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Related Concept Videos

Endoscopic Studies I: Bronchoscopy and Thoracoscopy01:30

Endoscopic Studies I: Bronchoscopy and Thoracoscopy

Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due to...
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques01:30

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques

Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway interventions are...
Pneumothorax-II01:27

Pneumothorax-II

Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Endoscopic Studies II: Thoracocentesis01:26

Endoscopic Studies II: Thoracocentesis

Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Flail Chest-II01:26

Flail Chest-II

Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Tracheostomy Care II: Procedure01:25

Tracheostomy Care II: Procedure

Tracheostomy care is an essential nursing skill that involves cleaning and maintaining a tracheostomy tube to prevent infection and other complications. Here's a step-by-step guide explaining each procedure with its rationale. Note that disposable gloves are to be worn at all times and changed as often as needed to maintain a sterile work environment, and to protect both patient and healthcare worker.
Step 1: Perform hand hygiene, and put on personal protective equipment: gown, gloves, mask and...

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Related Experiment Video

Updated: May 11, 2026

Non-Intubated Video-Assisted Thoracoscopic Surgery
05:39

Non-Intubated Video-Assisted Thoracoscopic Surgery

Published on: May 26, 2023

Initial experience with video-assisted thoracoscopic bronchoplasty.

Thirugnanam Agasthian1

  • 1National University Hospital, National University of Singapore, Singapore.

European Journal of Cardio-Thoracic Surgery : Official Journal of the European Association for Cardio-Thoracic Surgery
|May 16, 2013
PubMed
Summary
This summary is machine-generated.

Video-assisted thoracoscopic bronchoplasty (VATS) allows resection of selected bronchial tumors and metastatic nodes. This minimally invasive approach offers a viable option for patients with endobronchial involvement, achieving negative margins and no local recurrence.

Keywords:
BronchoplastyThoracoscopy/VATS

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Area of Science:

  • Thoracic Surgery
  • Surgical Oncology
  • Minimally Invasive Procedures

Background:

  • Bronchial involvement by tumors or metastatic lymph nodes often contraindicates standard lobectomy.
  • Video-assisted thoracoscopic surgery (VATS) lobectomy is a minimally invasive technique for lung resection.
  • VATS bronchoplasty presents a potential alternative for specific cases of bronchial involvement.

Purpose of the Study:

  • To evaluate the feasibility and outcomes of VATS bronchoplasty for selected cases of bronchial tumors and metastatic lymph nodes.
  • To determine the safety and efficacy of VATS bronchoplasty in patients with endobronchial or direct bronchial invasion.

Main Methods:

  • Retrospective analysis of 21 VATS bronchoplasty cases between 2006 and 2009.
  • Patient selection based on preoperative bronchoscopy and CT scans for endobronchial involvement or limited non-bulky invasion.
  • Classification of bronchoplasty techniques: simple/wedge, sleeve, or extended procedures.
  • Intraoperative assessment of bronchial margins and anastomosis integrity via pathological analysis and bronchoscopy.
  • Follow-up using 6-monthly CT scans and bronchoscopy.

Main Results:

  • 19 of 21 patients had non-small-cell lung cancer (NSCLC); others had carcinoid or metastatic disease.
  • Indications included endobronchial tumors (3), direct invasion (6), and metastatic nodes (12).
  • No operative mortality; one case of bronchopleural fistula. All patients achieved negative bronchial margins with no local recurrence during a mean follow-up of 26.2 months.

Conclusions:

  • VATS bronchoplasty is a safe and effective minimally invasive option for selected patients with endobronchial tumors or limited bronchial invasion.
  • This technique allows for complete resection with negative margins in challenging cases.
  • VATS bronchoplasty can be successfully performed in cases previously considered contraindications for VATS lobectomy.