The Evolution of the Right Anterolateral Thoracotomy Technique for Correction of Atrial Septal Defects: Cosmetic and Functional Results in Prepubescent Patients

Vida, Vladimiro L.; Tessari, Chiara; Fabozzo, Assunta; Padalino, Massimo A.; Barzon, Elena; Zucchetta, Fabio; Boccuzzo, Giovanna; Stellin, Giovanni

doi:10.1016/j.athoracsur.2012.08.026

Cited by 42 publications

(23 citation statements)

References 20 publications

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“…Two approaches are established that are currently used in the repair of atrial septal defects (ASD): median sternotomy and right anterolateral thoracotomy (RALT) . The potential advantages of right anterolateral thoracotomy are improved cosmetic appearance, increased patient comfort, decreased hospital stay, and lower hospital costs . On the other hand, the effects of this technique on postoperative pain, bleeding, and respiratory function are controversial .…”

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confidence: 99%

Right Anterolateral Thoracotomy in the Repair of Atrial Septal Defect: Effect on Breast Development

et al. 2015

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confidence: 99%

Right Anterolateral Thoracotomy in the Repair of Atrial Septal Defect: Effect on Breast Development

et al. 2015

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“…Rothenberg is one of the pioneers who developed the multiportal VATS technique for pediatrics over the last three decades [1,2,9] . Besides the cosmetic and early postoperative morbidity concerns, some of the crucial benefits of thoracoscopic surgery in children (which may not affect the adult patients) are decreasing the risk of musculoskeletal deformity (asymmetric chest wall, scoliosis, rib fusion, and winged scapula) that may be noted after posterolateral thoracotomy in younger patients [10][11][12] . In adult patients, a natural progression and evolving of thoracoscopic techniques resulted recently in the evolution of uniportal VATS technique [3][4][5][6]13] .…”

Section: Discussionmentioning

confidence: 99%

Subxiphoid uniportal video assisted thoracoscopic lobectomy in a pediatric patient

Akar¹,

Shaqqura²,

Rumman³

et al. 2020

MIS

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Thoracoscopic surgeries have witnessed tremendous and prompt recent development, especially in the field of uniportal video assisted thoracoscopic surgery (VATS) surgery. It is now possible to perform the most complex surgeries through this technique, which is of great benefit to the patient by significantly reducing the level of postoperative pain and complications of surgery. As surgeons gain experience in this field, their confidence and ability to push the limits and develop technologies are increasing. Performing uniportal VATS surgeries in children is a significant challenge for the surgeon due to the limited size of the thoracic cavity and the difficulty of the instrumentation. Here, we report the first case in the literature (as far as we know) of a uniportal Subxiphoid VATS lobectomy in a 2.5-year-old child. In conclusion, Subxiphoid uniportal VATS lobectomy is feasible in pediatric patients and may have some benefits over the intercostal approach.

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“…As a result, the percentage of minimally invasive cases rose to 40%, doubling the initial rate of 20% during the first year. The lesson is to couple any single patient to a surgeon who is keen either on the defect or on a particular approach, so as to match them in the algorithm of mini-invasive surgery (6,38,39).…”

Section: Discussionmentioning

confidence: 99%

“…The shift from a different single incision to multi-small approaches one was not in my mind previously, but deserves all credit because it stands for a new paradigm of surgery. The more alternative approaches (5,39) we can offer, the better for the cosmesis of the patients.…”

Section: Discussionmentioning

confidence: 99%

How to set-up a program of minimally-invasive surgery for congenital heart defects

Gil-Jaurena¹,

Pérez-Caballero²,

Pita-Fernández³

et al. 2016

Transl. Pediatr.

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Minimally invasive pediatric cardiac surgery is becoming a common procedure worldwide. Our schedule to set up a program proves beneficial. The three-step approach has been successful in our experience, allowing a tailored training for every new surgeon and enhancing the enthusiasm in developing further strategies on their own. Recording conversion-rates and complications stands for quality standards. A twofold increase in minimally invasive procedures was observed in two years. The short-medium term results after three years are excellent.

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The Evolution of the Right Anterolateral Thoracotomy Technique for Correction of Atrial Septal Defects: Cosmetic and Functional Results in Prepubescent Patients

Cited by 42 publications

References 20 publications

Right Anterolateral Thoracotomy in the Repair of Atrial Septal Defect: Effect on Breast Development

Right Anterolateral Thoracotomy in the Repair of Atrial Septal Defect: Effect on Breast Development

Subxiphoid uniportal video assisted thoracoscopic lobectomy in a pediatric patient

How to set-up a program of minimally-invasive surgery for congenital heart defects

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