scholarly journals Intra-operative removal of chest tube in video-assisted thoracoscopic procedures

2017 ◽  
Vol 25 (4) ◽  
pp. 362-368 ◽  
Author(s):  
Moustafa M. El-Badry ◽  
Hussein Elkhayat ◽  
Gamal. A. Makhlouf ◽  
Ahmed Ghoneim
Keyword(s):  
Chest Tube ◽  
Video Assisted ◽  
Operative Removal

scholarly journals Comparison of non-intubated and intubated video-assisted thoracoscopic surgeries of major pulmonary resections for lung cancer—a meta-analysis

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Wenfei Xue ◽  
Guochen Duan ◽  
Xiaopeng Zhang ◽  
Hua Zhang ◽  
Qingtao Zhao ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Thoracic Surgery ◽  
Postoperative Complication ◽  
Complication Rate ◽  
Chest Tube ◽  
Meta Analysis ◽  
Tube Placement ◽  
Postoperative Complication Rate ◽  
Chest Tube Placement ◽  
Video Assisted

Abstract Objective The aim of this study was to compare the safety feasibility and safety feasibility of non-intubated (NIVATS) and intubated video-assisted thoracoscopic surgeries (IVATS) during major pulmonary resections. Methods A meta-analysis of eight studies was conducted to compare the real effects of two lobectomy or segmentectomy approaches during major pulmonary resections. Results Results showed that the patients using NIVATS had a greatly shorter hospital stay and chest-tube placement time (weighted mean difference (WMD): − 1.04 days; 95% CI − 1.50 to − 0.58; P < 0.01) WMD − 0.71 days; 95% confidence interval (CI), − 1.08 to − 0.34; P < 0.01, respectively) while compared to those with IVATS. There were no significant differences in postoperative complication rate, surgical duration, and the number of dissected lymph nodes. However, through the analysis of highly selected patients with lung cancer in early stage, the rate of postoperative complication in the NIVATS group was lower than that in the IVATS group [odds ratio (OR) 0.44; 95% CI 0.21–0.92; P = 0.03, I2 = 0%]. Conclusions Although the comparable postoperative complication rate was observed for major thoracic surgery in two surgical procedures, the NIVATS method could significantly shorten the hospitalized stay and chest-tube placement time compared with IVATS. Therefore, for highly selected patients, NIVATS is regarded as a safe and technically feasible procedure for major thoracic surgery. The assessment of the safety and feasibility for patients undergoing NIVATS needs further multi-center prospective clinical trials.

scholarly journals An alternative chest tube placement after uniportal video-assisted thoracic surgery

2018 ◽  
Vol 10 (5) ◽  
pp. 3078-3080
Author(s):  
Alessandro Palleschi ◽  
Paolo Mendogni ◽  
Alessio Vincenzo Mariolo ◽  
Mario Nosotti ◽  
Lorenzo Rosso
Keyword(s):  
Thoracic Surgery ◽  
Chest Tube ◽  
Tube Placement ◽  
Chest Tube Placement ◽  
Video Assisted Thoracic Surgery ◽  
Video Assisted

Slipping rib syndrome: case report of an iatrogenic result following video-assisted thoracic surgery and chest tube placement

2021 ◽  
Author(s):  
Nimesh Patel ◽  
Jessin K John ◽  
Praveen Pakeerappa ◽  
Rohit Aiyer ◽  
Lara N Zador
Keyword(s):  
Case Report ◽  
Thoracic Surgery ◽  
Chest Tube ◽  
Tube Placement ◽  
Thoracic Pain ◽  
Chest Tube Placement ◽  
Video Assisted Thoracic Surgery ◽  
Video Assisted ◽  
Multiple Imaging ◽  
Upper Abdominal

The aim of this case report is to shed light on slipping rib syndrome (SRS), a painful and overlooked condition. A 62-year old man reported intermittent, self-resolving sharp rib pain that began after a video-assisted thoracic surgery and chest tube placement 4 years prior to presentation. The patient’s pain was associated with a rigid protrusion in the right upper quadrant, and home use of acetaminophen provided no relief. After physical examination, multiple imaging and lab tests, the patient was diagnosed with SRS and was referred to physical therapy and thoracic surgery for further evaluation. SRS is an under-recognized cause of upper abdominal and lower thoracic pain that should be considered if a patient’s history includes previous trauma or abdominal surgery.

