Diagnostic mini-video assisted thoracic surgery

Lazopoulos, George; Kotoulas, Christophoros; Kokotsakis, John; Foroulis, Christophoros N.; Lioulias, Achilleas

doi:10.1007/s00464-002-9005-5

Cited by 7 publications

(5 citation statements)

References 10 publications

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“…Series of cases examined with small instruments for diagnostic purposes are still limited [9,10,11,12,13]. However, pleural biopsy yield and incidence of complications are comparable to those obtained using the standard technique.…”

Section: Indications and Resultsmentioning

confidence: 99%

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Minithoracoscopy: A Complementary Technique for Medical Thoracoscopy

Tassi

Marchetti²,

Pinelli³

2011

Respiration

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Minithoracoscopy, currently defined as thoracoscopy with instruments of a diameter between 2 and 5 mm, is part of the general evolution of endoscopy towards mini-invasiveness. Its most relevant indications in the field of medical thoracoscopy are small effusions, pleural effusions in patients with narrow intercostal spaces and suspected tuberculous pleurisy in areas of low incidence of tuberculosis. In general, it increases the versatility of medical thoracoscopy.

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Section: Indications and Resultsmentioning

confidence: 99%

“…Previous interventions with small endoscopes were mainly performed in laparoscopy [2,3] and subsequently in endoscopic surgery on various organs and diseases [4,5,6] including lung and pleural diseases, in particular for pneumothorax [7,8], but also for diagnostic purposes [9,10,11,12,13]. …”

Section: Introductionmentioning

confidence: 99%

Minithoracoscopy: A Complementary Technique for Medical Thoracoscopy

Tassi

Marchetti²,

Pinelli³

2011

Respiration

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“…48 Another relatively recent development is the use of thoracoscopes with a diameter of 2 mm or flexi-rigid pleuroscopes to perform ‘mini-VATS’. 49 …”

Section: Bodymentioning

confidence: 99%

Contemporary best practice in the management of malignant pleural effusion

Koegelenberg

Shaw

Irusen

et al. 2018

Ther Adv Respir Dis

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Malignant pleural effusion (MPE) affects more than 1 million people globally. There is a dearth of evidence on the therapeutic approach to MPE, and not surprisingly a high degree of variability in the management thereof.We aimed to provide practicing clinicians with an overview of the current evidence on the management of MPE, preferentially focusing on studies that report patient-related outcomes rather than pleurodesis alone, and to provide guidance on how to approach individual cases.A pleural intervention for MPE will perforce be palliative in nature. A therapeutic thoracentesis provides immediate relief for most. It can be repeated, especially in patients with a slow rate of recurrence and a short anticipated survival. Definitive interventions, individualized according the patient’s wishes, performance status, prognosis and other considerations (including the ability of the lung to expand) should be offered to the remainder of patients. Chemical pleurodesis (achieved via intercostal drain or pleuroscopy) and indwelling pleural catheter (IPC) have equal impact on patient-based outcomes, although patients treated with IPC spend less time in hospital and have less need for repeat pleural drainage interventions. Talc slurry via IPC is an attractive recently validated option for patients who do not have a nonexpandable lung.

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“…Kai kuriais atvejais, iðnaudojus visus áprastus tyrimo metodus, vaizdo torakoskopija yra paskutinë galimybë diagnozei nustatyti ir ligos iðplitimui ávertinti. Dauguma mokslininkø nurodo, kad vaizdo torakoskopijos bûdu atliekamos plauèiø operacijos 60-70 metø ligoniams, sergantiems nesmulkialàsteliniu plauèiø vëþiu (T1-2N0M0), kai yra aiðkus kvëpavimo ir ðirdies veiklos nepakankamumas [2][3][4][5][6][7][8]. Po tokiø atliktø plauèiø operacijø net 65-93% ligoniø iðgyvena 5 metus [9][10][11][12].…”

Section: Diskusijaunclassified

“…Ðiuo metu sukaupta didelë patirtis taikant diagnostines ir gydomàsias endoskopines intervencijas. Daugelis autoriø nurodo, kad vaizdo torakoskopinis tyrimo metodas yra saugus ir patikimas [7][8][9][10]. Ðis diagnozës nustatymo metodas rekomenduojamas ligoniams, kurie vyresni kaip 75 metø, serga gretutinëmis ligomis ir kuriø kvëpavimo funkcija pakitusi (FEV < 1,0 l arba < 35% normos) [11][12][13].…”

