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Non-Intubated Video-Assisted Thoracoscopic Surgery
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Non-Intubated Video-Assisted Thoracoscopic Surgery

Published on: May 26, 2023

Transxiphoid hand-assisted videothoracoscopic surgery.

Tommaso Claudio Mineo1, Vincenzo Ambrogi, Davide Mineo

  • 1Thoracic Surgery Division, Policlinico Tor Vergata University, Rome, Italy.

The Annals of Thoracic Surgery
|May 29, 2007
PubMed
Summary

Transxiphoid hand-assisted videothoracoscopy is a safe and effective alternative for thoracic procedures requiring a handport, offering rapid recovery and comparable survival rates for metastatic lung disease patients.

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Area of Science:

  • Thoracic Surgery
  • Minimally Invasive Procedures
  • Oncology

Background:

  • Transxiphoid hand-assisted videothoracoscopy has been used since 1995 for bilateral lung metastasectomy and other procedures needing a handport.
  • No comprehensive report on early and late outcomes of this technique has been published.

Purpose of the Study:

  • To evaluate the early and late results of transxiphoid hand-assisted videothoracoscopy.
  • To assess postoperative pain, respiratory function, patient satisfaction, quality of life, and survival rates.

Main Methods:

  • Retrospective review of the first 100 consecutive patients undergoing transxiphoid hand-assisted videothoracoscopy.
  • Evaluation of acute and chronic postoperative pain, respiratory function (Short Form-36), patient satisfaction, and survival rates.

Main Results:

  • The procedure was performed for lung metastases, primary lung cancers, benign nodules, and Morgagni's hernia.
  • No intraoperative mortality or major complications occurred; 30-day morbidity included arrhythmia and pneumonia.
  • Respiratory function and quality of life recovered within 3 months; 3- and 5-year survival rates for metastatic patients were 52% and 43%.

Conclusions:

  • Transxiphoid hand-assisted videothoracoscopy is a viable alternative to conventional approaches for procedures requiring a handport.
  • The technique provides rapid recovery without compromising survival rates in patients with metastatic lesions.