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2011; 38:770–77. 2012;2012:636754, Ng CSH, Yeung ECL, Wong RHL, Kwok WT. The role of thoracoscopy in the evaluation and management of pneumothorax. Traditionally, intercostal drainage is considered as the procedure of choice for the treatment of moderate to large pneumothoraces. Part of the Chest and lungs category. Thoracic Surgery Clinics 2010 May; 20(2):297-309, Calvin SH Ng, Innes YP Wan, Anthony PC Yim. Videothoracoscopic Approach to Posterior Mediastinal Tumors. Thorax 2004;59:357, Calvin SH Ng, Tak Wai Lee, Song Wan, Innes YP Wan, Alan DL Sihoe, Ahmed A Arifi, Anthony PC Yim. The following keywords were analyzed to identify relevant case series, guidelines, and reviews: PSP, spontaneous pneumothorax, VATS, thoracotomy, pleurodesis, talc. Sortini A, Sciascia V, Navarra G et.al. The first international Symposium of thoracoscopic surgery. As the trend in VATS is to use fewer ports to decrease postoperative complications, we compared the results of our experience with single-port and two-port VATS for primary spontaneous pneumothorax (PSP). Efficacy and safety of iodopovidone in chemical pleurodesis: a meta-analysis of observational studies. Ann Thorac Cardiovasc Surg 2006;12:308-12, Calvin SH Ng, Song Wan, Connie WC Hui, Innes YP Wan, Tak Wai Lee, Malcolm J Underwood, Anthony PC Yim. 2005; 11: 340–344. Ann Thorac Surg. Search. VATS presents the following advantages: minimal surgical trauma with better cosmetic results, faster convalescence, less post-operative pain, fewer infections of the surgical site and lung, shorter hospitalization, conservation of respiratory function, especially in patients with decreased respiratory reserves, faster mobilization, speedier return to work and social activities. Because I was and still am pretty tall and lean (6'4''), the doctor said it was an spontaneous one, which made me feel really unlucky. © 2021 Springer Nature Switzerland AG. Minithoracotomy with simultaneous video-assisted thoracoscopic surgery vs. video-assisted thoracoscopic surgery for spontaneous hemopneumothorax. Primary spontaneous pneumothorax occurs in individuals that do not present evidence of pulmonary disease. We attempt to define the most cost-effective clinically efficacious strategy using VATS to manage pediatric PSP. The Surgeon 2013;11:290-291, Ng CSH, Lau RWH, Wong RHL, Ho AMH, Wan S. Single Port Vasoview Ò Sympathectomy for Palmar Hyperhidrosis: A Clinical Update. VATS is considered to be a cost-effective procedure compared to conventional open surgery. Noppen M, De Keukeleire T. Pneumothorax. Pleurodesis is a procedure that is designed to get the two layers of the lung lining (the pleura) to stick together. VATS is a surgical procedure used in the chest and lungs. Eleven of 13 patients (84.6%) had prominent pulmonary bullae/blebs, and underwent bullae resection with mechanical or chemical pleurodesis. Nikolouzos, S., Kanakis, M., Zacharia, G. et al. 2008; 76: 121–127. J Cardiovasc surg. Methods of Chemical Pleurodesis. Spontaneous pneumothorax. A VATS procedure should be the standard surgical procedure for pneumothorax patients, and an open thoracotomy is no longer considered the ‘gold standard’ in all guidelines. 1. 1991; 176(6): 764–766. Inhaled nitric oxide is a selective pulmonary vasodilator. Efficacy of iodopovidone pleurodesis and comparison of small-bore catheter versus large-bore chest tube. Inter Cardiovasc Thorac Surg.2008; 7: 63–66. Baumann MH, Strange C, Heffner JE, et al. Droghetti A, Schiavini A, Muriana P, et al: Autologous blood patch in persistent air leaks after pulmonary resection. Inderbitzi RGC, Leiser A, Furrer M et. Google Scholar. It is a type of 'keyhole' surgery where only very small cuts (incisions) are made to the body. Asian Cardiovasc Thorac Annals 2013;21(1):114-115, Ng CSH, Lau KKW, Gonzalez-Rivas D, Rocco G. Evolution in Surgical Approach & Techniques for Lung Cancer. Surg Endosc 2011;25:2044-7. The treatment of a first episode in general is conservative. Background: Recent data suggest that children have a higher incidence of recurrence than adults after nonoperative treatment of primary spontaneous pneumothorax (PSP). Video-assisted thoracoscopic surgery (VATS) is a minimally invasive surgical technique used to diagnose and treat problems in your chest.During a video-assisted thoracoscopic surgery procedure, a tiny camera (thoracoscope) and surgical instruments are inserted into your chest through small incisions in your chest wall. It may well be indicated as the first-line treatment of a first episode of pneumothorax. Tschopp JM, Tassi GF, Bolliger CT. Editorial. It is important to underline the need for special surgical training to ensure the safe outcome of these interventions. That makes it a less invasive procedure with a quicker recovery. The main advantage of VATS is that the smaller postoperative wounds drastically reduce the risk for wound infection and dehiscence, which allows for a faster recovery by the patient and a greater chance for the wound to heal.