scholarly journals Three-dimensional video-assisted thoracic surgery for pulmonary resections: an update

2017 ◽  
Vol 3 ◽  
pp. 79-79
Author(s):  
Duilio Divisi ◽  
Mirko Barone ◽  
Roberto Crisci
Keyword(s):  
Thoracic Surgery ◽  
Three Dimensional ◽  
Video Assisted Thoracic Surgery ◽  
Video Assisted

scholarly journals Video-assisted thoracic surgery sleeve resection and bronchoplasty using 3D imaging system: its safety and efficacy

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Yong Won Seong ◽  
Jae Hyun Jeon ◽  
Hyo-Jun Jang ◽  
Sukki Cho ◽  
Sanghoon Jheon ◽  
...  
Keyword(s):  
Thoracic Surgery ◽  
Clinical Outcomes ◽  
Three Dimensional ◽  
Sarcomatoid Carcinoma ◽  
Operation Time ◽  
Sleeve Resection ◽  
Bronchial Anastomosis ◽  
Video Assisted Thoracic Surgery ◽  
Video Assisted ◽  
Early Clinical Outcomes

Abstract Background Video-assisted thoracic surgery sleeve resection with bronchial anastomosis or bronchoplasty is a technically demanding procedure. Three-dimensional endoscopic surgery has been reported to be helpful in decreasing operation time and improving spatial perception with less surgical errors, but there have been rare reports about relatively difficult thoracoscopic procedures utilizing 3D thoracoscope. We performed this study to evaluate early clinical outcomes of thoracoscopic sleeve resection and bronchoplasty utilizing 3D thoracoscope. Methods Data from a total of 36 patients who underwent thoracoscopic sleeve lobectomy or bronchoplasty at our institution from December 2015 to October 2017 were retrospectively reviewed. Three-port approach with one utility incision was used with a 10 mm, 30° three-dimensional thoracoscope. Twenty-three patients (81%) were male, and mean age was 65.9 ± 9.4 years. Fourteen patients (38.9%) underwent sleeve resection with bronchial anastomosis, 22 (61.1%) underwent wedge or simple bronchoplasty, and one patient received concomitant PA procedure. Bronchial anastomosis sites were not covered with viable tissue flaps. Results There was no (0%) suture needle injury from spatial misperception during bronchoplasty or sleeve anastomosis. There was no (0%) operative mortality. The pathologic report revealed squamous cell carcinoma (63.9%), adenocarcinoma (19.4%), carcinoid (6.9%), adenosquamous carcinoma (3.4%), and sarcomatoid carcinoma (2.8%). One (2.8%) late mortality was due to systemic recurrence of sarcomatoid carcinoma. There was no (0.0%) anastomotic failure. The mean number of dissected lymph nodes were 27.4 ± 13.2, and mean operation time was 216.8 ± 60.0 min. Median postoperative 24-h drain amount was 315 mL. Median chest tube days and hospital days were 4 and 6, respectively. Two patients (5.6%) had complications greater than Clavien-Dindo grade II—one case of ARDS, and the other case of a delayed bronchopleural fistula. Conclusions Thoracoscopic sleeve resection and bronchoplasty utilizing HD 3D thoracoscope is a safe and effective procedure with excellent early clinical outcomes. Further investigation for long-term outcomes will be needed.

scholarly journals In patients undergoing video-assisted thoracic surgery for lung resection, does three-dimensional endoscopic vision provide superior clinical outcomes?

2019 ◽  
Vol 30 (4) ◽  
pp. 588-592
Author(s):  
Karishma Chandarana ◽  
Edward J Caruana
Keyword(s):  
Thoracic Surgery ◽  
Clinical Outcomes ◽  
Operative Time ◽  
Lung Resection ◽  
Three Dimensional ◽  
3 Dimensional ◽  
Video Assisted Thoracic Surgery ◽  
Video Assisted ◽  
Sufficient Magnitude ◽  
Study Type

Abstract A best evidence topic in thoracic surgery was written according to a structured protocol. The question addressed was whether the use of 3-dimensional endoscopic vision provides superior clinical outcomes to patients undergoing video-assisted thoracic surgery for lung resection. Altogether 231 unique papers were found using the reported search, of which 6 represented the best evidence to answer the clinical question. The authors, journal, date and country of publication, patient group studied, study type, relevant outcomes and results of these papers are tabulated. Four of the 6 papers demonstrated a statistically significant reduction in operative time, although this difference may not be of sufficient magnitude to be relevant clinically. There was no difference in any other outcomes assessed. We therefore conclude that, in patients undergoing video-assisted thoracic surgery for lung resection, 3-dimensional endoscopic vision has no demonstrable impact on perioperative or oncological outcomes, or cost, although it may reduce operative time.

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