scholarly journals Single Stapling of Right Upper Lobe Vein and Truncus Anterior Artery in Videothoracoscopic Lobectomy

2021 ◽  
Author(s):  
İlker Kolbas ◽  
Çağatay Tezel ◽  
Talha Dogruyol ◽  
Mustafa Akyıl ◽  
Serdar Evman ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Minimally Invasive ◽  
Thoracoscopic Surgery ◽  
Surgical Techniques ◽  
Operation Time ◽  
Video Camera ◽  
Surgical Instruments ◽  
High Tech ◽  
Lung Cancers ◽  
One Step

Videothoracoscopic resections are among the mostly preferred minimally invasive thoracic surgical techniques to treat lung cancers especially in the last two decades. In thoracoscopic surgery video camera technology, high-tech equipment and surgical instruments including staplers are required. We have developed a technique for dissection and cutting of truncus anterior and right upper lobe vein in one step with stapler by this way we aimed to provide less operation time and more cost- effectiveness for right upper lobectomies.

PS01.219: SINGLE-PORT THORACOSCOPIC MINIMALLY INVASIVE ESOPHAGECTOMY FOR ESOPHAGEAL CANCER

2018 ◽  
Vol 31 (Supplement_1) ◽  
pp. 112-112
Author(s):  
Yong Yuan
Keyword(s):  
Minimally Invasive ◽  
Conflicts Of Interest ◽  
Single Port ◽  
Minimally Invasive Esophagectomy ◽  
Operation Time ◽  
Surgical Instruments ◽  
Thoracoscopic Esophagectomy ◽  
Invasive Technique ◽  
Invasive Approach ◽  
Invasive Esophagectomy

Abstract Background This study was conducted to optimize the surgical procedures for single-port thoracoscopic esophagectomy, and to explore its potential advantages over multi-port minimally invasive esophagectomy. Methods For single-port thoracoscopic esophagectomy, the patient was placed in left lateral-prone position and a 4-cm incision through the 4th-5th intercostal space was taken on the postaxillary line. The 10-mm camera and two or three surgical instruments were used for the VATS esophagectomy and radical mediastinal lymph node dissection. The camera position was different for the upper and lower mediastinal regions. Mobilization of stomach was conducted via multiple-port laparoscopic approach. Cervical end-to-side anastomosis was completed by hand-sewn procedures.A propensity-matched comparison was made between the single-port and four-port thoracoscopic esophagectomy groups. Results From 2014 to 2016, 56 matched patients were analyzed. There was no conversion to open surgery or operative mortality. The use of single-port thoracoscopic esophagectomy increased the length of operation time in comparison with using multiple-port minimally invasive technique (mean, 257 vs. 216 min, P = 0.026). The time taken for thoracic procedure in the single-port group was significant longer that in the multi-port group (mean, 126 vs. 84 min, P < 0.001). There were no significant differences between groups in the number of lymph nodes dissected, blood loss, complications or hospital stay (P > 0.05). In single-port thoracoscopic group, the pain in the abdomen was more severe than that in the chest (P = 0.042). The pain scores for postoperative day 1 and day 7 were significantly lower in the single-port group as compared with multiple-port group (P = 0.038 and P < 0.001), a similar trend could be seen for the pain score on postoperative day 3 (P = 0.058). Conclusion Single-port thoracoscopic esophagectomy contributes to reducing postoperative pain with an acceptable increase of operation time, which does not compromise surgical radicality and has similar short-term postoperative outcomes when compared with multiple-port minimally invasive approach. Disclosure All authors have declared no conflicts of interest.

