A case of diaphragm injury after insertion of the first trocar in VATS surgery

Miyagi, Jun; Nagayoshi, Seiji

doi:10.2995/jacsurg.30.255

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Patient Selection Technical Issues and Tips1

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2020

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“…A clue to this may sometimes be available in the preoperative imaging. Rarely diaphragmatic injury can occur after introduction of the first trocar if it is at 7th ICS or lower ( 81 ). In cases of bleeding after biopsy of a friable mediastinal mass a “figure of 8” suture can be useful for haemostasis ( 82 ).…”

Section: Patient Selection Technical Issues and Tipsmentioning

confidence: 99%

Video assisted thoracoscopic surgery in paediatric mediastinal tumors

Saikia¹,

Deo²,

Bhoriwal³

et al. 2020

Mediastinum

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Video assisted thoracoscopic surgery (VATS) is an emerging tool for approaching childhood mediastinal tumors in a minimally invasive way. The magnified visibility and availability of smaller instruments has allowed to explore even areas close to the great vessels and other vital structures. The safety and feasibility of this technique has been described for a wide range of these tumors. In spite of that the literature is deficient in use of this modality in paediatric mediastinal tumors. Although widely practiced in adults, various controversies have been set forward in application of this technique in children. This article aims to explore reasons for the underutilisation of VATS in these patients and tries to explain the areas of controversy with this technique. Various ways of comparison have been attempted for a broad understanding of the finer details (comparisons between open and VATS in children, VATS in children and adults, VATS in mediastinal tumors and lung surgeries).

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Section: Patient Selection Technical Issues and Tipsmentioning

confidence: 99%