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Signa Vitae

A Journal In Intensive Care And Emergency Medicine

Tag: VATS (Page 1 of 2)

Rare Case of Thoracic Endometriosis Syndrome: Catamenial Hemothorax

Background

Thoracic endometriosis syndrome (TES) is uncommon disease presented as catamenial pneumothorax, hemothorax, lung nodules and hemoptysis occurring within first 48-72 hours of menstruation. Endometriosis affects about 10% of women in reproductive age; incidence of extrapelvic endometriosis in these women is approximately 12%. The most frequent presentation of TES is pneumothorax (about 74%) while hemothorax is rare TES presentation (14%). The diagnosis is almost always established on clinical grounds.

Keywords: hemothorax, endometriosis, VATS.

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Developing a Minimally Invasive Lung Lobectomy Programme, the German Experience

Background

Video-assisted thoracoscopic (VAT) lobectomy is demonstrated to be safe and effective. Its adoption rates are low. Less than 10% minimally invasive out of 28 771 lobectomies in a recent study from the European Society of Thoracic Surgeons might reflect difficulty in acquiring appropriate skills, but other reasons are expected.

Keywords: VATS, lobectomy, Germany

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From open to minimally invasive esophagectomy

Background

Esophagectomy remains a major resection posing a great burden to both patients’ safety and quality of life as well as to medical resources. The wish to minimize perioperative risk and accelerate patients’ return to normal life is a driving force for technical as well as organizational improvement.
Key words: esophagectomy, MIE, VATS

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VATS thymectomy: our experience in General Hospital Zadar

Abstract

Background: Traditionally, thymectomies has been performed from median sternotomy. However, VATS (Video assisted thoracoscopic surgery) for thymectomy has evolved significantly over the past two decades and is less aggressive compared to median sternotomy. Materials/methods: From June 2014. to December 2015.; 5 VATS tymectomies were performed: 3 for myastenis gravis and 2 for thymomas. There were 3 female and 2 male patients. Mean age was 35 years (range14-57 years).
Results: Mean duration of surgery was 150 minutes and mean duration of hospital stay was 4 days.
There was no hospital mortality and morbidity. No patient required assisted ventilation.
Conclusion: Video assisted thoracic surgery thymectomy results in shorter hospital stay, less postoperative pain, reduced need for postoperative analgetics and better cosmetics results, and should be considered as gold standard for thymectomy.

Key words: VATS, thymectomy, sternotomy

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Hilar lymphadenectomy, regions 10 & 11

Background

Video-assisted toracoscopic pulmonary lobectomy (VL) has gained wide acceptance in the thoracic surgical community. The accuracy of mediastinal staging, its clinical value, and VL as a therapeutic tool for complete mediastinal lymph node dissection in the treatment of lung cancer is not well elucidated. Our clinical question tackles the question hilar lymphadenectomy.

Key words: VATS, lobectomy, lymphadenectomy

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