Enhanced recovery pathways in thoracic surgery from Italian VATS Group: preoperative optimisation

D’Andrilli, Antonio; Massullo, Domenico; Rendina, Erino Angelo

doi:10.21037/jtd.2017.12.82

Cited by 2 publications

(2 citation statements)

References 39 publications

(30 reference statements)

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“…VATS is one of the evolving surgical procedures that is yet to be fully embraced as an important armamentarium for patient care in the day-to-day surgical practice, [1][2][3] especially in Sub-Saharan Africa (SSA). There are many thoracic surgical practices in SSA that may require the use of VATS, but due to the mitigating problems of cost and unavailability of human and material resources, it is not being used for them.…”

Section: What Is Video-assisted Thoracoscopic Surgery (Vats)?mentioning

confidence: 99%

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The expected indications for video-assisted thoracoscopic surgery in Sub-Saharan Africa

Okonta¹

2022

SSJEP

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Video-assisted thoracoscopic surgery (VATS) in Sub-Saharan Africa (SSA) is still an evolving surgical procedure that can be used for well-selected patients to treat various pathologies such as pleural disease, lung pathology, esophageal disease, diaphragmatic pathology, mediastinal disease, and other conditions. From the review of literature, over the years, for which VATS has been in use showed that SSA with a good sizeable population has still not embraced the surgical procedure. This is so despite the wide spectrum of diseases and clinical conditions in the region for which VATS can conveniently be applied in other to improve post-operative outcome and reduce post-operate mortality rate. Thus, this review should be a wakeup call for the region and to stimulate the desire in them to make consistent efforts by training doctors and putting the necessary infrastructures in place to ensure the adoption of this method of medical and surgical practice as it decreases post-operative complications and post-operative mortality rates.

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Section: What Is Video-assisted Thoracoscopic Surgery (Vats)?mentioning

confidence: 99%

“…The clinical evaluations are done to check for anemia, state of patients' nutrition, presence of chronic obstructive pulmonary disease, and obesity. [3]…”

Section: History and Clinical Evaluationmentioning

confidence: 99%

The expected indications for video-assisted thoracoscopic surgery in Sub-Saharan Africa

Okonta¹

2022

SSJEP

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Patients with left ventricle assist devices presenting for thoracic surgery and lung resection: tips, tricks and evidence

Hayes

Charlesworth

García

2020

Current Opinion in Anaesthesiology

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Purpose of review Over a thousand left ventricular-assist device (LVAD) implants were performed for heart failure destination therapy in 2017. With increasing survival, we are seeing increasing numbers of patients present for noncardiac surgery, including resections for cancer. This article will review the relevant literature and guidelines for patients with LVADs undergoing thoracic surgery, including lung resection. Recent findings The International Society for Heart and Lung Transplant Mechanically Assisted Circulatory Support Registry has received data on more than 16 000 patients with LVADs. Four-year survival is more than 60% for centrifugal devices. There are increasing case reports, summaries and recommendations for patients with LVADs undergoing noncardiac surgery. However, data on thoracic surgery is restricted to case reports. Summary Successful thoracic surgery requires understanding of the LVAD physiology. Modern devices are preload dependent and afterload sensitive. The effects of one-lung ventilation, including hypoxia and hypercapnia, may increase pulmonary vascular resistance and impair the right ventricle. Successful surgery necessitates a multidisciplinary approach, including thorough preoperative assessment; optimization and planning of intraoperative management strategies; and approaches to anticoagulation, right ventricular failure and LVAD flow optimization. This article discusses recent evidence on these topics.

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Enhanced recovery pathways in thoracic surgery from Italian VATS Group: preoperative optimisation

Cited by 2 publications

References 39 publications

The expected indications for video-assisted thoracoscopic surgery in Sub-Saharan Africa

The expected indications for video-assisted thoracoscopic surgery in Sub-Saharan Africa

Patients with left ventricle assist devices presenting for thoracic surgery and lung resection: tips, tricks and evidence

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