Uniportal video-assisted thoracoscopic surgery, Argentinian experience

Bondulich, Gustavo J.; Rivas, Diego Gonzalez

doi:10.21037/jovs.2017.03.21

Cited by 6 publications

(6 citation statements)

References 16 publications

(4 reference statements)

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“…Although in lobectomy group the average hospital stay was about 5 days, it was lower than that of open lung lobectomies in our hospital. In general, our results in terms of hospital stay after a U-VATS procedure were in line with those of other series reported in literature (17)(18)(19). The reduction of post-operative hospitalization was possible thanks to factors such as the early removing of pleural drainage and low incidence of postoperative complications, like pneumonias, atelectasis and respiratory or cardiac problems.…”

Section: Discussionsupporting

confidence: 91%

Uniportal video-assisted thoracic surgery Roman experience—a report of the first 16-month Roman experience

et al. 2018

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Background: The acceptance of uniportal video-assisted thoracic surgery (U-VATS) for thoracic procedures has been growing worldwide. This study reports one of the widest Italian U-VATS experiences. Methods: The prospectively collected data of 237 patients underwent a U-VATS procedure, between May 2016 and September 2017, were retrospectively reviewed. A wide range of procedures, like major and minor lung resections, esophageal surgery, pleural and mediastinal one, was performed. The main aim of the study was evaluating general outcomes in terms of safety and effectiveness, and analyzing short-term results of U-VATS approach. Results: The mean age of population was 59.93±16.03 years. In 208 cases (85.3%) a U-VATS lung resection was performed, in 10 cases (4.1%) an esophagectomy or an esophageal diverticulectomy, in 15 (6.1%) a mediastinal procedure and in 11 (4.5%) a toilette for pleural empyema or removal of pleural lesions. The chest tube duration was 4.24±3.73 days and the postoperative hospital stay was 4.62±4.59 days. The intraoperative and thirty-day mortality were null. Mean level of pain in I postoperative day was 2.30±1.26 on VAS scale and the mean duration was of 1.54±1.21 days. In 93% of cases there was a resolution of pain after chest tube removal. Furthermore, the average level of cosmetic satisfaction was 2.73±0.49 (measured on a 0-3 scale). Conclusions: According to our experience, U-VATS seems to be a safe and practicable mini-invasive technique, above all for surgeons who already have thoracoscopy experience or made proper training attending multilevel courses, hands-on conferences and wet-labs.

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Section: Discussionsupporting

confidence: 91%

Uniportal video-assisted thoracic surgery Roman experience—a report of the first 16-month Roman experience

et al. 2018

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“…Indications can vary from minor procedures such as pleural diseases to more major procedures such as lobectomies [9]. If the patient presents with a chest drain in place, the same incision can be used to perform the procedure [11]. The main advantage of this minimal invasive procedure is reduction of postoperative pain and paresthesia, therefore, speeding the recovery.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of uniportal video assisted thoracoscopic surgery in management of primary spontaneous hemopneumothorax

Aljehani

Almusairii

2019

International Journal of Surgery Case Reports

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HighlightsPrimary spontaneous hemopneumothorax is an emergency and should be treated immediatley to prevent any dramatic complication.Video assisted thoracoscopic surgery now is the gold standard in treatment of hemopneumothorax.Applying the new concept of uniportal technique has a better outcome with fast patient recovery.Ability to use thoracostomy tube opening for uniporatal video-assisted thoracoscopic surgery.Utilization of uniportal technique even in semi-stable patient is safe and well tolerated.

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“…Since then, thoracic surgery for pulmonary and non-pulmonary lesions have been reported with great success [ 9 , 10 ]. U-VATS has demonstrated its feasibility and safety compared to conventional techniques by several advantages: less blood loss during surgery, less postoperative morbidity and mortality, better cosmetic results, shorter recovery and hospital stay [ 11 ]. It keeps as the only limit, the giant masses exceeding 10 cm which sometimes impose the use of the conventional techniques: sternotomy or thoracothomy depending on the location of the mass.…”

Section: Discussionmentioning

confidence: 99%