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Related Experiment Video

Updated: Jun 19, 2026

Non-Intubated Video-Assisted Thoracoscopic Surgery

Non-Intubated Video-Assisted Thoracoscopic Surgery

Published on: May 26, 2023

Video assisted thoracic surgery in children.

Rasik Shah¹, A Suyodhan Reddy, Nitin P Dhende

¹Department of Pediatric Surgery, Sir J J Hospital and Grant Medical College, Mumbai, India.

Journal of Minimal Access Surgery

|October 1, 2009

Summary

Video-assisted thoracic surgery (VATS) in children has evolved from diagnostic use to treating complex conditions. Advancements enable VATS as standard care for pediatric empyema, biopsies, and hernia repairs.

Keywords:

Thoracoscopy children video assisted thoracic surgery

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Last Updated: Jun 19, 2026

Non-Intubated Video-Assisted Thoracoscopic Surgery

Non-Intubated Video-Assisted Thoracoscopic Surgery

Published on: May 26, 2023

Area of Science:

Pediatric surgery
Thoracic surgery
Minimally invasive procedures

Background:

Video-assisted thoracic surgery (VATS) has a long history in pediatric care, initially limited to diagnostics.
Technological advancements in optics, CO2 insufflation, single-lung ventilation, and vessel sealing have expanded VATS applications.
VATS is now a standard of care for several pediatric thoracic conditions.

Purpose of the Study:

To review the expanded indications for VATS in pediatric patients.
To discuss techniques for selective lung ventilation during VATS.
To outline surgical steps for various pediatric thoracic conditions managed with VATS.

Main Methods:

Review of current literature and clinical practices regarding pediatric VATS.
Discussion of technological enablers for VATS.
Description of surgical techniques and indications.

Main Results:

VATS is now indicated for complex procedures including lung resections and mediastinal tumor excision in experienced centers.
Established indications include empyema, lung biopsy, mediastinal lymph node biopsy, and diaphragmatic hernia repair.
VATS offers a minimally invasive approach for a wide range of pediatric thoracic surgeries.

Conclusions:

VATS has evolved significantly, becoming a cornerstone of modern pediatric thoracic surgery.
The technique's versatility and safety support its role in treating diverse pediatric thoracic pathologies.
Continued advancements promise further expansion of VATS applications in children.