Single-port video-assisted thoracoscopic left upper lobectomy

González-Rivas, Diego; Torre, Mercedes de la; Fernández, Ricardo; Mosquera, Víctor X.

doi:10.1510/icvts.2011.274746

Cited by 91 publications

(82 citation statements)

References 9 publications

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“…Since then, a series of articles have discussed its safety and feasibility in relatively simple procedures. Subsequently, Gonzalez-Rivas et al expanded the applications of single port VATS to lobectomy (18), segmentectomy (19), pneumonectomy (20), and sleeve lobectomy (21). Recently, single port VATS has become more widely accepted with surgical indications similar to conventional VATS.…”

Section: Discussionmentioning

confidence: 99%

Management of acute postoperative pain with continuous intercostal nerve block after single port video-assisted thoracoscopic anatomic resection

Hsieh¹,

Wang²,

Liu³

et al. 2016

J. Thorac. Dis.

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Background: Effective postoperative pain control for thoracic surgery is very important, not only because it reduces pulmonary complications but also because it accelerates the pace of recovery. Moreover, it increases patients' satisfaction with the surgery. In this study, we present a simple approach involving the safe placement of intercostal catheter (ICC) after single port video-assisted thoracoscopic surgery (VATS) anatomic resection and we evaluate postoperative analgesic function with and without it.Methods: We identified patients who underwent single port anatomic resection with ICC placed intraoperatively as a route for continuous postoperative levobupivacaine (0.5%) administration and retrospectively compared them with a group of single port anatomic resection patients without ICC.The operation time, postoperative day 0, 1, 2, 3 and discharge day pain score, triflow numbers, narcotic requirements, drainage duration and post-operative hospital stay were compared.Results: In total, 78 patients were enrolled in the final analysis (39 patients with ICC and 39 without).We found patients with ICC had less pain sensation numerical rating scale (NRS) on postoperative day 0, 1 (P=0.023, <0.001) and better triflow performance on postoperative day 1 and 2 (P=0.015, 0.032). In addition, lower IV form morphine usage frequency and dosage (P=0.009, 0.017), shorter chest tube drainage duration (P=0.001) and postoperative stay (P=0.005) were observed in the ICC group.Conclusions: Continuous intercostal nerve blockade by placing an ICC intraoperatively provides effective analgesia for patients undergoing single port VATS anatomic resection. This may be considered a viable alternative for postoperative pain management.

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Section: Discussionmentioning

confidence: 99%

Management of acute postoperative pain with continuous intercostal nerve block after single port video-assisted thoracoscopic anatomic resection

Hsieh¹,

Wang²,

Liu³

et al. 2016

J. Thorac. Dis.

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“…The work of Rocco was further enhanced by our team with the development of the uniportal approach for lobectomy (21). Initially the technique was described only for lower lobes but it was rapidly improved and developed for upper lobes, segmentectomy and pneumonectomy (22)(23)(24)(25). In quick succession, more difficult cases were reported including bronchial sleeve resection, pulmonary artery resection and reconstruction, and then, in 2014, a double sleeve resection (26)(27)(28)(29)(30).…”

Section: The Rise Of Uniportal Vats (Video 1)mentioning

confidence: 99%

Uniportal thoracoscopic surgery: from medical thoracoscopy to non-intubated uniportal video-assisted major pulmonary resections

González-Rivas¹

2016

Ann. Cardiothorac. Surg.

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The development of thoracoscopy has more than one hundred years of history since Jacobaeus described the first procedure in 1910. He used the thoracoscope to lyse adhesions in tuberculosis patients. This technique was adopted throughout Europe in the early decades of the 20 th century for minor and diagnostic procedures.It is only in the last two decades that interest in minimally invasive thoracic surgery was reintroduced by two key technological improvements: the development of better thoracoscopic cameras and the availability of endoscopic linear mechanical staplers. From these advances the first video-assisted thoracic surgery (VATS) major pulmonary resection was performed in 1992. In the following years, the progress of VATS Currently, experts in the technique are able to use uniportal VATS to encompass the most complex procedures such as bronchial sleeve, vascular reconstructions or carinal resections. In contrast, non-intubated and awake thoracic surgery techniques, described since the early history of thoracic surgery, peaked in the decades before the invention of the double lumen endotracheal tube and have failed to gain widespread acceptance following their re-emergence over a decade ago thanks to the improvements in VATS techniques.

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“…The real breakthrough and milestone for this technique was by Dr. Gonzalez-Rivas at University of a Coruña, Spain who performed the first major lung resection with radical lymphadenectomy for non-small-cell lung cancer (NSCLC) (16). Dr. GonzalezRivas went on to perform complex procedures such as segmentectomies, pneumonectomies, sleeve vascular and bronchoplastic resections, and chest wall resections (17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27). Management of significant bleeding proved to be safe in experts' hands with this technique (28,29).…”

Section: Introductionmentioning

confidence: 99%

Uniportal video-assisted thoracic surgery: the Middle East experience

et al. 2017

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Background: The application of uniportal video-assisted thoracic surgery (VATS) for both minor and major thoracic procedures is gaining widespread use across the globe. Believing its advantages, both in superb surgical results and less morbidity, our center has the privilege to be one of the first centers in the Middle East to introduce this surgical technique into our standard practice. This study presents our initial Results: The mean age of patients was 49.6 years, and 72 patients were females (37%). Thirty-five (18.2%) patients underwent anatomical resections with conversion to thoracotomy in three patients (8%). Six (3%) patients had air leak >4 days. The average chest drain duration was 3.25 days. The average length of stay was 4.2 days.Postoperative pain level was low in the first 4 days following the surgery and 30 days mortality was 0%.Conclusions: Uniportal VATS surgery is a safe and established technique with a minimal invasive thoracic surgery. Excellent results with minimal morbidity, short hospital stay and low postoperative pain are amongst its strong points. Thoracic surgeons experienced in thoracic surgical approaches can safely perform uniportal VATS.

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Single-port video-assisted thoracoscopic left upper lobectomy

Cited by 91 publications

References 9 publications

Management of acute postoperative pain with continuous intercostal nerve block after single port video-assisted thoracoscopic anatomic resection

Management of acute postoperative pain with continuous intercostal nerve block after single port video-assisted thoracoscopic anatomic resection

Uniportal thoracoscopic surgery: from medical thoracoscopy to non-intubated uniportal video-assisted major pulmonary resections

Uniportal video-assisted thoracic surgery: the Middle East experience

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