scholarly journals Posterior uniportal video-assisted thoracoscopic surgery for resection of the apical segment of the right lower lobe followed by completion lobectomy

2017 ◽  
pp. ivw405
Author(s):  
Davor Stamenovic ◽  
Antje Messerschmidt
Keyword(s):  
Thoracoscopic Surgery ◽  
Lower Lobe ◽  
Apical Segment ◽  
Video Assisted ◽  
The Right ◽  
Completion Lobectomy ◽  
Video Assisted Thoracoscopic Surgery

scholarly journals Diagnostic and Therapeutic Performance of Video-Assisted Thoracoscopic Surgery (Vats) in Investigation and Management of Pleural Exudates

2008 ◽  
Vol 90 (7) ◽  
pp. 597-600 ◽  
Author(s):  
ARL Medford ◽  
YM Awan ◽  
A Marchbank ◽  
J Rahamim ◽  
J Unsworth-White ◽  
...  
Keyword(s):  
Diagnostic Yield ◽  
Thoracoscopic Surgery ◽  
Good Practice ◽  
National Standards ◽  
Postoperative Fever ◽  
Video Assisted ◽  
The Right ◽  
Culture Negative ◽  
Video Assisted Thoracoscopic Surgery ◽  
Fluid Culture

INTRODUCTION Video-assisted thoracoscopic surgery (VATS) is the gold standard investigation for diagnosis of pleural exudates. It is invasive and it is important to ensure that it is performed to acceptable national standards. We assumed that VATS empyema fluid culture would not contribute further to microbiological diagnosis in referred culture-negative empyemas. PATIENTS AND METHODS Eighty-six consecutive external referrals for VATS for diagnosis of a cytology-negative pleural exudate (or for further management of the exudate) were studied retrospectively. Diagnostic yield, pleurodesis efficacy and complications were compared to national standards and good practice recommendations. VATS empyema fluid microbiological culture results were compared to pre-VATS empyema fluid culture results. RESULTS VATS was performed well within national standards with a diagnostic yield of 82.3% for cytology-negative exudates, 100% pleurodesis efficacy, 5.8% postoperative fever, with only one significant complication (1.2% rate) and no deaths. Compliance with good practice pleural fluid documentation points was greater than 70%. VATS empyema fluid culture positivity (84.6%) was significantly higher than pre-VATS fluid culture (35%). CONCLUSIONS VATS was performed to acceptable standards. These data confirm the utility and safety of VATS in the right context but also suggest the potential diagnostic utility of VATS empyema fluid culture. Further studies are required to investigate this latter possibility further.

Introduction of the video-assisted thoracoscopic surgery (VATS) port through the subcostal incision to the right pleural cavity

ASVIDE ◽  
2016 ◽  
Vol 3 ◽  
pp. 503-503
Author(s):  
Marcin Zieliński ◽  
Mariusz Rybak ◽  
Katarzyna Solarczyk-Bombik ◽  
Michal Wilkoj ◽  
Wojciech Czajkowski ◽  
...  
Keyword(s):  
Pleural Cavity ◽  
Thoracoscopic Surgery ◽  
Video Assisted ◽  
The Right ◽  
Video Assisted Thoracoscopic Surgery ◽  
Subcostal Incision

scholarly journals Single-incision video-assisted thoracoscopic surgery left-lower lobe anterior segmentectomy (S8)

2017 ◽  
Vol 3 ◽  
pp. 114-114
Author(s):  
Carlos Galvez ◽  
Francisco Lirio ◽  
Julio Sesma ◽  
Benno Baschwitz ◽  
Sergio Bolufer
Keyword(s):  
Single Incision ◽  
Thoracoscopic Surgery ◽  
Lower Lobe ◽  
Left Lower Lobe ◽  
Video Assisted ◽  
Video Assisted Thoracoscopic Surgery

Common and Uncommon Variations of Pulmonary Venous Drainage in Patients Undergoing Thoracoscopic Lobectomy

