Evaluation of Surgical Stress Associated with Video-assisted Thoracic Surgery for Esophageal Cancer According to Interleukin-6 Variation in Pleural Cavity Lavage Fluid

Abstract Objective To investigate and summarize the effectiveness and safety of CT guided microcoil localization before video-assisted thoracic surgery (VATS) for the removal of ground glass opacity (GGO).Method 147 patients with GGO who were treated in our hospital from January 2019 to February 2021 were retrospectively analyzed. They were divided into two groups according to the final position of the end of the microcoil, intracavity group (n=78) and extracavity group (n=69). Comparison of the two groups of patients with puncture complications, and the influence of the end position of the coil for VATS.Results The proportion of supine and prone position in the intracavity group was significantly higher than that in the extracavity group (82.1% vs. 66.7%, P<0.05). The incidence of intrapulmonary hemorrhage, chest pain and coil displacement in the intracavitary group was significantly lower than that in the extracavitary group (28.2% vs. 46.4%; 19.2% vs. 39.1%;1.3% vs. 11.6%, P<0.05), and the incidence of pneumothorax had no significant difference(P>0.05). The time of VATS and the rate of conversion to thoracotomy in the intracavity group were significantly lower than those in the extracavity group (103.4±21.0min vs. 112.2±17.3min, 0% vs. 5.8%, P<0.05).Conclusion CT-guided placement of the microcoil was a very practical, simple and convenient localization method before VATS with high success rate and few complications, further more, it was a better method to place the end of the coil in the pleural cavity because of the lower complication rate, shorter VATS time and lower rate of thoracotomy conversion.

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VIDEO-ASSISTED THORACIC SURGERY USING LOCAL ANESTHESIA IN LUNG ABSCESSES AND PYOPNEUMOTHORAX

Grekov s Bulletin of Surgery ◽

10.24884/0042-4625-2015-174-3-54-58 ◽

2015 ◽

Vol 174 (3) ◽

pp. 54-58

Author(s):

A. L. Akopov ◽

V. I. Egorov ◽

I. V. Deinega ◽

P. M. Ionov

Keyword(s):

Thoracic Surgery ◽

Local Anesthesia ◽

Soft Tissues ◽

Pleural Cavity ◽

Perioperative Complications ◽

Lung Abscess ◽

Good Tolerance ◽

Video Assisted Thoracic Surgery ◽

Video Assisted ◽

Inflammatory Processes

The article presents the results of 42 video-abscessoscopies (VAS) in acute and gangrenous lung abscess and 32 video-thoracoscopies (VTS) in pyopneumothorax, which were performed using local anesthesia and sedation. There were several indication to operation: sanation of cavities, removal of necrotic sequestration and fibrin, decollement, biopsy. Perioperative complications developed after 11 surgeries (13%): emphysema of soft tissues of pectoral cells (5), phlegmon of the thorax (3), bronchial hemorrhage (2), pneumothorax (1). One of the patients died, because of progressing of main disease. VAS and VTS were carried out in 5-8 days after cavity drainage of abscess or pleural cavity in 50 patients. In other 15 cases operations were performed directly before drainage. The bronchial hemorrhage and phlegmons of the thorax were noted in patients of second group. The patients had good tolerance of VAS and VTS operations fulfilled using local anesthesia and sedation. They are safe in case that operation follows drainage of abscess or pleural cavity after decrease of inflammatory processes.

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Broken chest tube: a rare complication treated by video-assisted thoracic surgery

International Surgery Journal ◽

10.18203/2349-2902.isj20194093 ◽

2019 ◽

Vol 6 (9) ◽

pp. 3443

Author(s):

Girish D. Bakhshi ◽

Kushagra Rahul ◽

Shraddha S. Gangawane ◽

Ashwini S. Borade ◽

Dinesh S. Pawar ◽

...

Keyword(s):

Thoracic Surgery ◽

Chest Tube ◽

Pleural Cavity ◽

Rare Complication ◽

Minimal Invasive ◽

Chest Drain ◽

Foreign Body Removal ◽

Video Assisted Thoracic Surgery ◽

Video Assisted ◽

Surgical Setting

Intercostal chest drain (ICD) or chest tube is a simple device used very frequently in medical, surgical and critical care specialties to drain air, blood or pus from the pleural cavity. Fracture of ICD and displacement of fractured segment within the pleural cavity is a rare complication. Minimal invasive approaches via video-assisted thoracic surgery (VATS) have been demonstrated predominantly in traumatic thoracic foreign body removal cases in a primary surgical setting. Here we present a case of a broken chest tube in the pleural cavity removed using VATS. A brief case report, review of literature and prevention of this complication is described.