Surgical access trauma following minimally invasive thoracic surgery

2020 ◽  
Vol 58 (Supplement_1) ◽  
pp. i6-i13
Author(s):  
Joyce W Y Chan ◽  
Peter S Y Yu ◽  
Jack Hong Yang ◽  
Evan Qize Yuan ◽  
Hao Jia ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Thoracic Surgery ◽  
Enhanced Recovery ◽  
Thoracoscopic Surgery ◽  
Shoulder Function ◽  
Surgical Instruments ◽  
Chest Drain ◽  
Term Survival ◽  
Surgical Access ◽  
Clinical Benefits

Summary Surgical access trauma has important detrimental implications for immunological status, organ function and clinical recovery. Thoracic surgery has rapidly evolved through the decades, with the advantages of minimally invasive surgery becoming more and more apparent. The clinical benefits of enhanced recovery after video-assisted thoracoscopic surgery (VATS) may be, at least in part, the result of better-preserved cellular immunity and cytokine profile, attenuated stress hormone release and improved preservation of pulmonary and shoulder function. Parameters of postoperative pain, chest drain duration, hospital stay and even long-term survival are also indirect reflections of the advantages of reduced access trauma. With innovations of surgical instruments, optical devices and operative platform, uniportal VATS, robotic thoracic surgery and non-intubated anaesthesia represent the latest frontiers in minimizing trauma from surgical access.

scholarly journals Single-port thoracoscopic anatomic resection for chronic inflammatory lung disease

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Chen-Yu Wu ◽  
Ying-Yuan Chen ◽  
Chao-Chun Chang ◽  
Yi-Ting Yen ◽  
Wu-Wei Lai ◽  
...  
Keyword(s):  
Lung Disease ◽  
Conversion Rate ◽  
Single Port ◽  
Thoracoscopic Surgery ◽  
Surgical Techniques ◽  
Operation Time ◽  
Mycobacterial Infection ◽  
Surgical Results ◽  
Anatomic Resection ◽  
Inflammatory Lung Disease

Abstract Background It is challenging to proceed thoracoscopic anatomic resection when encountering severe pleural adhesion or calcified peribronchial lymphadenopathy. Compared with multiple-port video-assisted thoracoscopic surgery (MP-VATS), how to overcome these challenges in single-port (SP-) VATS is still an intractable problem. In the present study, we reported the surgical results of chronic inflammatory lung disease and shared some useful SP-VATS techniques. Methods We retrospectively assessed the surgical results of chronic inflammatory lung disease, primarily bronchiectasis, and mycobacterial infection, at our institution between 2010 and 2018. The patients who underwent SP-VATS anatomic resection were compared with those who underwent MP-VATS procedures. We analyzed the baseline characteristics, perioperative data, and postoperative outcomes, and illustrated four special techniques depending on the situation: flexible hook electrocautery, hilum-first technique, application of Satinsky vascular clamp, and staged closure of bronchial stump method. Results We classified 170 consecutive patients undergoing thoracoscopic anatomic resection into SP and MP groups, which had significant between-group differences in operation time and overall complication rate (P = 0.037 and 0.018, respectively). Compared to the MP-VATS group, the operation time of SP-VATS was shorter, and the conversion rate of SP-VATS was relatively lower (3.1% vs. 10.5%, P = 0.135). The most common complication was prolonged air leakage (SP-VATS, 10.8%; MP-VATS, 2.9%, P = 0.045). Conclusions For chronic inflammatory lung disease, certain surgical techniques render SP-VATS anatomic resection feasible and safe with a lower conversion rate.

scholarly journals One-step laparoscopy for the correction of left abomasal displacement in high-yielding Holstein dairy cows

2017 ◽  
Vol 38 (3) ◽  
pp. 1313 ◽  
Author(s):  
João Henrique Perotta ◽  
Rüdiger Daniel Ollhoff ◽  
Júlio Augusto Naylor Lisboa ◽  
Peterson Triches Dornbusch ◽  
Hugo Richard Dÿck ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Dairy Cows ◽  
Surgical Procedures ◽  
Surgical Techniques ◽  
Invasive Technique ◽  
Minor Trauma ◽  
Pyloric Obstruction ◽  
Safe Technique ◽  
One Step ◽  
Abomasal Displacement