Section: Diskusijaunclassified

Vaizdo torakoskopijos reikšmė diagnozuojant ir gydant plaučių ir krūtinės ligas

Aškinis¹,

Vencevičius²,

Cicėnas³

2007

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TikslasÁvertinti vaizdo torakoskopiniø (VATS) operacijø galimybes diagnozuojant ir gydant plauèiø ir krûtinës ligas. Ligoniai ir metodaiVilniaus universiteto Onkologijos instituto Krûtinës chirurgijos ir onkologijos skyriuje 1997-2006 m. buvo atlikta 415 vaizdo torakoskopiniø operacijø. Taèiau mes ðiame straipsnyje nagrinëjame gydymo rezultatus 106 (25,5%) ligoniø, kuriems buvo atlikta rezekcinë plauèiø ir pleuros operacija. Prieð operacijà ligoniams daryta krûtinës làstos rentgenograma, iðtirta kvëpavimo sistemos funkcija, atlikti echoskopiniai tyrimai. Kai reikëdavo patikslinti klinikinae patologijà, buvo atliekama fibrobronchoskopija ir kompiuterinë tomografija. RezultataiVilniaus universiteto Onkologijos instituto Krûtinës chirurgijos ir onkologijos skyriuje 1997-2006 m. buvo atliktos 106 vaizdo torakoskopinës rezekcinës operacijos. Ið jø: lobektomija -6 (5,6%), kraðtinë rezekcija dël periferinio I stadijos nesmulkialàstelinio plauèiø vëþio (NSLPV) -13 (12,2%), plauèiø metastaziø ðalinimas -33 (31,1%), hamartomos rezekcija -22 (20,7%), perikardo cistos paðalinimas -3 (2,8%), perikardo rezekcija -7 (6,6%), intratorakalinës lipomos paðalinimas -9 (8,4%), kalcifikatø paðalinimas -4 (3,7%), simpatektomija dël Reino ligos -9 (8,4%) ligoniams. Atlikdami plauèiø skilties ar kraðtines rezekcijas, naudojome endoskopinius staplerius ir siuvamuosius linijinius aparatus. Endoskopinës operacijos sutrumpino hospitalizacijos laikà iki 5 dienø.Pooperacinës komplikacijos pasireiðkë 20 (18,8%) ligoniø: pooperacinë pneumonija -8 (40%) ligoniams, trumpalaikis pneumotoraksas -2 (10%), pleuros empiema -2 (10%), kraujavimas dël plauèio atskyrimo nuo krûtinës làstos sienos -4 (20%), poodinë emfizema -4 (20%). Visi ligoniai pasveiko gydomi konservatyviai. IðvadosVaizdo torakoskopinë chirurgija yra veiksmingas, saugus ir patikimas plauèiø ir pleuros ligø gydymo metodas. Endoskopinë chirurgija kartais yra vienintelis galimas bûdas paðalinti periferinius navikus, maþinti ligoniø lovadieniø skaièiø bei greièiau Operacija Ligonių skaičius, proc. Lobektomija 6 (5,6%) Kraštinė rezekcija 13 (12,2%) Plaučių metastazių pašalinimas 33 (31,1%) Hamartomų pašalinimas 22 (20,7%) Perikardo cistų pašalinimas 3 (2,8%) Perikardo rezekcija 7 (6,6%) Intratorakalinių lipomų pašalinimas 9 (8,4%) Kalcifikatų pašalinimas 4 (3,7%) Simpatektomija 9 (8,4%) Iš viso 106 (100%) Lentelë. Vaizdo torakoskopiniu bûdu atliktos plauèiø rezekcinës operacijos

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Diagnostic mini-video assisted thoracic surgery

Cited by 7 publications

References 10 publications

Minithoracoscopy: A Complementary Technique for Medical Thoracoscopy

Minithoracoscopy: A Complementary Technique for Medical Thoracoscopy

Contemporary best practice in the management of malignant pleural effusion

Vaizdo torakoskopijos reikšmė diagnozuojant ir gydant plaučių ir krūtinės ligas

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