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Non-Intubated Video-Assisted Thoracoscopic Surgery
05:39

Non-Intubated Video-Assisted Thoracoscopic Surgery

Published on: May 26, 2023

Review of video-assisted thoracoscopy in children

S N Oak1, S V Parelkar, K V Satishkumar

  • 1Department of Pediatric Surgery, TNMC and BYL Nair Hospital, Mumbai Central, Mumbai, India.

Journal of Minimal Access Surgery
|December 31, 2009
PubMed

Insights

Video Assisted Thoracoscopic Surgery (VATS) offers a minimally invasive approach for pediatric thoracic diseases, significantly reducing hospital stays and complications compared to open procedures.

Area of Science:

  • Pediatric Surgery
  • Thoracic Surgery
  • Minimally Invasive Procedures

Background:

  • Open thoracotomy is the traditional standard for thoracic diseases.
  • Video Assisted Thoracoscopic Surgery (VATS) is increasingly adopted for thoracic disorder management.
  • VATS offers benefits like reduced morbidity and shorter hospital stays.

Purpose of the Study:

  • To evaluate the efficacy and outcomes of VATS in managing various thoracic diseases in children.
  • To compare VATS with open thoracotomy in the pediatric population.
  • To assess the applicability of VATS for conditions such as empyema, lung abscesses, and hydatid cysts.

Main Methods:

  • Retrospective review of 133 pediatric patients treated from June 2000 to December 2007.
  • VATS was employed for debridement/decortication and drainage in 116 patients with empyema.
  • Other thoracic conditions managed included lung abscesses, lung biopsies, and hydatid cysts.

Main Results:

  • VATS was successfully applied in managing various pediatric thoracic diseases.
  • For empyema, 116 patients underwent VATS, with 16 requiring conversion to open surgery.
  • The average hospital stay was six days, with drain removal at three days.

Conclusions:

  • VATS is a safe and effective minimally invasive surgical option for pediatric thoracic conditions.
  • VATS demonstrates advantages in reducing hospital stay and morbidity for pediatric patients.
  • The application of VATS is beneficial across a range of thoracic disorders in children.

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