scholarly journals Video-Assisted Minithoracotomy for Pulmonary Laceration with a Massive Hemothorax

2014 ◽  
Vol 2014 ◽  
pp. 1-4
Author(s):  
Hideki Ota ◽  
Hideki Kawai ◽  
Shuntaro Togashi ◽  
Tsubasa Matsuo
Keyword(s):  
Blunt Trauma ◽  
Thoracoscopic Surgery ◽  
Middle Lobe ◽  
Computed Tomographic ◽  
Video Assisted ◽  
Threatening Condition ◽  
Massive Hemothorax ◽  
Pulmonary Parenchyma ◽  
Pulmonary Laceration ◽  
The Right

Severe intrathoracic hemorrhage from pulmonary parenchyma is the most serious complication of pulmonary laceration after blunt trauma requiring immediate surgical hemostasis through open thoracotomy. The safety and efficacy of video-assisted thoracoscopic surgery (VATS) techniques for this life-threatening condition have not been fully evaluated yet. We report a case of pulmonary laceration with a massive hemothorax after blunt trauma successfully treated using a combination of muscle-sparing minithoracotomy with VATS techniques (video-assisted minithoracotomy). A 22-year-old man was transferred to our department after a falling accident. A diagnosis of right-sided pneumothorax was made on physical examination and urgent chest decompression was performed with a tube thoracostomy. Chest computed tomographic scan revealed pulmonary laceration with hematoma in the right lung. The pulmonary hematoma extending along segmental pulmonary artery in the helium of the middle lobe ruptured suddenly into the thoracic cavity, resulting in hemorrhagic shock on the fourth day after admission. Emergency right middle lobectomy was performed through video-assisted minithoracotomy. We used two cotton dissectors as a chopstick for achieving compression hemostasis during surgery. The patient recovered satisfactorily. Video-assisted minithoracotomy can be an alternative approach for the treatment of pulmonary lacerations with a massive hemothorax in hemodynamically unstable patients.

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.

scholarly journals Blunt Trauma–Induced Pericardial Tamponade After Video-Assisted Thoracoscopic Surgery

2019 ◽  
Vol 107 (6) ◽  
pp. e381-e383
Author(s):  
Xuebing Chen ◽  
Qi Miao ◽  
Yangeng Yu ◽  
Fu Zhang ◽  
Leping Sun ◽  
...  
Keyword(s):  
Blunt Trauma ◽  
Thoracoscopic Surgery ◽  
Pericardial Tamponade ◽  
Video Assisted ◽  
Video Assisted Thoracoscopic Surgery

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

Proctor-guided virtual reality–enhanced three-dimensional video-assisted thoracic surgery: an excellent tutoring model for lung segmentectomy

2020 ◽  
pp. 030089162097217
Author(s):  
Francesco Guerrera ◽  
Samanta Nicosia ◽  
Lorena Costardi ◽  
Paraskevas Lyberis ◽  
Federico Femia ◽  
...  
Keyword(s):  
Early Stage ◽  
Thoracoscopic Surgery ◽  
Three Dimensional ◽  
Resection Margins ◽  
Early Stage Lung Cancer ◽  
Video Assisted ◽  
Tissue Sparing ◽  
The Right ◽  
Colon Rectal Cancer

Objective: Lung segmentectomy using video-assisted thoracoscopic surgery (VATS) is an effective strategy to treat early-stage lung cancer. The objective of this case report is to show the efficacy of Hyper Accuracy 3D™ (HA3D) reconstruction as a tool for trainee surgeons and expert surgeons to perform complex procedures. Methods: An 84-year-old man was treated for colon-rectal cancer. During follow-up, a pulmonary nodule on the right anterior upper lobe suspected for intestinal metastasis was revealed by a computed tomography scan. According to functional tests and radiology, a right anterior upper lobe segmentectomy was planned. HA3D lung reconstruction was used during surgery. Results: Using the HA3D virtual model, the procedure was performed with healthy tissue sparing, ensuring safe resection margins. No postoperative morbidities were noted. The patient referred good pain control. The hospital stay was 6 days. Conclusions: VATS segmentectomy is a technically demanding procedure. HA3D lung reconstruction can help surgeons effectively perform the resection, aiding at individuating intersegmental planes, bronchi, and vessels, guaranteeing oncologic radicality and safe surgical margins, and preserving respiratory function.

Thyroid Carcinoma in a 13-Year-Old Bengal

2020 ◽  
Vol 56 (1) ◽  
pp. 53-57
Author(s):  
Mallory Watson ◽  
Benjamin S. Perry
Keyword(s):  
Thyroid Carcinoma ◽  
Blood Count ◽  
Complete Blood Count ◽  
Serum Biochemistry ◽  
Domestic Cats ◽  
Computed Tomographic ◽  
Cervical Swelling ◽  
Treatment Plans ◽  
Pulmonary Parenchyma ◽  
The Right

ABSTRACT A 13 yr old male neutered Bengal cat was evaluated for a ventral cervical swelling, occasional vomiting, and decreased energy. Serum biochemistry, complete blood count, and physical examination were unremarkable apart from the cervical swelling. Serosanguinous fluid was drained from the cyst-like structure; however, the mass returned. Computed tomographic imaging revealed a large rounded-to-oval–shaped cystic structure in the region of the right thyroid gland with no obvious metastatic changes to the pulmonary parenchyma. The mass was surgically excised, and the tissues were histologically consistent with thyroid carcinoma. No evidence of recurrence or metastasis was present 6 mo postoperatively. Thyroid carcinomas are rarely reported in domestic cats; consequently, there is little research available on the topic. Until more research is made available, veterinarians may look to information available in canine literature to guide their treatment plans, but no definitive statements regarding therapy and ultimate prognosis can be made.

scholarly journals Airway Management of the Right Anterior Segmentectomy through Uniportal Video-Assisted Thoracoscopic Surgery (VATS) after Left Pneumonectomy by An Adapted Double-lumen Endobronchial Tube (DLT): A Case Report

2019 ◽  
Author(s):  
Yang Gu ◽  
Ruowang Duan ◽  
Xin Lv ◽  
Jiong Song
Keyword(s):  
Thoracoscopic Surgery ◽  
Lung Resection ◽  
Perioperative Period ◽  
Radical Resection ◽  
Double Lumen ◽  
Intubation Technique ◽  
Video Assisted ◽  
Double Lumen Endobronchial Tube ◽  
The Right ◽  
Left Pneumonectomy

Abstract Background Lung resection after previous contralateral pneumonectomy is rare. We present a case of right anterior segmentectomy despite previous left pneumonectomy, demanding special ventilation strategy. Case presentation A 48-year-old woman was going to have the right anterior segmentectomy through uniportal video-assisted thoracoscopy (VATS) who had left pneumonectomy two years ago. A 32-French left-sided double-lumen endobronchial tube (DLT) was chosen and adapted. The DLT was intubated into the bronchus intermedius. And the upper lobe can be isolated from the ventilation in the middle and lower lobes when the bronchial cuff’s inflated. The perioperative period was uneventful and the pathological diagnosis was adenocarcinoma. Conclusion Lung cancer radical resection was discouraged after previous contralateral pneumonectomy partly due to the challenging ventilation and isolation. With this new DLT adapting and intubation technique showed in this case, the challenging ventilation and isolation that deter the promotion of the operation could be solved.

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