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Updated: Jun 2, 2026
05:39
Non-Intubated Video-Assisted Thoracoscopic Surgery
Published on: May 26, 2023
Video-assisted thoracoscopic surgery for postoperative hemothorax.
Luciano Solaini1, Francesco Prusciano, Leonardo Solaini
1Thoracic Surgery Unit-ASL Ravenna, Villa Maria Cecilia Hospital, Ravenna, Italy. agoetzenich@ukaachen.de
The Thoracic and Cardiovascular Surgeon
|April 9, 2011
Summary
Video-assisted thoracoscopic surgery (VATS) is a safe and effective minimally invasive approach for treating postoperative bleeding after thoracic surgery, allowing for accurate exploration and hemostasis.
Area of Science:
- Thoracic Surgery
- Minimally Invasive Surgery
- Surgical Hemorrhage Management
Background:
- Postoperative bleeding is a complication following thoracic surgery.
- Reexploration is sometimes necessary to control hemorrhage.
Purpose of the Study:
- To evaluate the role and effectiveness of video-assisted thoracoscopic surgery (VATS) in managing postoperative bleeding after thoracic procedures.
Main Methods:
- Retrospective analysis of patients requiring reexploration for hemorrhage after open or VATS thoracic surgery.
- Data collected on VATS reexploration for postoperative bleeding.
Main Results:
- 17 reexplorations in 16 patients (7 post-VATS, 9 post-open).
- Bleeding source identified in 82.4% of cases.
- No deaths; one patient required a second VATS reexploration for uncontrolled bleeding.
Conclusions:
- Videothoracoscopic approach for postoperative hemothorax is safe and effective.
- VATS offers benefits of minimally invasive surgery for bleeding control.
- Allows for evacuation of hemothorax, exploration, and hemostasis.
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