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

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.

CT Guided Placement of the End of the Microcoil in the Pleural Cavity: A More Helpful Method for Video-Assisted Thoracic Surgery (VATS) Resection of Ground Glass Opacity (GGO)

2021 ◽  
Author(s):  
Jianli An ◽  
Yanchao Dong ◽  
Yanguo Li ◽  
Xiaoyu Han ◽  
Hongtao Niu ◽  
...  
Keyword(s):  
Thoracic Surgery ◽  
Pleural Cavity ◽  
Ground Glass Opacity ◽  
Ground Glass ◽  
Ct Guided ◽  
Video Assisted Thoracic Surgery ◽  
Video Assisted ◽  
Significant Difference ◽  
Lower Complication ◽  
Lower Complication Rate

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.

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

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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