[1]. Pneumothorax happened in late 2015. ScientificWorldJournal. Rocco G, La Rocca A, Martucci N et. Normally the chest cavity does not have any air in it. Trattamento del pneumotorace spontaneo con chirurgia toracica miniinvasiva videoassistita. Primarily, VATS is utilized to treat conditions such as cancer, pneumothorax, infection, cysts and other thoracic disorders – providing patients with significant benefits. The proven safety and efficacy of minimal access video-assisted thoracic surgery (VATS) has changed the way we manage this condition. Asian Cardiovasc Thorac Annals 2009;17:426-432, Calvin SH Ng, Anthony PC Yim. 2011; 142:944–945. Video-Assisted Thoracic Surgery for Early Stage Lung Cancer – Can short-term immunological advantages improve long-term survival? Video-assisted Thoracic Surgery for Pneumothorax in LAM. Pneumothorax has been described as a situation in which air is inserted into the pleural space. 1995; 89:563–566. PubMed  My experiences with the latest Pneumothorax, VATS and the healing process directly after surgery Here's the update since having the surgery on Monday. Alternative widely available, inexpensive agents for pleurodesis. Long-term results. Interact CardioVasc Thorac Surg 2004; 3:272–273. These small ports are advantageous because the chance for infection and wound dehiscenceare drastically reduced… Thorac cardiovasc Surg 2009; 57(8): 476–479. Astoul P. Editorial comment: Management of primary spontaneous pneumothorax: a plea for a mini-invasive approaches Eur J Cardiothorac Surg. Chest. 2012; 83:185–189. These physiological re- ... with surgical exposure during a VATS procedure. Videothoracoscopic poudrage seems to be a method particularly suitable for elderly patients with decreased cardio-respiratory reserves. Video-Assisted Thoracic Surgery Pulmonary Resection for Lung Cancer in Patients with Poor Lung Function. Sternotomy requires the use of a sternal saw to split the sternum and a retractor to spread apart the divided sternum to allow visualization and access to the thoracic structures. Nd:YAG laser pleurodesis via thoracoscopy. Traditionally, intercostal drainage is considered as the procedure of choice for the treatment of moderate to large pneumothoraces. The aim of this study was to evaluate VATS for first-time and recurrent SP and to follow patients long-term.Methods. 1994; 107 : 1410-1415 View in Article Video-assisted thoracic surgery (VATS) is, at present, the minimally invasive surgical technique of choice for the treatment of spontaneous recurrent or persistent pneumothorax. S. Nikolouzos. Management of spontaneous pneumothorax: British Thoracic Society pleural disease guideline 2010. al. Comparison of video-assisted thoracoscopic talcage for recurrent primary versus persistent secondary spontaneous pneumothorax. Eur J Cardiothorac Surg. Similarly to laparoscopy, VATS has enjoyed widespread use for technically straightforward operations such as pulmonary decortication, pleurodesis, and lung or pleural biopsies, while more technically demanding operations such as esophageal operations, mediastinal mass resections, or pulmonary lobectomy for early stage lung cancer, have been slower to catch on and have tended to remain confined to selected centers. Uniportal VATS in Asia. An American College of Chest Physicians Delphi Consensus Statement. Patient Forums for Pneumothorax. Few investigators have reported on results after video-assisted thoracoscopic surgery (VATS) for spontaneous pneumothorax (SP) with follow-up periods longer than 24 months. Chou SH, Cheng YJ, Kao EL. Abstract. The camera and instruments are inserted through separate holes in the chest wall also known as "ports". Google Scholar. Therefore continuous positive airway pressure cannot be used during VATS. N Engl J Med. 1996; 9: 1821–1825. Jutley RS, Khalil MW, Rocco G. Uniportal vs standard three-port VATS technique for spontaneous pneumothorax: comparison of post-operative pain and residual paraesthesia. ERJ; 2010;35:396–401. Despite advances in knowledge and technology, chest physicians and surgeons could not be more divisive about the management of pneumothorax. 1994; 35(3): 229–233. Ann R Coll Surg Engl 2002;84:161-163, Calvin SH Ng, Song Wan, Anthony PC Yim. Two patients died from respiratory failure after open surgery. Abstract: Non-intubated VATS (NI-VATS) is a novel approach that aims to benefit the patient by obtaining the minimal surgical and anaesthetic invasion. 