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PubMed1981

[Thoracoscopy].

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Aged↗
PubMed1995

[Thoracoscopy in upper thoracic sympathectomy].

The authors describe their experience with the endoscopic technique of upper thoracic sympathectomy. They evaluate it as an easily performed and safe method which gives great comfort to the patient as well as excellent functional and cosmetic results and involves a minimal burden and ensures rapid convalescence. It enables the surgeon to obtain a perfect orientation in the surgical field as well as safe and perfect preparation of the thoracic portion of the sympathetic nerve. The low cost is also important.

Ganglia, Sympathetic↗
PubMed1994

Surgical treatment of palmar hyperhidrosis before thoracoscopy: experience with 475 patients.

Between the years 1968-1992, 475 patients underwent simultaneous bilateral upper dorsal sympathectomy by the supraclavicular approach for severe palmar hyperhidrosis. For the purpose of comparing outcomes of the open surgical method with the increasingly used thoracoscopic procedure, we reviewed the clinical data of our patients. The incidence of severe palmar hyperhidrosis in the young population in Israel is 1-2/1,000. Surgical excision of the T2 and T3 ganglia was effective in drying the hands of all patients, who had frozen section confirmation of removal of a ganglion. At follow-up, hyperhidrosis recurred in 5.3% of limbs. Mild transient Horner's syndrome occurred in 12% of procedures, but only in 5 patients was it permanent. The main drawback of the open surgical approach lies in the postoperative complications. The effectiveness of the thoracoscopic approach will be judged by immediate and late results, and by the expected reduction in postoperative morbidity.

Hand↗
PubMed1994

Pediatric laparoscopy and thoracoscopy.

Although applications of MIS to the pediatric population appear limitless, it is important to continually assess what surgical procedure is in the best interest of the individual child. The pediatric expertise of the surgeon, anesthesiologist, and nursing staff along with their comfort with MIS should be thoroughly considered. The management of available resources also is of importance. The experimental techniques of today are rapidly becoming tomorrow's established standard of care. All health professionals should take the responsibility of developing expertise with these new techniques. The challenge of the future is appropriate application of these procedures while maintaining the child's safety as the foremost concern.

Anesthesia↗
PubMed1995

[Surgery of aneurysm of the left subclavian artery applying imaged thoracoscopy--a case report].

A 23-year-old male with aneurysm of the left subclabian artery was successfully treated by means of imaged thoracoscopic surgery. The operation was carried out using double-lumen endotracheal anesthesia. Short trocars were inserted through the left intercostal spaces to introduce a flexible video thoracoscope and surgical instruments. After the area around the proximal end of the subclabian artery was exposed, a tape and Nelaton tube were applied in order to interrupt the artery completely. The maneuvors for aneurysm could be accomplished with minimum invasion, and without thoracotomy. The advantages of this thoracoscopic surgery are: less postoperative pain and discomfort, early recovery and short hospital stay, and cosmetic preservation.

Adult↗
PubMed1995

[Use of video-thoracoscopy for diagnostic and small surgical procedures in the chest].

The report introduces videothoracoscopy as a new diagnostic and therapeutical method in chest surgery. The main indications for thoracoscopic procedures were described. Also, 37 videothoracoscopic procedures performed on 35 patients were presented. In 5 cases procedure was therapeutical, in the rest of them diagnostic. In all diagnostic cases, thoracoscopic procedures allowed to determine accurate diagnosis. No significant complications were observed.

Biopsy↗
PubMed1995

[Diagnostic and therapeutic video thoracoscopy: conversion rate and costs].

With the further development of new surgical techniques, that allow for the performance of a variety of standard diagnostic and therapeutic procedures in a less invasive fashion, it is instructive to look at the complications of these new techniques, in order to define their role for general thoracic surgery. 372 patients have been treated by means of video-assisted thoracic surgery (VATS) between 1/1992 and 12/1994. A total of 934 open thoracic procedures were performed in the same time frame, 399 out of them for the same chest disorders as treated by VATS alternatively. In 40 cases (10.7%) the endoscopic procedure had to be converted to an open thoracotomy. The main reasons for conversion were inability to locate or resect lesions due to a deep or central position (n = 13), requirement of further resection (n = 10), adhesions (n = 9), fibrinopurulent empyema (n = 5), bleeding (n = 2) and single-lung-ventilation failure (n = 1). The mean operation time was significantly shorter with VATS compared to open procedures, except for decortications. The mean hospital stay was 4.2 days in the endoscopic and 7.9 days in the thoracotomy group. Cost analysis for both techniques included expenses for disposable instruments, the operation room, anesthesia, and total hospital charges. Higher costs for instruments for VATS procedures were compensated by shorter chest drainage, less postoperative need for analgetics and a significantly shorter hospital stay.(ABSTRACT TRUNCATED AT 250 WORDS)

Cost-Benefit Analysis↗
PubMed1995

A technical report on video-assisted thoracoscopy in thoracic spinal surgery. Preliminary description.

STUDY DESIGN: This report is a preliminary description of the efficacy of video-assisted thoracoscopic surgery in thoracic spinal procedures that otherwise require open thoracotomy. OBJECTIVE: This report sought to describe the efficacy of video-assisted thoracoscopic surgery in thoracic spinal procedures that otherwise require open thoracotomy. SUMMARY OF BACKGROUND DATA: In a landmark study that compared video-assisted thoracoscopic surgery for peripheral lung lesions with thoracotomy, video-assisted thoracoscopic surgery reduced postoperative pain, improved early shoulder girdle function, and shortened hospital stay. METHODS: Video-assisted thoracoscopic surgery was performed in 12 thoracic spinal patients (herniated nucleus pulposus, infection, tumor, or spinal deformity) and is described in detail in this report. RESULTS: Video-assisted thoracoscopic surgery in thoracic spinal surgery resulted in little postoperative pain, short intensive care unit and hospital stays, and little or no morbidity. In the short follow-up period, there was no post-thoracotomy pain syndrome nor neurologic sequelae in these patients. Operative time decreased dramatically as experience was gained with the procedure. CONCLUSION: Given consistently improving surgical skills, a number of thoracic spinal procedures using video-assisted thoracoscopic surgery, including thoracic discectomy, internal rib thoracoplasty, anterior osteotomy, corpectomy, and fusion, can be performed safely with no additional surgical time or risk to the patient.

Adult↗
PubMed1994

[41 cases of video-assisted thoracoscopy].

Video-assisted of thoracoscopic surgery (VATS) is the minimally invasive surgery. It has characteristic of mini-incision, less pain, less bleeding, less transfusing, less affecting cardio pulmonary function. So it is one of the development directions of thoracic surgery. The authors had finished 41 cases VATS. Operative indication was expatiated. The requirement of anesthesia is lower. The patients whose pulmonary function were too severe destructive to walk could be treated by VATS. The authors discussed some questions of VATS.

Adolescent↗