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Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
Published on: May 26, 2023
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Video-assisted thoracic surgery micro pneumonectomy, a new approach
Mohamed Moneer ElSaegh1, Nur Aziah Ismail1, Jacqueline Gordon1
1Department of Cardiothoracic Surgery, The James Cook University Hospital, Middlesbrough, UK.
Journal of Visualized Surgery
|February 6, 2018
Summary
This study introduces micropneumonectomy, a novel Video-Assisted Thoracic Surgery (VATS) technique for lung removal. This VATS pneumonectomy method expands minimally invasive options for complex thoracic surgeries.
Area of Science:
- Thoracic Surgery
- Minimally Invasive Procedures
- Surgical Oncology
Background:
- Video-assisted thoracic surgery (VATS) pneumonectomy is challenging due to limitations in specimen retrieval through standard incisions.
- A novel VATS technique, termed micropneumonectomy, is presented to overcome these limitations.
Purpose of the Study:
- To describe and evaluate a new VATS technique for performing pneumonectomy.
- To expand the application of VATS for complete lung removal.
Main Methods:
- A 75-year-old male with locally advanced squamous cell carcinoma of the right hilum underwent a modified VATS pneumonectomy.
- The procedure involved mediastinoscopy for lymph node dissection and carinal mobilization, followed by VATS pneumonectomy using small intercostal and sub-xiphoid incisions.
Main Results:
- The patient experienced a smooth postoperative recovery.
- Discharge occurred two and a half days after the surgery, indicating a favorable short-term outcome.
Conclusions:
- The described micropneumonectomy technique is an effective approach for VATS pneumonectomy.
- This method facilitates complete lung resection via minimally invasive incisions, expanding VATS applicability.
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