Two-port right VATS pneumonectomy

2020 ◽  
Keyword(s):  
Minimally Invasive Surgery ◽  
Minimally Invasive ◽  
Invasive Surgery ◽  
Perioperative Outcome ◽  
Video Tutorial ◽  
Video Assisted ◽  
Oncological Results ◽  
The Individual

A video-assisted right pneumonectomy is a challenging but feasible procedure in expert hands. This video tutorial presents in detail the indications for and the individual surgical steps needed to safely perform a biportal video-assisted right pneumonectomy. In selected patients, this technique guarantees the same oncological results in terms of the perioperative outcome as those achieved by minimally invasive surgery.

Uncertainty Evaluation for Surgical Processes

2014 ◽  
Vol 613 ◽  
pp. 317-326
Author(s):  
Maria Nau-Hermes ◽  
Sebastian Pollmanns ◽  
Robert Schmitt
Keyword(s):  
Minimally Invasive Surgery ◽  
Minimally Invasive ◽  
Invasive Surgery ◽  
Surgical Intervention ◽  
Medical Surgery ◽  
Uncertainty Evaluation ◽  
Production Engineering ◽  
Controlled Processes ◽  
Capability Indices ◽  
The Individual

Principles of uncertainty evaluation for measurement processes and capability studies for production processes have been known for several years and are established in many producing enterprises where they ensure capable and controlled processes. The ability to quantify the processes risk is also desirable for a completely different field, for medical surgery. Especially for new and minimally invasive surgery it is very important to estimate and state the risk of the surgical intervention for the individual patient. To achieve this, principles of metrology and production engineering are transferred to the medical domain and are exemplarily applied for minimally invasive surgery at the inner ear. The contribution shows how the individual patients risk can be expressed analogous to the calculation of capability indices (ISO 22514-1) and how the patients risk for this intervention is directly affected by uncertainty contributions along the surgical process chain.

scholarly journals Interest of video-assisted minimally invasive surgery in primary hyperparathyroidism

2016 ◽  
Vol 133 (4) ◽  
pp. 247-251 ◽  
Author(s):  
R. Garrel ◽  
M. Bartolomeo ◽  
M. Makeieff ◽  
L. Crampette ◽  
B. Guerrier ◽  
...  
Keyword(s):  
Minimally Invasive Surgery ◽  
Primary Hyperparathyroidism ◽  
Minimally Invasive ◽  
Invasive Surgery ◽  
Video Assisted

Perioperative Outcome of Patients with Congenital Diaphragmatic Hernia Undergoing Open Versus Minimally Invasive Surgery

2012 ◽  
Vol 22 (3) ◽  
pp. 285-289 ◽  
Author(s):  
Philipp O. Szavay ◽  
Florian Obermayr ◽  
Christoph Maas ◽  
Holger Luenig ◽  
Gunnar Blumenstock ◽  
...  
Keyword(s):  
Minimally Invasive Surgery ◽  
Minimally Invasive ◽  
Congenital Diaphragmatic Hernia ◽  
Diaphragmatic Hernia ◽  
Invasive Surgery ◽  
Perioperative Outcome ◽  
Open Versus

scholarly journals Endoscopic Thyroid Surgery through Breast and Axillary Approach

2013 ◽  
Vol 5 (3) ◽  
pp. 85-88
Author(s):  
Gyan Chand ◽  
Amit Agarwal
Keyword(s):  
Minimally Invasive Surgery ◽  
Minimally Invasive ◽  
Invasive Surgery ◽  
Thyroid Surgery ◽  
Natural Orifice ◽  
Axillary Approach ◽  
Video Assisted ◽  
Endoscopic Thyroid Surgery

ABSTRACT Thyroid surgery was introduced since ages; it was initially started with large incision in the neck. Due to advancement in technology the minimally invasive surgery has been introduced for all organs. This technology is introduced in the thyroid surgery too. Different approaches have been established including minimally invasive video assisted, endoscopic, robotic and natural orifice thyroid surgery. Among these different approaches of endoscopic thyroid surgery, the breast and axillary approach is most acceptable and easy to perform. Here I am going to describe this technique of endoscopic thyroid surgery. How to cite this article Chand G, Agarwal A. Endoscopic Thyroid Surgery through Breast and Axillary Approach. World J Endoc Surg 2013;5(3):85-88.

scholarly journals Minimally invasive surgery in treatment of congenital heart diseases

