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Video-assisted thoracoscopic surgery (VATS) is a type of minimally invasive thoracic surgery performed using a small video camera mounted to a fiberoptic thoracoscope (either 5 mm or 10 mm caliber), with or without angulated visualization, which allows the surgeon to see inside the chest by viewing the video images relayed onto a television screen, and perform procedures using elongated ...
The main advantages of VATS over thoracotomy are that major muscles of the chest wall are not divided and rib spreaders that can lead to rib fractures or costovertebral joint pain are not used. This results in a hospital length of stay after VATS lobectomy generally reported to range from 3–5 days, [ 4 ] or roughly half that for lobectomy via ...
Video-assisted thoracoscopic surgery (VATS) is a surgical operation involving thoracoscopy, usually performed by a thoracic surgeon using general or local/regional anaesthesia with additional sedation as necessary.
Similar to VATS, robotic surgery has also been found to be minimally invasive and is extremely useful for removing certain parts of lung tissue that are diseased as well as surrounding lymph nodes. [48] However, comparisons of current robotic methods with VATS have shown no significant differences in patient outcome. [49]
It is usually performed at the time of a diagnostic thoracoscopy. [citation needed] Povidone iodine is equally effective and safe as talc, and may be preferred because of easy availability and low cost. [6] Chemical pleurodesis is a painful procedure, and so patients are often premedicated with a sedative and analgesics.
VATS may also be used to achieve chemical pleurodesis; this involves insufflation of talc, which activates an inflammatory reaction that causes the lung to adhere to the chest wall. [ 12 ] [ 15 ] If a chest tube is already in place, various agents may be instilled through the tube to achieve chemical pleurodesis , such as talc, tetracycline ...
Over time, generally over the years, the fibrotic scar tissue slowly tightens and thickens, contracting the contents of one or both halves of the chest and reducing the mobility of the ribs. The peel can become deeper than 2 cm. [ 2 ] Within the chest, the lung is compressed and unable to expand (trapped lung), making it vulnerable to collapse ...
Pleurodesis fails in as many as 30% of cases. An alternative is to place a PleurX Pleural Catheter or Aspira Drainage Catheter. This is a 15Fr chest tube with a one-way valve. Each day the patient or caregivers connect it to a simple vacuum tube and remove from 600 to 1000 mL of fluid, and can be repeated daily. When not in use, the tube is capped.