Initial experience with using uniportal VATS (SITS) to treat the implications of thoracic trauma in the 1st Department of Surgery of the Faculty of Medicine at Masaryk University and St. Anne’s Teaching Hospital in Brno
Authors:
M. Benej; I. Čapov; M. Reška; L. Veverková; A. Peštál; M. Páral; J. Habr; K. Glombová
Authors‘ workplace:
I. Chirurgická klinika LF Masarykovy univerzity a FN u sv. Anny v Brně
přednosta: prof. MUDr. I. Čapov, CSc.
Published in:
Rozhl. Chir., 2017, roč. 96, č. 11, s. 478-481.
Category:
Case Report
Overview
Thoracic trauma represents a multidisciplinary therapeutic challenge requiring individualized approach to every patient. Continuous development and implementation of mini-invasive techniques in thoracic surgery pave way to so far unique attempts to establish video-assisted thoracic surgery for thoracic trauma as well. The indication is limited by hemodynamic stability of the patient, extent of the trauma, as well as by time required for the treatment. However, proper indication provides an unequivocal benefit in terms of postoperative pain, early mobilization and excellent cosmetic effect. Continuous reduction of the number of incisions down to monoportal approach is currently the peak of mini-invasive approach in thoracic trauma management. The aim of this work is to provide 3 case reports documenting the current spectrum of monoportal video-assisted surgery indication for thoracic trauma.
Key words:
uniportal VATS − thoracic trauma
Sources
1. Reinersman JM, Passera E, Rocco G. Overview of uniportal video-assisted thoracic surgery (VATS): past and present. Ann CardiothoracSurg 2016;5:112−7.
2. Rocco G, Martucci N, La Manna C, et al. Ten-year experience on 644 patients undergoing single-port (uniportal) video-assisted thoracoscopic surgery. Ann Thorac Surg 2013;96:434−8.
3. Sihoe A.D. The evolution of minimally invasive thoracic surgery: implications for the practice of uniportal thoracoscopic surgery. J Thorac Dis 2014; 6:604−17.
4. Gonzalez D, Paradela M, Garcia J, et al. Single-port video-assisted thoracoscopic lobectomy. Interact Cardiovasc Thorac Surg 2011;12:514−5.
5. Gonzalez-Rivas D, Paradela M, Fernandez R, et al. Uniportal video-assisted thoracoscopic lobectomy: two years of experience. Ann Thorac Surg 2013;95:426−32.
6. Passlick B, Born C, Sienel W, et al. Incidence of chronic pain after minimal-invasive surgery for spontaneous pneumothorax. Eur J Cardiothrac Surg 2001;19:355−8.
7. Sihoe AD, Au SS, Cheung ML, et al. Incidence of chest wall paresthesia after video-assisted thoracic surgery for primary spontaneous pneumothorax. Eur J Cardiothorac Surg 2004;25:1054−8.
8. Chou SCH, Li HP, Lee JY, et al. Needlescopic video-assisted thoracic surgery for primary spontaneous pneumothorax. Minim InvasiveTher Allied Technol 2009;18:221−4.
9. Rocco G, Khalil M, Jutley R. Uniportal video-assisted thoracoscopic surgery wedge lung biopsy in the diagnosis of interstitial lung diseases. J Thorac Cardiovasc Surg 2005;129:947−8.
10. Jutley RS, Khalil MW, Rocco G. Uniportal vs standard three-port VATS technique for spontaneous pneumothorax comparison of post-operative pain and residual paraesthesia. Eur J Cardiothorac Surg 2005;28:43−6.
11. Bertolaccini L, Rocco G, Viti A, et al. Geometrical characteristics of uniportal VATS. J Thorac Dis 2013;5:214−6.
Labels
Surgery Orthopaedics Trauma surgeryArticle was published in
Perspectives in Surgery
2017 Issue 11
Most read in this issue
- Traumatic pneumothorax – diagnosis and treatment of 322 cases over a five-year period
- Our experience with chest wall stabilization
- Damage control surgery in thoracic trauma
- Penetrating chest trauma – experience of the Pilsen University Hospital Trauma Centre