scholarly journals Rare Condition of Intrathoracic Phrenic Nerve Schwannoma Successfully Treated with Uniportal Video-Assisted Thoracoscopic Surgery

2021 ◽  
Vol 2021 ◽  
pp. 1-4
Author(s):  
Lu Huu Pham ◽  
Kinh Quoc Nguyen ◽  
Hung Quoc Doan ◽  
Lanh Sy Nguyen ◽  
Ha Thi-Ngoc Doan
Keyword(s):  
Computerized Tomography ◽  
Phrenic Nerve ◽  
Thoracoscopic Surgery ◽  
Rare Condition ◽  
Mediastinal Tumors ◽  
Neurogenic Tumors ◽  
Video Assisted ◽  
Middle Mediastinum ◽  
The Right ◽  
Video Assisted Thoracoscopic Surgery

Introduction. Neurogenic tumors in the mediastinum account for approximately 20-30% of all types of mediastinal tumors in adults. This pathology is usually benign and has no or very few symptoms. Schwannoma rarely involves the phrenic nerve. We report a unique case of schwannoma involvement of phrenic nerve. Case Presentation. The 43-year-old female patient has an annual check-up of computerized tomography to detect the mass in the right middle mediastinum, so the patient was admitted to the hospital. Chest computerized tomography image found a mass of the middle mediastinum with the size of 23 × 22.3  mm located between the right pulmonary artery and the pericardium with uniform margins and clear boundaries, not invading the surrounding organization. Very little contrast is absorbed after injection. She underwent a uniportal video-assisted thoracoscopic surgery, and this mass was found to be originating from the right phrenic nerve. Resection of the portion of phrenic nerve with mass was performed. Postoperatively, the patient was discharged from the hospital after 4 days of treatment in a clinical condition with no difficulty breathing and no chest pain; postoperative X-ray showed no abnormality, and the right diaphragm was unchanged. Conclusion. Although they are very rare, schwannomas of the phrenic nerve should be considered in the differential diagnosis of mediastinal tumors. Uniportal video-assisted thoracoscopic surgery is a preeminent option with properly sized tumors that deliver good results and have no postoperative complications associated with surgery.

scholarly journals Declarations: management of a pulmonary arteriovenous fistulae by uniportal video‐assisted thoracoscopic surgery: a case report

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
R. Li ◽  
Y. Zhou ◽  
S. Kang ◽  
F. Kong ◽  
L. Guan ◽  
...  
Keyword(s):  
Computerized Tomography ◽  
Rare Case ◽  
Thoracoscopic Surgery ◽  
Rare Condition ◽  
Preoperative Assessment ◽  
Ct Reconstruction ◽  
Case Presentation ◽  
Lower Lobectomy ◽  
Video Assisted ◽  
Video Assisted Thoracoscopic Surgery

Abstract Background A pulmonary arteriovenous fistula (PAVF) is a rare condition that is associated with pulmonary arteriovenous malformation (PAVM). Few reports have described managing PAVMs using uniportal video-assisted thoracoscopic surgery (VATS). Case presentation A 13-year-old child with PAVF in the left inferior pulmonary artery was treated by uniportal VATS with left lower lobectomy. After surgery, hemoptysis did not recur and there were no postoperative complications. Six months after the operation, postoperative review of computerized tomography showed no recrudescence of PAVF. Conclusions PAVF is a rare case that should be diagnosed and treated early. 3D- computerized tomography (CT) reconstruction is useful for diagnosis and preoperative assessment. The case shows that PAVF can be managed with uniportal VATS.

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 Successful Treatment of Mediastinal Unicentric Castleman’s Disease Using Video-Assisted Thoracoscopic Surgery with Preoperative Embolization

2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Yosuke Amano ◽  
Daiya Takai ◽  
Nobuya Ohishi ◽  
Aya Shinozaki-Ushiku ◽  
Masashi Fukayama ◽  
...  
Keyword(s):  
Thoracoscopic Surgery ◽  
Castleman’S Disease ◽  
Preoperative Embolization ◽  
Castleman's Disease ◽  
Tumor Vascularity ◽  
Mediastinal Tumors ◽  
Video Assisted ◽  
Vascular Type ◽  
Hyaline Vascular Type ◽  
Video Assisted Thoracoscopic Surgery

