Nonintubated Uniportal Video-Assisted Thoracoscopic Surgery: A Single-Center Experience

Background Thymoma is a primary tumor derived from the epithelial cells of the thymus, which is commonly seen in the mediastinum. Surgical thymectomy is the radical treatment for thymoma. The recent introduction of video-assisted thoracoscopic surgery has improved the quality of thymectomy surgery. The clinical characteristics of thymoma and the outcomes of video-assisted thoracoscopic thymectomy in Vietnamese patients are still lacking. The objectives of this study were to investigate the clinical and laboratory characteristics of thymoma and to evaluate the early results of video-assisted thoracoscopic thymectomy for thymoma in Vietnamese patients. Methods All 53 thymoma patients with or without myasthenia gravis who underwent video-assisted thoracoscopic thymectomy in Military Hospital 103, Vietnam, from October 2013 to July 2017 were included. Results The mean age was 46.5 7.1 years, and the female/male ratio was 1.2:1. Myasthenia gravis, mostly stage IIA, was present in 84.9% of patients. There was no hospital mortality or major postoperative complication. The mean operative time was 65 min, intensive care unit stay was 22 ± 5 h, and postoperative hospital stay was 7.5 ± 1.7 days. Conclusion Thoracoscopic thymectomy for thymoma in Vietnamese patients achieved improved cosmesis and was safe for both non-myasthenia gravis and myasthenia gravis patients.

Download Full-text

Video-assisted thoracoscopic surgery and thoracotomy during lobectomy for clinical stage I non-small-cell lung cancer have equivalent oncological outcomes: A single-center experience of 212 consecutive resections

Oncology Letters ◽

10.3892/ol.2014.2804 ◽

2014 ◽

Vol 9 (3) ◽

pp. 1364-1372 ◽

Cited By ~ 8

Author(s):

CHUNHUA LIU ◽

ZHONGDONG LI ◽

CUIQING BAI ◽

LI WANG ◽

XUEFEI SHI ◽

...

Keyword(s):

Lung Cancer ◽

Small Cell Lung Cancer ◽

Thoracoscopic Surgery ◽

Clinical Stage ◽

Small Cell ◽

Single Center ◽

Small Cell Lung ◽

Oncological Outcomes ◽

Single Center Experience ◽

Video Assisted Thoracoscopic Surgery

Download Full-text

Robotic video-assisted thoracoscopic surgery using multiport triangular trocar configuration: initial experience at a single center

Journal of Cardiothoracic Surgery ◽

10.1186/s13019-021-01455-5 ◽

2021 ◽

Vol 16 (1) ◽

Author(s):

Vu Huu Vinh ◽

Nguyen Viet Dang Quang ◽

Dang Dinh Minh Thanh ◽

Truong Van Le Phong

Keyword(s):

Hospital Stay ◽

Mediastinal Tumor ◽

Thoracoscopic Surgery ◽

Tumor Resection ◽

Initial Experience ◽

Single Center ◽

Video Assisted ◽

Duration Of Surgery ◽

Video Assisted Thoracoscopic Surgery ◽

Surgical Operations

Abstract Background Recent developments in robotic technology have brought significant changes in robotic video-assisted thoracoscopic surgery (r-VATS) worldwide, particularly including the treatment in the thorax for the mediastinal, esophagus, and pulmonary lesions. Currently, there are only a few reports describing the procedural experience and outcomes with r-VATS. The objective of this study is to provide our initial experience using r-VATS at a single center, with specific attention to safety, efficacy, and procedural details. Methods We retrospectively reviewed patients who underwent a newly modified r-VATS procedure for various surgical operations at the thoracic department of our hospital, from July 2018 to January 2020. Multiport trocars were placed in the classic triangular arrangement as in conventional VATS (c-VATS) but with modifications based on the type of surgery. The peri- and postoperative outcomes such as duration of surgery, complications, and duration of hospital stay for these patients were reported. Results Overall, 142 patients underwent r-VATS for lobectomy (66), wedge resection (15), thymectomy (22), mediastinal tumor resection (30), pneumonectomy (4), transthoracic esophagectomy (1), esophageal tumor resection or esophageal diverticulum repair (2), diaphragm plication (1), and mediastinal tumor resection plus thymectomy (1). For the entire cohort, the median operative time was 110 min, and the median length of hospital stay was 5 days. Conversion to open thoracic surgery was reported only in a total of 3 (2.1%) patients of pneumonectomy (1.4%) and mediastinal tumor resection (0.70%). All our patients were managed successfully with no postoperative complications and mortality. Conclusion Our method of r-VATS was found to be safe and effective and may be applied to different surgical operations. Adequate and proper training of thoracic surgeons is immediately needed for the transition from c-VATS to r-VATS. The utility and advantages of triangular trocar configuration for r-VATS require further refinement and research before it can be routinely adopted in clinical practice. Trial registration Retrospectively registered.

Download Full-text