Surgical procedures for the correction of abomasal displacement are one of the most frequently performed in dairy cows, and many surgical techniques have been described since the first cases of this disease were reported in the 1950s. Although no report to date has described the use of one-step laparoscopy in Brazil, the technique has several advantages over the traditional techniques, e.g., better abdominal visualization and minor trauma resulting from the minimally invasive technique. Accordingly, one-step laparoscopy, as described by Christiansen and Barisani, was performed to treat left abomasal displacement in 21 high-yielding dairy cows from two dairy regions of Paraná State. The technique was performed without complications in 12/21 (57.14%) cows. Ruminal (four animals), abomasal (two animals), both ruminal and abomasal (one animal), and splenic (one animal) perforations occurred during surgery but without any postoperative complication. One cow developed pyloric obstruction caused by the toggle bar suture, but early removal restored abomasal flux. Three animals died of different causes. One cow showed recurrence of displacement 1 month after surgery. A third access was necessary in cows that weighed more than 700 kg. One-step laparoscopy is an efficient, fast, and safe technique for the correction of left abomasal displacement.

scholarly journals Is Less Really More? Economic Evaluation of Minimally Invasive Surgery

2020 ◽  
pp. 219256822095840
Author(s):  
Andrew S. Chung ◽  
Alexander Ballatori ◽  
Brandon Ortega ◽  
Elliot Min ◽  
Blake Formanek ◽  
...  
Keyword(s):  
Minimally Invasive Surgery ◽  
Cost Effectiveness ◽  
Minimally Invasive ◽  
Invasive Surgery ◽  
Surgical Techniques ◽  
Cost Savings ◽  
Current Data ◽  
Data Sets ◽  
Lengths Of Stay ◽  
Mesh Terms

Study Design: Review. Objective: A comparative overview of cost-effectiveness between minimally invasive versus and equivalent open spinal surgeries. Methods: A literature search using PubMed was performed to identify articles of interest. To maximize the capture of studies in our initial search, we combined variants of the terms “cost,” “minimally invasive,” “spine,” “spinal fusion,” “decompression” as either keywords or MeSH terms. PearlDiver database was queried for open and minimally invasive surgery (MIS; endoscopic or percutaneous) reimbursements between Q3 2015 and Q2 2018. Results: In general, MIS techniques appeared to decrease blood loss, shorten hospital lengths of stay, mitigate complications, decrease perioperative pain, and enable quicker return to daily activities when compared to equivalent open surgical techniques. With regard to cost, primarily as a result of these latter benefits, MIS was associated with lower costs of care when compared to equivalent open techniques. However, cost reporting was sparse, and relevant methodology was inconsistent throughout the spine literature. Within the PearlDiver data sets, MIS approaches had lower reimbursements than open approaches for both lumbar posterior fusion and discectomy. Conclusions: Current data suggests that overall cost-savings may be incurred with use of MIS techniques. However, data reporting on costs lacks in uniformity, making it difficult to formulate any firm conclusions regarding any incremental improvements in cost-effectiveness that may be incurred when utilizing MIS techniques when compared to equivalent open techniques.

scholarly journals Percutaneous Endoscopic Spine Surgery for Extruded Lumbar Disc Herniation

2018 ◽  
Vol 12 (1) ◽  
pp. 482-495
Author(s):  
Mutombo Menga Arsene ◽  
Xiao-Tao Wu ◽  
Zan- Li Jiang ◽  
Lei Zhu
Keyword(s):  
Minimally Invasive ◽  
Lumbar Disc Herniation ◽  
Spine Surgery ◽  
Disc Herniation ◽  
Lumbar Disc ◽  
Surgical Techniques ◽  
Surgical Instruments ◽  
Disc Space ◽  
Advanced Technique ◽  
Endoscopic Spine Surgery

