Video-assisted thoracic surgery—The past, present status and the future

Luh, Shi‐Ping; Liu, Huiping

doi:10.1631/jzus.2006.b0118

Cited by 60 publications

(53 citation statements)

References 115 publications

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“…My series has some experiences of VATS procedures in the supine position, for SP as well as other types of diseases, such as empyema, emphysema, interstitial lung diseases or pulmonary nodular lesions (Luh and Liu, 2006;Luh et al, 2004;. Consideration of the supine position for VATS usually depends on the condition of patients and the location of the lesions.…”

Section: Discussionmentioning

confidence: 99%

Video-assisted thoracoscopic surgery (VATS) for bilateral primary spontaneous pneumothorax

Chen

Luh

Hsu

et al. 2008

J. Zhejiang Univ. Sci. B

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Abstract:Objective: To review our experience of the treatment of bilateral primary spontaneous pneumothorax (PSP) by video-assisted thoracoscopic surgery (VATS). Materials and methods: Retrospective chart review was followed by an on-clinic or telephone interview. Patients were cared for by one thoracic surgeon in four medical centers or community hospitals in Northern and Central Taiwan. Thirteen patients with bilateral PSP underwent bilateral VATS simultaneously or sequentially from July 1994 to December 2005. Results: Twelve males and one female, with age ranging from 15 to 36 years (mean 23.1 years), were treated with VATS for bilateral PSP, under the indications of bilateral pneumothoracis simultaneously (n=4) or sequentially (n=9). The interval between the first and second contra-lateral VATS procedure for non-simultaneous PSP patients ranged from 7 d to 6 years. Eleven of 13 patients (84.6%) had prominent pulmonary bullae/blebs, and underwent bullae resection with mechanical or chemical pleurodesis. The mean operative time was (45.6±18.3) min (range 25~96 min) and (120.6±28.7) min (range 84~166 min) respectively for the non-simultaneous (second VATS for the recurrence of contralateral side after first VATS) and simultaneous (bilateral VATS in one operation) procedures. There was no postoperative mortality. However, prolonged air leakage (>7 d) occurred in one patient (7.7%) who recovered after conservative treatment. The mean duration of chest tube drainage was 3.1 d and the median follow up period was 3.4 years. Conclusions: VATS is a safe and effective procedure in the treatment of bilateral PSP. Bilateral VATS is only recommended for patients with simultaneously bilateral PSP, because the incidence of recurrence, even with visible bullae, was not so high in my group and in some previous literature. Bilateral VATS in a supine position should only be used in selective cases, because of possible pleural adhesion or hidden bullae on the posterior side.

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Section: Discussionmentioning

confidence: 99%

Video-assisted thoracoscopic surgery (VATS) for bilateral primary spontaneous pneumothorax

Chen

Luh

Hsu

et al. 2008

J. Zhejiang Univ. Sci. B

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“…Resection is also valuable to help determine further treatment strategies and decrease the duration and dose of anti-tuberculosis treatment. In many cases, bronchoscopic or needle biopsy are not practically possible, and VATS is therefore a good minimally invasive option (20). Authors from Taiwan (21) reported 53 cases of tuberculoma that underwent VATS.…”

Section: Surgical Treatment Of Pulmonary Tuberculomamentioning

confidence: 99%

Recent advances in the management of pulmonary tuberculoma with focus on the use of tubeless video-assisted thoracoscopic surgery

Xia

Qiao

2017

J. Thorac. Dis.

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Pulmonary tuberculoma are benign solitary pulmonary nodules representing up to 25% of all resected solitary pulmonary nodules. However, the differentiation between pulmonary tuberculoma and lung cancer, as well as between active tuberculoma and inactive tuberculoma remains a clinical challenge. The present review summarizes the recent advances in the management of pulmonary tuberculoma, including radiological findings, the response to anti-tuberculosis treatment and surgical treatments. Application of the novel tubeless video-assisted thoracoscopic surgery (VATS) technique in both the diagnosis and treatment of pulmonary tuberculoma has been found to be safe and feasible and leads to less surgical trauma, which results in reduced length of hospitalization and better post-operative quality of life.

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“…Later, as VATS became more popular within thoracic surgery, further development brought two-port configurations, robotic assisted surgery and needlescopic approaches. VATS was also introduced into use for increasingly complex operations including mediastinal masses, large resections and cases with chest wall involvement (12). The old rules regarding absolute contraindications for VATS and the standard indications for open thoracotomy were broken with excellent results.…”

Section: Evolution To Video-assisted Thoracoscopic Surgerymentioning

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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Video-assisted thoracic surgery—The past, present status and the future

Cited by 60 publications

References 115 publications

Video-assisted thoracoscopic surgery (VATS) for bilateral primary spontaneous pneumothorax

Video-assisted thoracoscopic surgery (VATS) for bilateral primary spontaneous pneumothorax

Recent advances in the management of pulmonary tuberculoma with focus on the use of tubeless video-assisted thoracoscopic surgery

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

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