Possibilities of video-assisted mini-thoracotomy for lobular lung resections

2021 ◽  
Vol 9 (3) ◽  
pp. 112-117
Author(s):  
D.N. Pilkevich ◽  
◽  
M.A. Chekasina ◽  
S.S. Anufrieva ◽  
◽  
...  
2018 ◽  
Vol 10 (S31) ◽  
pp. S3670-S3677 ◽  
Author(s):  
Luis Angel Hernandez-Arenas ◽  
Lei Lin ◽  
Rushmi D. Purmessur ◽  
Yiming Zhou ◽  
Gening Jiang ◽  
...  

2018 ◽  
Vol 103 (3-4) ◽  
pp. 222-226
Author(s):  
Wolfgang G. Mouton ◽  
Joana Mürmann ◽  
Kim T. Mouton

Objective: Surgical pericardial fenestration (sPF) is more invasive than interventional pericardiocentesis (PC) and requires general anesthesia. Severe complications such as ventricular puncture and chamber lacerations are, however, reported in association with PC and not with sPF. Is survival after sPF only determined by nonsurgical factors? Methods: Between July 2000 and December 2015, data of all patients who had undergone sPF—either thoracoscopically or by anterior mini-thoracotomy—were investigated. The 2 techniques were analyzed retrospectively and the outcome (effectiveness, change in shock index) and the survival were assessed. Results: 32 patients underwent 33 sPF. One-half of the patients had a benign underlying disease; the other half suffered from a malignant tumor. Four procedures were performed thoracoscopically and 29 via mini-thoracotomy. Both techniques were hemodynamically effective (P < 0.0001) in increasing blood pressure and decreasing pulse rate). There was no death due to failure to control the pericardial effusion and no procedure related mortality. Of the 16 patients with benign underlying disease 14 (87.5%) are still alive. Two died due to reasons unrelated to the procedure or the underlying disease. All 16 patients (100%) with malignant underlying disease died due to tumor progression. Conclusions: In our patient cohort minimally invasive thoracic PF was safe and effective. The survival in our study was only related to the nature of the underlying disease. We conclude that sPF is an excellent procedure to treat pericardial effusions: both examined surgical techniques, thoracoscopic video assisted and access via mini-thoracotomy, were equally effective and safe.


2015 ◽  
Vol 48 (4) ◽  
pp. 588-599 ◽  
Author(s):  
Herbert Decaluwe ◽  
René Horsleben Petersen ◽  
Henrik Hansen ◽  
Cezary Piwkowski ◽  
Florian Augustin ◽  
...  

2016 ◽  
Vol 401 (6) ◽  
pp. 867-875 ◽  
Author(s):  
Martin Reichert ◽  
Stefanie Kerber ◽  
Bernd Pösentrup ◽  
Julia Bender ◽  
Emmanuel Schneck ◽  
...  

2021 ◽  
Vol 99 (2) ◽  
pp. 16-20
Author(s):  
N. A. Samorodov ◽  
Zh. Kh. Sabanchieva ◽  
I. V. Vasiliev

The objective of the study: to determine the place and effectiveness of video-assisted thoracoscopic lung resection (VATS resections) in the differential diagnostic procedure for examination of patients with chest diseases.Subjects and methods. In 2017-2019, 1,190 patients with suspected respiratory tuberculosis were examined in the differential diagnostic department of TB Dispensary, the Ministry of Health of the Kabardino-Balkarian Republic; 106 (8.9%) needed VATS since it was impossible to verify their diagnosis despite various biopsies. The age of 106 patients varied from 18 to 80 years old, there were 66 men (62.0%), and 40 women (38.0%). The preoperative diagnosis was as follows: single or multiple lung lesions – 83 (76.9%) cases, disseminated lung disease of unknown etiology or interstitial lung disease of unspecified etiology – 25 (23.1%) cases.In all cases, the surgical specimens were sent for comprehensive tests, including histological tests, microbiological tests (fluorescent microscopy with Ziehl-Nielsen staining, culture for Mycobacterium tuberculosis (MTB) by Bactec, and culture for secondary flora and fungi), and molecular genetic tests to detect MTB DNA.Results. The diagnostic efficiency when using VATS resections, histological and microbiological testing of surgical specimens made 98.1% (95% CI 93.38-99.48; Wilson's method). Among the diagnosed diseases, pulmonary tuberculosis was confirmed in 47/106 (44.3%) patients, cancer – 37/106 (34.9%), the rest of patients were diagnosed with some other disorders including orphan diseases.


2017 ◽  
Vol 2 ◽  
pp. 15-15
Author(s):  
Alper Toker ◽  
Erkan Kaba ◽  
Kemal Ayalp ◽  
Mehmet Oğuzhan Özyurtkan

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