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Updated: Jun 19, 2026

Non-Intubated Video-Assisted Thoracoscopic Surgery
Published on: May 26, 2023
Video-assisted thoracoscopy in compromised pediatric patients
Piergiorgio Gamba1, Paola Midrio, Pietro Betalli
1Pediatric Surgery, Department of Pediatrics, University of Padua, Padova, Italy. piergiorgio.gamba@unipd.it
Insights
Video-assisted thoracoscopic surgery (VATS) offers faster recovery for pediatric patients. This study confirms VATS is effective and safe for lung biopsies and tumor resections in compromised children.
Area of Science:
- Pediatric Thoracic Surgery
- Minimally Invasive Surgery
- Oncology
Background:
- Video-assisted thoracoscopic surgery (VATS) is increasingly used in pediatrics due to faster recovery.
- Specific benefits of VATS are noted for pediatric patients undergoing chemioradiotherapy.
- This study focuses on severely compromised pediatric patients requiring lung procedures.
Purpose of the Study:
- To evaluate the efficacy and safety of VATS for lung wedge resections and biopsies in severely compromised pediatric patients.
- To assess VATS as a diagnostic tool for therapeutic tumor resection in this population.
Main Methods:
- Retrospective review of data from severely compromised pediatric patients.
- Procedures included lung wedge resections and biopsies performed over a 7-year period.
- Analysis focused on outcomes related to VATS procedures.
Main Results:
- Data indicate VATS is effective for diagnostic procedures in pediatric patients.
- The study supports the safety and efficacy of VATS for lung wedge resections and biopsies.
- Findings are consistent with VATS being a valuable tool for therapeutic tumor resection.
Conclusions:
- Video-assisted thoracoscopic surgery (VATS) is an effective and safe approach for lung wedge resections and biopsies in severely compromised pediatric patients.
- Thoracoscopy demonstrates utility as a diagnostic tool for therapeutic tumor resection in pediatric oncology.
- The findings support the expanded use of VATS in pediatric thoracic surgery.
Abstract:
The use of video-assisted techniques (VATs) in the paediatric field has become increasingly more frequent, based on reports of prompter recovery following VATs in respect to standard techniques. Specific advantages have been documented, in particular for pediatric patients undergoing chemioradiotherapic treatment. We retrospectively reviewed data of severely compromised patients who underwent VAT for lung wedge resections and biopsies carried out in our center over a 7-year period. As far as the area of therapeutic tumor resection is concerned, the present data are consistent with the view that thoracoscopy is both an effective and safe tool in diagnostic procedures.
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