2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Công Hiếu Lương ◽  
Keyword(s):  
Minimally Invasive Surgery ◽  
Minimally Invasive ◽  
Congenital Heart Defects ◽  
Invasive Surgery ◽  
Surgical Approach ◽  
Congenital Heart ◽  
Heart Defects ◽  
Video Assisted ◽  
Group 2 ◽  
Group 1

Tóm tắt Đặt vấn đề: Phẫu thuật tim ít xâm lấn phát triển mạnh trên thế giới và đã được chứng minh đem lại nhiều lợi ích cho người bệnh. Chúng tôi thực hiện nghiên cứu này nhằm đánh giá tính khả thi và an toàn của kĩ thuật phẫu thuật ít xâm lấn điều trị các dị tật tim bẩm sinh. Phương pháp nghiên cứu: Đây là nghiên cứu mô tả hàng loạt ca được thực hiện tại khoa Phẫu thuật tim mạch Bệnh viện Đại học Y Dược thành phố Hồ Chí Minh. Tất cả các người bệnh có dị tật tim bẩm sinh được phẫu thuật ít xâm lấn sửa chữa dị tật từ tháng 7/2014 đến 7/2018 được thu thập số liệu. Kết quả: Tổng cộng có 134 trường hợp: mở ngực phải có nội soi hỗ trợ (nhóm 1): 62 ca (46%), mở ngực nhỏ giữa xương ức (nhóm 2): 72 ca (54%). Nhóm 1: tuổi trung bình 27.6 ± 14,7 tuổi (6 – 63 tuổi), tỷ lệ nam : nữ là 1:2,1, cân nặng trung bình 47,0 ± 9,9 kg (16 – 60kg). Nhóm 2 : tuổi trung bình 6,5 ± 4,3 tuổi (1 – 24 tuổi), tỷ lệ nam: nữ là 1,4:1, cân nặng trung bình 12 kg (7,5 – 54 kg). Các dị tật bẩm sinh được phẫu thuật: thông liên nhĩ, thông liên thất, kênh nhĩ thất bán phần, tim ba buồn nhĩ, bất thường hồi lưu tĩnh mạch phổi. Các kỹ thuật phẫu thuật được thực hiện: vá thông liên nhĩ, vá thông liên thất, sửa van 2 lá, sửa van 3 lá, sửa chữa bất thường hồi lưu tĩnh mạch phổi. Trong 2 nhóm, người bệnh được rút nội khí quản sớm (3-6 giờ sau mổ), thời gian nằm hồi sức tim trung bình 2 ngày, thời gian nằm viện sau mổ trung bình là 5 ngày và không có trường hợp tử vong. Kết luận: Phẫu thuật ít xâm lấn sửa chữa dị tật bẩm sinh khả thi và an toàn. Đường mổ ít xâm lấn ngực phải có sự hỗ trợ của nội soi cũng như đường mở ngực giữa nửa xương ức giúp tiếp cận tốt các tổn thương bẩm sinh: thông liên nhĩ, thông liên thất, tổn thương van nhĩ thất … để thực hiện các thao tác sửa chữa. Abstract Introduction: The concept of minimally invasive surgery for congenital heart disease in pediatric surgery is accepted worldwide with the aim to reduce trauma during operation. Since 2014, we have adopted a minimally surgical approach to manage the congenital heart defects. We conduct the study to identify the effectiveness and the safety of this approach. Material and Methods: Between July 2014 and July 2018, all patients who underwent a minimally invasive surgical approach at the University Medical center HCMC, were enrolled. The database including the outcomes, patients clinical conditions and satisfaction at follow-up were collected and analyzed. Results: There were 134 patients with congenital heart defects underwent minimally invasive repair. Group 1 (right video-assisted minithoracotomy): 62 patients (46%), group 2 (midline ministernotomy): 72 patients (54%). Group 1: mean age 27.6 ± 14.7ys (6 – 63 ys), male/ female ratio was : 1:2.1. Group 2: mean age 6.5 ± 4.3ys (1 – 24 ys), male/ female ration was : 1.4:1. The congenital heart defects are ASD, VSD, AVSD, Cor-triatristum, PAPVR, etc. Procedure performed are ASD closure, VSD closure, pulmonary veins rerouting, AV valve repair, etc. In both groups, all patients were removed the endotracheal tube within 3-6 hours, and discharged within 5-7 days. There was no mortality in this series. Conclusion: Approach and repair the congenital heart defects via right video- assisted thoracotomy and minimally midline sternotomy are safe and effective. Keyword: Minimally invasive approach; Congenital heart defects.

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