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Video-assisted thoracic surgery and jejunal reconstruction in a case of situs inversus totalis with esophageal cancer

Asian Journal of Endoscopic Surgery ◽

10.1111/ases.12395 ◽

2017 ◽

Vol 10 (4) ◽

pp. 399-403 ◽

Cited By ~ 1

Author(s):

Kei Hosoda ◽

Keishi Yamashita ◽

Hiromitsu Moriya ◽

Mitsuru Nemoto ◽

Hiroaki Mieno ◽

...

Keyword(s):

Esophageal Cancer ◽

Thoracic Surgery ◽

Situs Inversus ◽

Situs Inversus Totalis ◽

Video Assisted Thoracic Surgery ◽

Video Assisted

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Primary hyperparathyroidism caused by mediastinum located ectopic parathyroid adenoma resected by video-assisted thoracic surgery

Endocrine Abstracts ◽

10.1530/endoabs.35.p291 ◽

2014 ◽

Author(s):

Narin Nasiroglu Imga ◽

Ozgur Karakurt ◽

Bercem Aycicek Dogan ◽

Zeynep Karabulut ◽

Yasemin Tutuncu ◽

...

Keyword(s):

Primary Hyperparathyroidism ◽

Thoracic Surgery ◽

Parathyroid Adenoma ◽

Video Assisted Thoracic Surgery ◽

Video Assisted ◽

Ectopic Parathyroid Adenoma ◽

Ectopic Parathyroid

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Az első száz minimálisan invazív tüdőlebeny-eltávolítás eredményei osztályunk beteganyagában

Magyar Sebészet (Hungarian Journal of Surgery) ◽

10.1556/1046.73.2020.2.2 ◽

2020 ◽

Vol 73 (2) ◽

pp. 57-60

Author(s):

Károly Kovács ◽

Csaba Oláh ◽

László Füstös ◽

Zoltán Fülep ◽

Gábor Cserni ◽

...

Keyword(s):

Thoracic Surgery ◽

Video Assisted Thoracic Surgery ◽

Video Assisted

Absztrakt: Bevezetés: Közleményünkben ismertetjük a 2013–2019 közötti időszakban osztályunkon minimálisan invazív módszerrel (video-assisted thoracic surgery – VATS) elvégzett tüdőlobectomiák során szerzett tapasztalatainkat, eredményeinket. Betegek és módszer: 2013. november 1. és 2019. június 30. közötti időszakban osztályunkon 112 VATS lobectomiát végeztünk. A műtéteket izolált intubációval altatott betegeken elülső behatolás technikával végeztük. 98 betegnél malignus, 9 betegnél benignus elváltozás miatt történtek a műtétek. 10 esetben a műtét utáni szövettani diagnózis metasztázis volt. 78 férfi és 34 nőbetegen végeztük a műtéteket. A betegek átlagéletkora 60,5 (42–63) év volt. Az eltávolított lebenyek megoszlása a következő volt: bal felső: 5, bal alsó: 36, Jobb felső: 15, középső: 11, jobb alsó: 44, pulmonectomia: 1. Eredmények: Műtéti halálozás nem volt. Konverzióra 3 alkalommal kényszerültünk. Az átlagos műtéti idő 150 (70–215) perc volt. Reoperációt 2 betegnél végeztünk, vérzés, légáteresztés miatt. A 112 műtét során 88 betegnél primer tüdőrák, 9 betegnél jóindulatú elváltozás/gyulladás miatt történt a műtét. 10 esetben más szerv tumora miatti metasztázis miatt végeztük a beavatkozásokat. A primer tüdőrák miatt végzett műtétek stádium szerinti megoszlása a szövettani eredmények alapján a következő volt: I.a: 57, I.b: 22, II.a: 6, II.b: 3. A szövettani típus szerinti megoszlás: adenocarcinoma: 52, laphámrák: 23, kissejtes carcinoma: 2, nagysejtes carcinoma: 5, carcinoid: 6 volt. Következtetés: Osztályunkon a szükséges tanuló időszak után a VATS lobectomia megfelelő indikáció szerint rutin műtéti eljárássá vált. Jelenleg mellkasi műtéteink 65%-a, a lobectomiák több mint 50%-a VATS technikával történik. Eredményeink az országos és az irodalmi adatoknak megfelelnek.

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