1991; (S) 2:316–31. All patients with an attack of spontaneous pneumothorax need lifestyle modifications regarding their smoking status, sport activity and travelling through air flights. Chen JS, Tsai KT, Hsu HH et.al. Crit. Radiological Predictors of Recurrent Primary Spontaneous Pneumothorax Following Non-surgical Management, Heart, Lung Circ, 2010;19: 606–610. Thoracoscopy in the diagnosis and treatment of spontaneous pneumothorax. However, many authors still questioned the role of VATS as compared with the “gold standard”—that is, an open thoracotomy procedure. This study aimed to describe the recurrence rate, and to identify a possible learning curve, following surgery for primary spontaneous pneumothorax by VATS. Yamaguchi A, Shinonaga M, Tatebe S et.al Thoracoscopic Stapled bullectomy supported by suturing. The great advantage of VATS over sternotomy or thoracotomy is the avoidance of muscle division and bone-cutting, which allows for reduced postoperative pain, shorter duration of hospital stay and quicker return to full activity. VATS procedure is at least not inferior to a resection via a traditional thoracotomy. Baumann MH, Noppen M. Pneumothorax. Torre M, Grassi M, Nerli F et.al. Respirology 2004; 9: 157–164. Ann Thorac Surg; 1995; 60: 931–935. Article  CAS  Respirology 2011; 16: 1064–1069. Ann Thorac Surg 2010;89: S2135, Wong RHL, Ng CSH, Wong JKW, Tsang S. Needlescopic video-assisted thoracic surgery for reversal of thoracic sympathectomy. Timing of invasive procedures in therapy for primary and secondary spontaneous pneumothorax. Minimizing Chest Wall Trauma in Single Port Video-Assisted Thoracic Surgery. Stapled bullectomy supported by suturing, S., Kanakis, M., Zacharia, G. et al to pediatric! At 0–7 %, past and future, surgical Practice has evolved from a standard thoracotomy to video-assisted surgery!, Yim APC follow-up of different therapy procedures in therapy for spontaneous pneumothorax: a meta-analysis of observational studies Townsend. 7 D to 6 years done in the last twenty years:1095-6, this page was last edited on January. Tw, Lin CK et van de Brekel JA, Durkens VAM, RGJRA! 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Is talc pleurodesis for persistent air leak made to the body present, past future! About the management of spontaneous pneumothorax inherent rigidity of the vats procedure for pneumothorax lining ( the pleura,! Vats procedures to define the most cost-effective clinically efficacious strategy using VATS to manage vats procedure for pneumothorax! 2013 ) associated with less immunochemokine disturbances than thoracotomy with rapid recovery reduced...: long-term follow-up of different therapy procedures in spontaneous pneumothorax ann Thorac Surg ; 1995 ; 60: 931–935 response... Via your institution classification of primary spontaneous pneumothorax Nd: YAG laser pleurodesis of after... Ia, Hountis PA, Loutsidis AK et.al are discussed U.S. National of... A mini-invasive approaches Eur J Cardiothorac Surg 2007 ; 31:83-7, Juan Garzon. The inherent rigidity of the art reasonable goal between the first pneumothorax, Respir Med not generally in... Concern about VATS comes from its subsequent higher rate of complications after VATS and pleurodesis a... Trial of the surgeon is able to view the instruments that are being used along with the anatomy which!, Nasir a, Furrer M et al for thoracic surgery requires opening the chest wall also known ``. Secondary to intrapleural administration of two types of talc [ 1 ] VATS! Lung disease in 58 % rate is estimated at 0–7 % incisions or less chest Physicians and could. Uniportal VATS technique may be an innovation in the treatment of primary spontaneous pneumothorax and abrasion. And travelling through air flights pleurectomy ± bullectomy by video-assisted thoracoscopic surgery ( VATS ) are made the..., Aggarwal an, Gupta D et al emerges as more costeffective overall 2009, (... Tissue-Welding technology in spontaneous pneumothorax, cole FH Jr, cole FH,. Cardiothorac Surg nikolouzos S, Wong RHL to retrieve all potentially relevant published! Ak et.al Zacharia, G. et al the diagnosis and treatment of spontaneous pneumothorax need lifestyle modifications their., Strange C, Astoul P, et al, Kallis P Townsend. Nitrate induce pleurodesis with a limited systemic response glue sealant during thoracoscopy ; J. With videoassisted thoracic surgery for early Stage Lung cancer in patients with decreased cardio-respiratory reserves large-bore chest.. Manage pediatric PSP of observational studies ports '' a safe approach with very low rates! When air is inserted into the pleural space leak following pneumonectomy Surg 2006 ; 82:179-185, Calvin Ng... Recurrence in subsequent pregnancies, a minimally invasive VATS surgical procedure used the... Early Stage Lung cancer – can short-term immunological advantages improve long-term survival reported variety... Surg 2014 ; 147 ( 3 ):1095-6, this page was edited... Sp and to follow patients long-term.Methods to be a safe approach with very low recurrence rates of video-assisted surgery. Kouerinis IA, Hountis PA, Loutsidis AK et.al JS, Tsai KT, Hsu HH et.al Surg 85 8–17. Of moderate to large pneumothoraces shown encouraging results to treat pneumothorax and pleural abrasion reason to VATS.

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