scholarly journals P-172INTRAOPERATIVE REMOVAL OF CHEST TUBE IN VIDEO-ASSISTED THORACOSCOPIC PROCEDURES

2017 ◽  
Vol 25 (suppl_1) ◽  
Author(s):  
Moustafa El-Badry ◽  
H Elkhayat ◽  
G A Makhlouf ◽  
A Ghoniem
Keyword(s):  
Chest Tube ◽  
Video Assisted

Verification of Early Removal of the Chest Tube after Absorbable Mesh-based Pneumostasis Subsequent to Video-assisted Major Lung Resection for Cancer

2012 ◽  
Vol 36 (7) ◽  
pp. 1603-1607 ◽  
Author(s):  
Kazuhiro Ueda ◽  
Toshiki Tanaka ◽  
Masataro Hayashi ◽  
Tao-Sheng Li ◽  
Kimikazu Hamano
Keyword(s):  
Chest Tube ◽  
Lung Resection ◽  
Absorbable Mesh ◽  
Video Assisted ◽  
Early Removal

scholarly journals Making the transition from video-assisted thoracoscopic surgery to chest tube with fibrinolytics for empyema in children: Any change in outcomes?

2016 ◽  
Vol 59 (3) ◽  
pp. 167-171 ◽  
Author(s):  
Michael H. Livingston ◽  
Sara Colozza ◽  
Kelly N. Vogt ◽  
Neil Merritt ◽  
Andreana Bütter
Keyword(s):  
Chest Tube ◽  
Thoracoscopic Surgery ◽  
Video Assisted ◽  
Video Assisted Thoracoscopic Surgery

Management of Pleural Empyema with Single-Port Video-Assisted Thoracoscopy

2012 ◽  
Vol 7 (5) ◽  
pp. 338-345 ◽  
Author(s):  
Alessandro Marra ◽  
Christoph Huenermann ◽  
Bernd Ross ◽  
Ludger Hillejan
Keyword(s):  
Chest Tube ◽  
Pleural Cavity ◽  
Single Port ◽  
Intraoperative Complications ◽  
Operation Time ◽  
Pleural Empyema ◽  
Metastatic Colon Cancer ◽  
Invasive Treatment ◽  
Female Ratio ◽  
Video Assisted

Objective The aim of this study was to evaluate the safety and efficacy of an original technique of single-port video-assisted thoracoscopy (S-VATS) for the minimally invasive treatment of pleural empyema in fibrinopurulent stage. Methods Single-port video-assisted thoracoscopy was performed under general anesthesia and single-lung ventilation using a 2-cm incision after ultrasound localization of the projected midpoint of the pleural effusion. Through the single access, a video scope and standard thoracoscopy instruments were simultaneously introduced to perform debridement and lavage of the pleural cavity. Postoperatively, patients underwent continuous or intermittent pleural irrigation through the chest tube until microbiological confirmation of sterility of the pleural fluid. Results Between November 2004 and December 2009, a total of 61 patients underwent S-VATS for pleural empyema in stage I(7%) or II (93%). Median age was 63.5 years (range, 22–94 years). Male-to-female ratio was 4.2. Surgery was performed 3 to 60 days after the onset of symptoms. Macroscopically complete debridement of the pleural cavity was achieved in most (98%) cases. Median operation time was 53 minutes (range, 29–90 minutes). No intraoperative complications occurred. In-hospital mortality and morbidity rates were 3% and 16%, respectively. Deaths were caused by diffuse metastatic colon cancer in one case and severe apoplectic insult in the other. Chest tube was removed after a median time of 12 days (range, 4–64 days). Four (6.5%) patients experienced a relapse of empyema; this was caused by complicated residual pleural space (two cases), persistent pleuropulmonary fistula (one case), or both (one case). Conclusions It seems that S-VATS is a safe and effective procedure for the treatment of pleural empyema in fibrinopurulent stage.

Sign in / Sign up

Export Citation Format

Share Document