Unicentric Castleman’s disease is a rare, benign lymphoproliferative disorder that is curable with surgical resection. However, significant bleeding often occurs during surgery because of tumor hypervascularity. We herein present a case of hyaline-vascular-type mediastinal unicentric Castleman’s disease, successfully resected using video-assisted thoracoscopic surgery with preoperative embolization. In the present case, tumor hypervascularity and feeding vessels were revealed by computed tomography (CT), which led us to perform preoperative angiography and embolization to the tumor feeding arteries to reduce intraoperative bleeding. Castleman’s disease should be considered in the differential diagnosis of hypervascular mediastinal tumors. Tumor vascularity should be assessed prior to surgery, and preoperative embolization should be considered.

scholarly journals Axillary uniportal video-assisted thoracoscopic surgery for bullae is a cosmetically superior approach to primary spontaneous pneumothorax: a case report

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Weijiang Ma ◽  
Xiuping Deng ◽  
Ming Wen ◽  
Limin Yang ◽  
Xun Ouyang ◽  
...  
Keyword(s):  
Chest Wall ◽  
Spontaneous Pneumothorax ◽  
Thoracoscopic Surgery ◽  
Primary Spontaneous Pneumothorax ◽  
Natural State ◽  
Axillary Approach ◽  
Video Assisted ◽  
Good Cosmetic ◽  
The Right ◽  
Video Assisted Thoracoscopic Surgery

Abstract Background Bulla is a common cause of primary spontaneous pneumothorax. Video-assisted thoracoscopic surgery (VATS) through the lateral chest wall is a common surgical approach and an effective treatment for this condition, but postoperative incision scars affect the aesthetic outcome. VATS via axillary approach can hide the scar in the axilla, and the wound in its natural state is invisible; this greatly improves the cosmetic appearance. To our knowledge, this is the first report of VATS-based bullectomy via the axillary approach in a patient with spontaneous pneumothorax. Case presentation A 20-year-old female patient was admitted to the hospital with a 2-day history of chest tightness and chest pain. Plain chest computed tomography showed right spontaneous pneumothorax, lung compression of 75%, and right pulmonary bulla. After complete preoperative examination, VATS bullectomy via right axillary approach was performed. During the operation, a bulla measuring about 4 × 4 cm was found at the apex of the right lung and resected. The incision healed well, and the patient was discharged after surgery. Conclusions VATS bullectomy via axillary approach is safe and feasible, with the incision hidden in the axilla and not visible in the natural state. This method leaves no scar on the chest wall and has good cosmetic outcome.

MIXED REALITY APPLICATION FOR SURGICAL PLANNING IN VIDEO-ASSISTED PULMONARY LOBECTOMY

2021 ◽  
Vol 108 (Supplement_3) ◽  
Author(s):  
J A Sánchez-Margallo ◽  
R A Fernández Anzules ◽  
C Plaza de Miguel ◽  
F M Sánchez-Margallo
Keyword(s):  
Real Time ◽  
Surgical Planning ◽  
Mixed Reality ◽  
Thoracoscopic Surgery ◽  
Operating Table ◽  
Systematic Lymphadenectomy ◽  
Video Assisted ◽  
Voice Control ◽  
The Right ◽  
Video Assisted Thoracoscopic Surgery

Abstract INTRODUCTION The adoption of surgical planning systems could greatly simplify the performance of video-assisted thoracoscopic surgery and improve its safety. MATERIAL AND METHODS A new application for surgical planning in video-assisted thoracoscopic surgery was developed, making use of the HoloLens (v1) mixed reality device. The information was displayed in the form of interactive holograms, by means of gestural, visual or voice control. The application was validated during a video-assisted right upper lobectomy surgery, including systematic lymphadenectomy for squamous cell carcinoma in the right upper lobe. RESULTS No complications were shown during surgery. Prior to surgery, the system allowed the surgeon to access in real time the patient's medical history, review the computed tomography study, and visualize and manipulate a 3D model of the lung with its respective vascular and bronchial elements, as well as the tumor to be removed. The surgeon’s vision using the device was easily shared with the rest of the surgical team. The surgeon placed the holographic models with the surgical planning information behind the field of view of the operating table for possible reference during the procedure. The weight and heat generated by the device were considered ergonomic aspects to be improved. CONCLUSIONS The system provides real-time access to important patient information for surgical planning during video-assisted lobectomy surgery, without losing the sterility of the surgical act. The surgeon's view can be shared for communication and learning purposes, as well as recorded for later review of surgical complications.

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