scholarly journals Assessment and follow-up of intercostal nerve damage after video-assisted thoracic surgery

2011 ◽  
Vol 39 (6) ◽  
pp. 1033-1039 ◽  
Author(s):  
Takuro Miyazaki ◽  
Tetsuya Sakai ◽  
Tomoshi Tsuchiya ◽  
Naoya Yamasaki ◽  
Tsutomu Tagawa ◽  
...  
Keyword(s):  
Thoracic Surgery ◽  
Intercostal Nerve ◽  
Nerve Damage ◽  
Video Assisted Thoracic Surgery ◽  
Video Assisted

scholarly journals The effectiveness of intercostal nerve block during complete video-assisted thoracic surgery

2014 ◽  
Vol 28 (6) ◽  
pp. 701-706
Author(s):  
Masataro Hayashi ◽  
Takahiro Mizoguchi ◽  
Junichi Murakami ◽  
Fumiho Sano ◽  
Kazuhiro Ueda ◽  
...  
Keyword(s):  
Thoracic Surgery ◽  
Nerve Block ◽  
Intercostal Nerve ◽  
Intercostal Nerve Block ◽  
Video Assisted Thoracic Surgery ◽  
Video Assisted

scholarly journals Extrapericardial Pleural Lipoma: A Surgical Case Report and Current Literature Review

2020 ◽  
Author(s):  
Peng Lu ◽  
Dawei Zhu ◽  
Fanxin Deng ◽  
Xiaojing Zhang
Keyword(s):  
Thoracic Surgery ◽  
Single Case ◽  
Pathological Examination ◽  
Left Chest ◽  
Medical Checkup ◽  
Video Assisted Thoracic Surgery ◽  
Surgical Case ◽  
Video Assisted ◽  
Mediastinal Pleura

Abstract BackgroundLipomas arising from the intrathoracic pleura are exceedingly rare. Few cases have been reported worldwide. To our knowledge, this presented case is one of the few cases reported. Here we report a single case as intrathoracic lipoma that arose from the mediastinal pleura of the left pericardium. Here the tumor was completely resected by uniportal video assisted thoracic surgery. Case presentationA 64-year-old female presented with a symptomatic left chest pain, which was confirmed to be an lipomatous tumor using computed tomography. An oval extrapericardial lipoma originating from the mediastinal pleura was resected through uniportal video assisted thoracic surgery. Pathological examination indicated a diagnosis of pleura lipoma. ConclusionThe tumor was infectious and relatively hyperemia when detected during a medical checkup. We enabled the successful tumor excision via uniportal video assisted thoracic surgery approach. Extratumoral haemorrhage was confirmed during the operation. Although intrathoracic pleural lipomas are histologically benign, careful observation and follow-up are crucial due to the possibility of recurrence.

scholarly journals Uniportal video-assisted thoracic surgery for major lung resection is associated with less immunochemokine disturbances than multiportal approach

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Peter S. Y. Yu ◽  
Kin Wai Chan ◽  
Rainbow W. H. Lau ◽  
Innes Y. P. Wan ◽  
George G. Chen ◽  
...  
Keyword(s):  
Thoracic Surgery ◽  
Lung Resection ◽  
Serum Levels ◽  
Tissue Inhibitor Of Metalloproteinase ◽  
Enzyme Linked Immunosorbent Assay ◽  
Video Assisted Thoracic Surgery ◽  
Insulin Growth Factor ◽  
Video Assisted ◽  
Igfbp 3

AbstractMultiportal video-assisted thoracic surgery (VATS) for major lung resection causes less immunochemokine production compared to thoracotomy. Whether uniportal VATS is similarly associated with lower early postoperative circulating levels of immunochemokines compared to multiportal VATS have not been studied. Selected patients who received uniportal or multiportal VATS major lung resection were recruited. Blood samples were collected preoperatively and on postoperative days 1 and 3 for enzyme linked immunosorbent assay of serum levels of Tissue Inhibitor of Metalloproteinase (TIMP)-1, Insulin Growth Factor Binding Protein (IGFBP)-3, and Matrix Metalloproteinase (MMP)-9. A linear mixed-effects models were used to analyze the effects of uniportal VATS on the postoperative circulating chemokine levels. From March 2014 to April 2017, 68 consecutive patients consented for the prospective study and received major lung resection by either uniportal VATS (N = 29) or multiportal VATS (N = 39) were identified. Uniportal VATS major lung resection was associated with lower post-operative levels of TIMP-1 and MMP-9 compared to multiportal VATS after controlling for the effects of the corresponding baseline level and the time of follow-up measurement. No difference was observed for the level of IGFBP-3. Less immunochemokine disturbances was observed after uniportal VATS major lung resection compared to multiportal VATS.

scholarly journals Simultaneous Uniportal video-assisted thoracic surgery of bilateral pulmonary nodules

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Shengcheng Lin ◽  
Chenglin Yang ◽  
Xiaotong Guo ◽  
Yafei Xu ◽  
Lixu Wang ◽  
...  
Keyword(s):  
Thoracic Surgery ◽  
Surgical Resection ◽  
Pulmonary Resection ◽  
Pulmonary Nodules ◽  
Ground Glass Opacity ◽  
Ground Glass ◽  
Sublobar Resection ◽  
Video Assisted Thoracic Surgery ◽  
Video Assisted

Abstract Background Surgical resection is an appropriate treatment option for synchronous bilateral pulmonary nodules with ground-glass opacities. The applicability of simultaneous uniportal video-assisted thoracic surgery is not fully understood. We evaluated the feasibility and safety of performing such surgeries at our hospital. Methods Clinical data of 35 patients who underwent simultaneous bilateral pulmonary resection with uniportal video-assisted thoracic surgery at our hospital were reviewed retrospectively. Results Simultaneous bilateral pulmonary resection with uniportal video-assisted thoracic surgery was performed for 35 patients (15 men, 20 women); 97 nodules were operated on, and the average nodule diameter was 11.4 mm (range, 1–38 mm). Computerized tomography showed that most nodules had ground-glass opacity (52/97, 53.6%); solid nodules (24/97, 24.7%) and nodules with mixed ground-glass opacity (21/97, 21.7%) were noted. Surgical resection included lobar-sublobar resection (11/35, 31.4%) and sublobar-sublobar resection (24/35, 68.6%). Wound infection and postoperative 30-day mortality were not observed. Pneumonia was the major postoperative complication, with a higher incidence in the lobar-sublobar group (6/10, 60%) than in the sublobar-sublobar group (4/25, 16%; P = 0.016). Pneumonia did not correlate with operative time (mean, 262.3 ± 108.1 vs. 261.9 ± 87.5 min, P = 0.991), duration of chest drainage (mean, 7.0 ± 4.0 vs 5.4 ± 2.1 days, P = 0.124), and postoperative hospital stay (mean, 10.2 ± 3.6 vs 10.2 ± 6.4 days, P = 0.978). The mean follow-up time was 8 (range, 3–22) months. Recurrence of primary lung cancer or mortality was not noted at the final follow-up. Conclusions Simultaneous bilateral pulmonary resection with uniportal video-assisted thoracic surgery is feasible and safe for appropriate patients. Simultaneous lobar-sublobar pulmonary resection for bilateral nodules can increase the risk of developing pneumonia.

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