Video-assisted thoracoscopic surgery (VATS) is a way to do surgery inside the chest using several small cuts (incisions) instead of one larger incision (open surgery). INTRODUCTION. How do doctors decide that a lobectomy is the best type of lung cancer surgery for you? The complication and mortality rates are generally very low and VATS procedures are considered safe and effective. The benefits of a minimally invasive, or VATS, approach to lung cancer surgery include: Equivalent overall and disease-free survival (1,2,3) Lower cost (4) Shorter hospital stay (2,3,4) Shorter chest tube duration (3) Fewer perioperative complications (2,3,4) Greater likelihood of home discharge (2) Most importantly the incidence of postoperative pain is much less in VATS than open procedures and they … There is little known of the short-term outcome associated with PPC following VATS … 0000002224 00000 n Video-assisted thoracic surgery for clinical stage I lung cancer in octogenarians. 0000002751 00000 n Background: Postoperative pulmonary complications (PPCs) are associated with poor outcomes following thoracotomy and lung resection. VATS for lung cancer surgery. Background Video-assisted thoracoscopic surgery (VATS) is minimally invasive thoracic surgery that does not use a formal thoracotomy incision. The location of your tumor 2. PubMed CrossRef Google Scholar. Maryland Thoracic LigaSure and Signia Powered Right Upper Lobectomy, VATS Resection for Extralobar Pulmonary Sequestration With a Large Aberrant Artery After Endoluminal Stenting and Plug Occlusion, VATS Treatment for Pulmonary Aspergilloma in a Patient With Lupus. VATS also is different from open surgery because it does not require the doctor to cut through the ribs or breastbone (sternum). 0000008148 00000 n Possible complications of video-assisted thoracoscopic surgery (VATS) include: 1. One common reason to do VATS is to remove part of a lung because of cancer. 2008;85(2):406–11. Using footage recorded during VATS cases, Dr. Blackmon gives helpful tips for dealing with potentially catastrophic events. A few cases of lung herniations have been reported after video-assisted thoracoscopic surgery (VATS) but only two cases have been reported after VATS lobectomy. Aim: The VATS procedure has become the dominant method of lung cancer surgery, but there is no case series about the complications of lung herniation in the literature. 0000005645 00000 n The effects of PCs on the long-term prognosis were analyzed by using the Kaplan-Meier method. 0000013163 00000 n PubMed … In the reviewed literature as in the most frequent complications after VATS procedures are: prolonged air leak, bleeding, infection, postoperative pain, port site recurrence and the need to convert the access in thoracotomy. 0000011779 00000 n The major disadvantage of VATS under local or regional anesthesia is that the patient must breath spontaneously. 0000001008 00000 n By. VATS lobectomy is the same as lobectomy performed via thoracotomy in that the pulmonary artery, pulmonary vein, and bronchus to the involved pulmonary lobe are individually dissected, ligated and divided. Surg Endosc. There are two types of decortication surgery: open thoracotomy and video-assisted thoracoscopic surgery (VATS). 0000002353 00000 n This presentation was originally given during the SCTS Ionescu University program at the 2016 Annual Meeting of the Society for Cardiothoracic Surgery in Great Britain and Ireland. 0000004251 00000 n 7. 0000008125 00000 n H�b```e``9$��@���� �9v(Mm0ic`�4_�]�. VATS provides adequate visualization despite limited access to the thorax, allowing the procedure to be performed in a state of debilitation and for patients who have marginal pulmonary reserve. VATS Approach VATS Lobectomy. Awareness of the possibility of intraoperative complications of VATS lobectomy is mandatory to avoid them, and the development of management strategies is necessary to limit morbidity if they occur. Anesthesia-related effectsTalk with your doctor about these and other risks of VATS. This site is not optimized for Internet Explorer 8 (or older). Dealing With Complications in VATS Surgery. 0000009358 00000 n 0000002729 00000 n 0000013187 00000 n 0000011802 00000 n 0000001164 00000 n Major intraoperative complications during VATS anatomical lung resections are infrequent, seem not to be related to surgical experience but have an important impact on patient outcome. Herbert Decaluwé of University Hospital Leuven in Belgium discusses complications during video-assisted thoracoscopic surgery (VATS). 87 0 obj << /Linearized 1 /O 90 /H [ 1226 346 ] /L 545705 /E 101074 /N 5 /T 543847 >> endobj xref 87 33 0000000016 00000 n It is a type of minimally invasive surgery. There are several possible complications possible with a lobectomy. A lobectomy is a major surgery, and though your surgical team will do everything possible to minimize these risks, it's important to be aware of some of the possibilities so you can make an educated choice ahead of time. 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