Related Experiment Video
Updated: Jan 30, 2026
04:09
Minimal Invasive Resection of Large Retrosternal Thyroid Goiter
Published on: September 20, 2024
936
Minimally Invasive Bilateral Lung Resections and CABG through 5 Ports
N Asemota1,2, M J Rouhani2, L Harling2
1The University of Nottingham, Queen's Medical Centre, Derby Road, Nottingham NG7 2UH, UK.
Case Reports in Surgery
|January 18, 2019
Summary
This case study shows that multiple sequential minimally invasive surgeries, including bilateral lung resections and coronary artery bypass grafting, can be safely performed in patients with complex conditions. This approach enhances recovery and reduces patient morbidity.
Area of Science:
- Thoracic Surgery
- Cardiovascular Surgery
- Minimally Invasive Procedures
Background:
- The patient, an 81-year-old woman, had a history of small-cell lung cancer treated with VATS.
- She later developed a contralateral lung nodule, diagnosed as necrotising granulomatous inflammation consistent with tuberculosis.
Observation:
- The patient experienced ventricular tachycardia and bradycardia postoperatively.
- Further investigations revealed severe coronary artery disease with a left main stem lesion and significant left ventricular dysfunction.
Findings:
- Bilateral single-port video-assisted thoracoscopic surgery (VATS) lung resections were successfully performed.
- Endoscopic atraumatic coronary artery bypass grafting (Endo-ACAB) was completed using three ports.
Implications:
- This case demonstrates the feasibility and safety of sequential minimally invasive procedures for complex combined thoracic and cardiac pathologies.
- A total of five minimally invasive ports were used for lung resection and coronary revascularization, highlighting the potential for comprehensive minimally invasive treatment.
Related Concept Videos
01:045-Number Summary
5.7K
In a dataset, the 5-number summary includes the minimum data value, the data value of the first quartile, the median data value or data value of the second quartile, the data value of the third quartile, and the maximum data value. These 5 data values can be visualized as a box and whisker plot.
In a box plot, the minimum and maximum data values represent the lower and upper whiskers in the graph, and the median is designated as the center of the box in the chart. The first quartile and third...
In a box plot, the minimum and maximum data values represent the lower and upper whiskers in the graph, and the median is designated as the center of the box in the chart. The first quartile and third...
5.7K
01:47Lung Capacity
56.3K
The air in the lungs is measured in volumes and capacities. Lung volume measures reflect the amount of air taken in, released, or left over after a lung function, like a single inhalation. Lung capacity measures are sums of two or more lung volume measures.
56.3K
01:12Types of Errors: Detection and Minimization
11.3K
Error is the deviation of the obtained result from the true, expected value or the estimated central value. Errors are expressed in absolute or relative terms.
Absolute error in a measurement is the numerical difference from the true or central value. Relative error is the ratio between absolute error and the true or central value, expressed as a percentage.
Errors can be classified by source, magnitude, and sign. There are three types of errors: systematic, random, and gross.
Systematic or...
Absolute error in a measurement is the numerical difference from the true or central value. Relative error is the ratio between absolute error and the true or central value, expressed as a percentage.
Errors can be classified by source, magnitude, and sign. There are three types of errors: systematic, random, and gross.
Systematic or...
11.3K
01:13Pleura of the Lungs
7.2K
The lungs are nestled in a cavity, shielded by the pleura. The pleura, a form of serous membrane, wraps around each lung. This membrane arrangement consists of two layers: the visceral and parietal pleurae. The visceral pleura lines the surface of the lungIn contrast, the parietal pleura is the outer layer and contacts to the thoracic wall, the mediastinum, and the diaphragm. The hilum is the point of connection between the visceral and parietal layers. The space between the parietal and...
7.2K
01:17Gross Anatomy of the Lungs
4.7K
The lungs are a pair of vital organs connected to the trachea via the left and right bronchi. The base of these organs meets the dome-shaped muscle known as the diaphragm. Encased by the pleurae, the lungs contact the mediastinum. The right lung is shorter yet wider, and has a larger volume than the left lung. The left lung has an indentation known as the cardiac notch. The superior region of the lungs is referred to as the apex, whereas the base is the lower region near the diaphragm. The...
4.7K
01:27Chemotherapy-Induced Nausea and Vomiting: 5-HT3 Receptor Antagonists
663
5-HT3 receptor antagonists, such as dolasetron, granisetron (Kytril), ondansetron (Zofran), and palonosetron (Axoli), are crucial in managing chemotherapy-induced nausea and vomiting (CINV) and postoperative nausea. These drugs selectively block 5-HT3 receptors in the visceral vagal and spinal afferent nerves, chemoreceptor trigger zone, and the vomiting center. They have a rapid onset of action and can be given as a single dose before chemotherapy. Ondansetron and granisetron, in particular,...
663