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Related Experiment Videos

Thoracoscopic surgery in Brazil. An overview.

O R Rodrigues1, L C Losso, M C Ghefter

  • 1Department of Surgery of the Universidade de Mogi das Cruzes, São Paulo, Brazil.

The Journal of Cardiovascular Surgery
|December 1, 1996
PubMed
Summary

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Video Assisted Thoracic Surgery (VATS) in Brazil involved 497 procedures on 488 patients by November 1994. The study details indications, common procedures for lung, pleural, and mediastinal diseases, and outcomes, including a 5.7% conversion rate to thoracotomy.

Area of Science:

  • Thoracic Surgery
  • Minimally Invasive Surgery
  • Surgical Outcomes

Background:

  • Video Assisted Thoracic Surgery (VATS) was introduced in Brazil in 1992.
  • From its introduction until November 1994, 497 VATS procedures were performed on 488 patients across four medical centers in São Paulo.
  • This study analyzes the initial adoption and application of VATS in Brazil.

Purpose of the Study:

  • To present the initial experience and outcomes of Video Assisted Thoracic Surgery (VATS) in Brazil.
  • To detail the range of indications and specific procedures performed using VATS.
  • To evaluate the early complications, limitations, and growth of VATS in the Brazilian context.

Main Methods:

  • Retrospective analysis of 497 VATS procedures performed between 1992 and November 1994.

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  • Categorization of procedures based on disease indication: lung, pleural, mediastinal, thoracic trauma, cardiovascular, chest wall, and esophageal.
  • Documentation of conversion rates to thoracotomy and mortality.

    • Main Results:

    • Lung diseases accounted for 50% of procedures, primarily for biopsy and solitary nodule resection.
    • Pleural diseases represented 31.7%, with common interventions including talc pleurodesis and decortication.
    • Mediastinal diseases (7.1%) were often treated for recurrent pericardial effusion, and thoracic trauma (8.6%) involved exploration and foreign body removal.

    Conclusions:

    • VATS was successfully implemented in Brazil for a variety of thoracic conditions within the initial years.
    • The study highlights the efficacy of VATS in diagnosing and treating lung, pleural, and mediastinal pathologies.
    • Early outcomes indicate a low conversion rate (5.7%) and mortality, suggesting VATS as a viable minimally invasive approach in Brazil.