Technical aspects of video-assisted and robotic-assisted thoracoscopic segmentectomy

Single incision video-assisted thoracoscopic anatomic segmentectomy.

[Video-assisted Thoracoscopic Segmentectomy Using Infrared Thoracoscopy with Indocyanine Green].

The maintenance of a good surgical view is mandatory in video-assisted thoracoscopic surgery (VATS). For routine segmentectomy, it is necessary to re-inflate the lung in order to identify the intersegmental borders. However, such re-inflation can occasionally obstruct the surgical view and can lead to prolongation of operation time, particularly in the context of VATS. Infrared thoracoscopy( IR...

Video assisted thoracoscopic surgery.

Video assisted thoracoscopy is now a well established technique in the armamentarium of the thoracic surgeon. Jacobaeus is credited with the technique of thoracoscopy and the first clinical application dates from 1913. He performed adhesiolysis to enhance pneumothorax therapy of tuberculosis via a cystoscope introduced into the pleural cavity. Before the 1990s thoracoscopic surgery was restrict...

Video-assisted thoracoscopic surgery.

Video-assisted thoracoscopic surgery is finding an ever-increasing role in the diagnosis and treatment of a wide range of thoracic disorders that previously required sternotomy or open thoracotomy. The potential advantages of video-assisted thoracoscopic surgery include less postoperative pain, fewer operative complications, shortened hospital stay and reduced costs. The following review examin...

Video-assisted thoracoscopic thymectomy.

Access from the right chest is generally easier. In this case however, the thymoma was predominantly left-sided and therefore a left-sided approach was preferred. The anesthetist places a double lumen tube to allow isolation of the required lung. The patient is placed with the chest elevated to an angle of around 30 degrees. This allows the plane between the sternum and thymus to be developed e...