
pp. 1-9 ◽  
Author(s):  
Amin Amini ◽  
Rudolf Beisse ◽  
Meic H. Schmidt

The anterior thoracolumbar spine can be exposed via a variety of approaches. Historically, open anterolateral or pos-terolateral approaches have been used to gain access to the anterior thoracolumbar spinal column. Although the exposure is excellent, open approaches are associated with significant pain and respiratory problems, substantial blood loss, poor cosmesis, and prolonged hospitalization. With the increasing use of the endoscope in surgical procedures and recent advances in video-assisted thoracoscopic surgery, minimally invasive thoracoscopic spine surgery has been developed to decrease the morbidity associated with open thoracotomy. The purpose of this article is to illustrate the surgical technique of a minimally invasive thoracoscopic approach to the anterolateral thoracolumbar spine and to discuss its potential indications and contraindications in patients with diseases involving the anterior thoracic and lumbar regions.


Author(s):  
İlker Kolbas ◽  
Çağatay Tezel ◽  
Talha Dogruyol ◽  
Mustafa Akyıl ◽  
Serdar Evman ◽  
...  

Videothoracoscopic resections are among the mostly preferred minimally invasive thoracic surgical techniques to treat lung cancers especially in the last two decades. In thoracoscopic surgery video camera technology, high-tech equipment and surgical instruments including staplers are required. We have developed a technique for dissection and cutting of truncus anterior and right upper lobe vein in one step with stapler by this way we aimed to provide less operation time and more cost- effectiveness for right upper lobectomies.


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