The conventional open discectomy is the gold standard for treating extruded lumbar disc herniation, especially in highly migrated lumbar disc herniation. Endoscopic spine surgery is known to be very challenging and technically demanding, in particular for highly migrated disc herniation. However, several studies have reported numerous effective techniques with results approximatively equal to conventional open surgeries or mini-open surgery. In the last few years, an increased number of endoscopic spine surgical techniques have been proposed in order to overcome various issues encountered in traditional endoscopic spine surgery. Nevertheless, surgical approach selection for treating extruded lumbar disc herniation is based on aspects such as anatomical structures, availability of surgical instruments, surgeon’s experience, and the disc herniation location. Advances in endoscopic visualization and instrumentation, as well as an increased demand for minimally invasive procedures, have led to the popularity of Percutaneous Endoscopic Lumbar Discectomy (PELD). PELD is a recent and advanced technique among other minimally invasive spine surgeries (MIS). It includes various kinds of surgical techniques to treat lumbar disc herniation and aims to offer a safe, less invasive surgical procedure for lumbar disc space decompression and removal of nucleus pulposus.

VATS tracheal resection and reconstruction

2020 ◽  
Keyword(s):  
Minimally Invasive ◽  
Thoracic Surgery ◽  
Thoracoscopic Surgery ◽  
Surgical Techniques ◽  
Tracheal Resection ◽  
Surgical Team ◽  
Tracheal Injury ◽  
Video Tutorial ◽  
Minimally Invasive Surgical ◽  
Video Assisted Thoracoscopic Surgery

Tracheal resection followed by reconstruction is one of the most difficult procedures in thoracic surgery. Intrathoracic tracheal injuries were usually treated by sternotomy, thoracotomy, or a combination of these techniques. In the last decade, minimally invasive surgical techniques have become an innovative trend in the treatment of thoracic tracheal conditions. Recent authors have proven the feasibility and safety of tracheal operations using video-assisted thoracoscopic surgery (VATS). This video tutorial demonstrates our technique for intrathoracic tracheal resection performed by VATS, using 2 ports, for the resection of postintubation stenosis. We show the steps performed by the surgical team and pay special attention to the maneuvers needed to operate with greater safety and achieve a tension-free reconstruction. This tutorial provides a method for treating this type of tracheal injury. It is of special interest for surgeons who specialize in the airway.

scholarly journals Nonintubated minimally invasive chest wall stabilization for multiple rib fractures: a prospective, single-arm study

2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Weigang Zhao ◽  
Yonglin Chen ◽  
Weiwei He ◽  
Yonghong Zhao ◽  
Yi Yang
Keyword(s):  
Minimally Invasive ◽  
Chest Wall ◽  
Thoracoscopic Surgery ◽  
Operation Time ◽  
Postoperative Nausea And Vomiting ◽  
Rib Fractures ◽  
Large Sample Size ◽  
Multiple Rib Fractures ◽  
Extubation Time ◽  
The Mean

Abstract Background Nonintubated video-assisted thoracoscopic surgery has been widely reported in the past decade, while nonintubated chest wall stabilization has not been reported previously. The aim of this study was to evaluate the safety and feasibility of nonintubated minimally invasive chest wall stabilization in patients with multiple rib fractures. Methods We conducted a prospective, single-arm, observational study. In this prospective study, 20 consecutive patients with multiple rib fractures were treated using nonintubated minimally invasive chest wall stabilization. Results Minimally invasive chest wall stabilization was mostly performed for lateral rib fractures in this study (n = 8). The mean operation time was 92.5 min, and the mean blood loss was 49 ml. No patient required conversion to tracheal intubation. The mean extubation time of the laryngeal mask was 8.9 min; the mean postoperative fasting time was 6.1 h; the mean postoperative hospital stay was 6.2 days; the mean amount of postoperative drainage was 97.5 ml; the mean postoperative pain score was 2.9 points at 6 h, 2.8 points at 12 h, and 3.0 points at 24 h; and the mean postoperative nausea and vomiting score was 1.9 points at 6 h, 1.8 points at 12 h, and 1.7 points at 24 h. Conclusions Nonintubated minimally invasive chest wall stabilization is safe and feasible in carefully selected patients. Further studies with a large sample size are warranted. Trial registration ChiCTR1900025698. Registered on 5 September 2019.

scholarly journals Single-Port Thoracoscopic Anatomic Resection for Chronic Inflammatory Lung Disease.

