Minimally invasive rib resection with preservation of periosteum using 1-port video-assisted thoracoscopic surgery

Abstract

removed, disconnected from the old (thrombosed or otherwise damaged) pump, and connected to the new pump. Thereafter, the polytetrafluoroethylene (Gore-Tex) graft should be closed (using suture or clips) to protect against adhesion and to facilitate any unlikely future exchange of the pump. We use the technique described for all HeartWare HVAD implantation approaches, that is, median sternotomy and left lateral or bilateral thoracotomy. To avoid twisting of the outflow graft during aortal anastomosis, the position of the black line on the outflow graft should be kept in mind. This technique has been routinely used in our center since the last 100 HVAD implantations. No evidence of increased infection has been noted. In 2 cases in which the kinking protector was covered, pump exchange was performed fast and without any complications. During heart transplantation in the described patients, reopening of the chest and separation of the heart from pericardium also were less traumatic.

Subxiphoid uniportal video‐assisted thoracoscopic surgery: A cosmetically superior approach to submammary rib tumor resection

“…Such an approach would require significant resection of the chest wall musculature and could lead to substantial postoperative morbidity and decreased quality of life . Following the widespread popularity and common use of video‐thoracoscopy in almost all types of surgical approaches ranging from complex anatomical lung resections to pleural biopsies, some surgeons have performed chest wall and rib resection by video‐assisted thoracoscope through the lateral chest approach. The lateral chest approach is a minimally invasive approach that offers several potential advantages over traditional open techniques, including decreased surgical morbidity to the chest wall musculature, decreased blood loss, and more precise localization of the ribs.…”