2019 ◽  
Vol 68 (03) ◽  
pp. 256-260 ◽  
Author(s):  
Dario Amore ◽  
Dino Casazza ◽  
Pasquale Imitazione ◽  
Carlo Curcio
Keyword(s):  
Pulmonary Vein ◽  
Thoracoscopic Surgery ◽  
Pulmonary Veins ◽  
Lower Lobe ◽  
Venous Drainage ◽  
Middle Lobe ◽  
Vascular Anomalies ◽  
Apical Segment ◽  
Venous Anatomy ◽  
Video Assisted Thoracoscopic Surgery

Abstract Background Variations in pulmonary venous anatomy should not be undermined by thoracic surgeons during procedures which involve the pulmonary veins. Methods We have identified vascular anomalies in 25 of 346 patients undergoing video-assisted thoracoscopic surgery lobectomy at our Thoracic Surgery Unit, between December 2016 and November 2018. Results Some vascular anomalies described have not been reported in recent literature and include right V7 draining into the middle lobe pulmonary vein, accessory right V6 behind the bronchus intermedius, two V6 from the apical segment of left lower lobe, two V6 from the apical segment of right lower lobe, and one of them draining into the superior pulmonary vein. Conclusion Thoracic surgeons should be aware of this type of anomalies because failure in the preoperative or intraoperative identification of the pulmonary venous variations may lead to serious complications.

Uni-Incisional Video-Assisted Thoracoscopic Left Lower Lobectomy in a Patient with an Incomplete Fissure

2011 ◽  
Vol 6 (1) ◽  
pp. 45-47 ◽  
Author(s):  
Diego Gonzalez ◽  
Maria Delgado ◽  
Marina Paradela ◽  
Ricardo Fernandez
Keyword(s):  
Thoracoscopic Surgery ◽  
Rapid Development ◽  
Lower Lobe ◽  
Minimal Invasive ◽  
Video Assisted ◽  
Camera Port ◽  
Incision Technique ◽  
The One ◽  
Minimal Invasive Techniques ◽  
Video Assisted Thoracoscopic Surgery

Video-assisted thoracoscopic surgery (VATS) was introduced nearly two decades ago. Since then, there has been a rapid development in minimal invasive techniques for lung cancer treatment. The common approach is the one performed through three incisions, including a utility incision of ~3 to 5 cm. However, lobectomy can be performed by using only two incisions (one camera port and working incision). A few clinics perform this approach. We began the two-incision technique in our institution in February 2009. After performing 95 cases with this technique, we observed that for lower lobes the second incision could be eliminated, and we performed the surgery by using only the 4-cm utility incision. This article describes a case report of a 57-year-old woman operated by this uni-incisional approach for a lower lobe video-assisted thoracoscopic surgery lobectomy.

scholarly journals An Accidental Discovery of Tracheobronchomegaly: a Case Report

2020 ◽  
Author(s):  
Weijiang Ma ◽  
Aihua Liu ◽  
Xin Liu ◽  
Fukai Bao
Keyword(s):  
Thoracoscopic Surgery ◽  
Wedge Resection ◽  
Clinical Manifestations ◽  
Lower Lobe ◽  
Image Features ◽  
Surgical Measures ◽  
The Right ◽  
Chest Ct Scan ◽  
Video Assisted Thoracoscopic Surgery ◽  
Accidental Discovery

Abstract Tracheobronchomegaly is a rare disease with congenital abnormal change in respiratory tract; its image features are also very special. In this case, we described a 57-year-old male with cough, expectoration, chest pain, and dyspnea. In our institution, the result of chest CT scan is highly extraordinary, which showed obvious dilation of the trachea and main bronchi, emphysema, and a number of pulmonary bullae, and there was a big bulla with air-fluid level on the lower lobe of the right lung. Fortunately, after wedge resection for the big bulla on the lower lobe of right lung under video-assisted thoracoscopic surgery, this patient’s symptoms were significantly relieved. The clinical manifestations of tracheobronchomegaly lack specificity; this disease has freakish image features. At present, there are no effective treatments for tracheobronchomegaly, which just was an accidental discovery in this patient; we just mainly take surgical measures to treat the big bulla for relieving symptoms.

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