Video-Assisted Thoracic Surgery

Luis H. Toledo-Pereyra (Other Contributor)9781570596575, 1-57059-657-3, 1-57059-657-3

Table of contents :
History and Definitions……Page 1
Port Placement……Page 2
Port Hardware……Page 4
Chest Wall and Parietal Pleura……Page 5
Posterior Mediastinal Compartment……Page 6
Diagnostic Evaluation……Page 8
Therapeutic Interventions……Page 9
Preoperative Preparation……Page 10
Operating Room Organization and Planning……Page 12
Anesthesia……Page 14
Positioning……Page 15
Conduct of the Operation for Surgeon and Assistants……Page 16
Ports……Page 17
Nondisposable Instruments……Page 18
Postoperative Management……Page 19
Management of Common Complications……Page 21
Primary Spontaneous Pneumothorax……Page 25
Secondary Spontaneous Pneumothorax……Page 26
Pleural Effusion……Page 28
Pleural Metastases……Page 30
Empyema……Page 31
Chylothorax……Page 32
Spontaneous Hemothorax……Page 33
Malignant Pleural Mesothelioma……Page 34
Blebectomy and Bullectomy……Page 35
Blebectomy……Page 36
Parietal Pleurectomy……Page 37
Technique……Page 39
Decortication……Page 41
Thoracic Duct Ligation……Page 42
Clinical Presentation……Page 45
Technique……Page 46
Thorascopic Lung Volume Reduction Surgery in Emphysema……Page 48
Anesthesia and Postoperative Management……Page 49
Postoperative Care……Page 50
Results……Page 51
Imaging……Page 53
Surgical Technique……Page 54
Role of VATS In Pulmonary Infection……Page 55
Technique……Page 56
Handling of Specimens……Page 57
Imaging Considerations: Noninvasive Evaluation……Page 60
Percutaneous Biopsy versus Thoracoscopic Resection: The Solitary Lesion……Page 61
Other Masses: AVMs and Sequestration……Page 62
Specific Instruments and Disposables……Page 63
Localization Considerations……Page 65
Modification for Deep Nodules……Page 67
Complications of VATS Nodulectomy……Page 69
Summary……Page 70
Diagnosis……Page 71
CT-Guided Needle Biopsy……Page 72
Noninvasive Modalities of Staging……Page 73
CT and MRI of the Head……Page 75
Invasive Techniques……Page 76
Operative Technique……Page 77
Lung Cancer Management……Page 78
VATS Approach to the Right Upper Lobe……Page 80
VATS Approach to the Right Middle Lobe……Page 82
VATS Approach to the Right Lower Lobe……Page 85
VATS Approach to the Left Upper Lobe……Page 87
VATS Approach to the Left Lower Lobe……Page 89
Stage I Tumors in Compromised Patients……Page 92
Stage III……Page 94
Conclusions……Page 95
Diagnosis……Page 99
Computed Tomography and MRI……Page 100
Endoesophageal Ultrasound……Page 101
Mediastinoscopy……Page 102
Surgery—Technical Descriptions……Page 103
Tri-Incisional Brigham (Modified Mckeown) Approach……Page 108
Radiation Therapy……Page 110
Multimodality Therapy……Page 111
Conclusion……Page 112
Indications, Perioperative Management and Postoperative Care……Page 115
Laparoscopic Technique……Page 116
General Assessment……Page 120
Patient Positioning……Page 121
Hemothorax……Page 122
Gastroesophageal Reflux Disease (GERD)……Page 131
Technique……Page 132
Esophageal Dysmotility……Page 133
Cricoesophageal Disorder……Page 135
Esophageal Myotomy: Thoracoscopic……Page 136
Resection of Benign Esophageal Tumors……Page 138
Conclusion……Page 140
Symptoms and Physical Signs……Page 143
Laboratory Tests……Page 144
Differential Diagnoses……Page 146
Radiologic Investigations……Page 147
Special Operative Concerns……Page 148
Operative Procedure VATS Mediastinal Biopsy……Page 149
Operative Procedure VATS Thymectomy……Page 151
Symptoms and Physical Findings……Page 153
Planning–VATS Versus Open……Page 154
Excision of a Mediastinal Cyst……Page 155
Operative Procedure VATS Mediastinal Cyst Excision……Page 156
Radiologic Investigations……Page 157
Resection of a Benign Neurogenic Tumor……Page 158
Operative Procedure VATS Neurogenic Tumor Excision……Page 159
Summary……Page 161
Results of Thoracoscopic Neurologic Surgery……Page 163
Thoracic Outlet Syndrome……Page 164
Thoracoscopic Spine Surgery……Page 165
Operations……Page 166
Lower Thoracic Sympathectomy/Splanchnicectomy……Page 168
Thoracoscopic Spine Surgery……Page 169
General Considerations……Page 175
Pleural Debridement for Empyema……Page 177
Biopsy of Mediastinal Malignancy……Page 179
Lung Biopsy……Page 181
Resection of Mediastinal Cysts and Tumors……Page 183
Pneumothorax……Page 184
Exposure of the Thoracic Spine……Page 186
Summary……Page 187
Pediatric Thoracoscopy Instruments……Page 188
Pericardial Fluid……Page 189
Pericardial Disease……Page 190
Neoplastic Disease……Page 191
Procedure……Page 192
Appendix I: Vendor Contact Information……Page 194
Appendix II: VATS Surgical Preparation Forms……Page 203
Dedication……Page 224
Editors / Contributors……Page 225
Preface……Page 227
Acknowledgments……Page 228
Index……Page 221