2021 ◽  
Author(s):  
Chen-Yu Wu ◽  
Ying-Yuan Chen ◽  
Chao-Chun Chang ◽  
Yi-Ting Yen ◽  
Wu-Wei Lai ◽  
...  
Keyword(s):  
Lung Disease ◽  
Conversion Rate ◽  
Single Port ◽  
Thoracoscopic Surgery ◽  
Surgical Techniques ◽  
Operation Time ◽  
Mycobacterial Infection ◽  
Surgical Results ◽  
Anatomic Resection ◽  
Inflammatory Lung Disease

Abstract BackgroundIt is difficult to proceed thoracoscopic anatomic resection when encountering severe adhesion or calcified lymphadenopathy. Compared with open thoracotomy or three-port video-assisted thoracoscopic surgery (VATS), single-port (SP-) VATS is preferred. In the present study, we reported the surgical results of chronic inflammatory lung disease and shared some useful SP-VATS techniques.MethodsWe retrospectively assessed the surgical results of chronic inflammatory lung disease, primarily bronchiectasis, and mycobacterial infection, at our institution between 2010 and 2018. The patients who underwent SP-VATS anatomic resection were compared with those who underwent multi-port (MP) procedures. We analyzed the baseline characteristics, perioperative data, and postoperative outcomes, and used four special techniques depending on the situation: flexible hook electrocautery, hilum-first technique, application of Satinsky vascular clamp, and staged closure of bronchial stump method.ResultsWe classified 170 consecutive patients undergoing thoracoscopic anatomic resection into SP and MP groups, which had significant between-group differences in operation time and overall complication rate (P = 0.037 and 0.018, respectively). Compared to the MP-VATS group, the operation time of SP-VATS was shorter, and the conversion rate of SP-VATS was relatively lower (3.1% vs. 10.5%, P = 0.135). The most common complication was prolonged air leakage (SP-VATS, 10.8%; MP-VATS, 2.9%, P = 0.045). ConclusionsFor chronic inflammatory lung disease, certain surgical techniques render SP-VATS anatomic resection feasible and practical with a low conversion rate.

scholarly journals Non-intubated Minimally Invasive Chest Wall Stabilization for Multiple Rib Fractures: a Prospective, Single-arm Study

2020 ◽  
Author(s):  
Weigang Zhao ◽  
Yonglin Chen ◽  
Weiwei He ◽  
Yonghong Zhao ◽  
Yi Yang
Keyword(s):  
Minimally Invasive ◽  
Chest Wall ◽  
Thoracoscopic Surgery ◽  
Operation Time ◽  
Postoperative Nausea And Vomiting ◽  
Rib Fractures ◽  
Large Sample Size ◽  
Multiple Rib Fractures ◽  
Postoperative Drainage ◽  
The Mean

Abstract Background Non-intubated video-assisted thoracoscopic surgery has been widely reported in the past decade while non-intubated chest wall stabilization has not been reported previously. The aim of this study was to evaluate the safety and feasibility of non-intubated minimally invasive chest wall stabilization in patients with multiple rib fractures. Methods We conducted a prospective, single-arm, observational study. In this prospective study, 20 consecutive patients with multiple rib fractures were treated using non-intubated minimally invasive chest wall stabilization. Results Minimally invasive chest wall stabilization were mostly performed for lateral rib fractures in this study (n = 8). The mean operation time was 92.5 minutes and mean blood loss was 49 ml. No patient required conversion to tracheal intubation. The mean extubation of laryngeal mask time was 8.9 minutes, mean postoperative fasting time was 6.1 hours, mean postoperative hospital stay was 6.2 days, mean postoperative drainage was 97.5 ml, mean postoperative pain score was 2.9 points at 6 hours, 2.8 points at 12 hours, and 3.0 points at 24 hours, mean postoperative nausea and vomiting score was 1.9 points at 6 hours, 1.8 points at 12 hours, and 1.7 points at 24 hours. Conclusions Non-intubated minimally invasive chest wall stabilization is safe and feasible in carefully selected patients. Further study with large sample size is warranted.

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