Management of Intraoperative Difficulties During Uniportal Video-Assisted Thoracoscopic Surgery

被引:11
作者
Scarci, Marco [1 ]
Gonzalez-Rivas, Diego [2 ,3 ]
Schmidt, Joachim [4 ]
Bedetti, Benedetta [4 ]
机构
[1] Univ Coll London Hosp, Dept Thorac Surg, 15-18 Westmoreland St, London W1G 8PH, England
[2] Coruna Univ Hosp, Dept Thorac Surg, Xubias 84, Coruna 15006, Spain
[3] Minimally Invas Thorac Surg Unit UCTMI, Xubias 84, Coruna 15006, Spain
[4] Malteser Hosp, Dept Thorac Surg, Von Hompesch Str 1, D-53123 Bonn, Germany
关键词
Intraoperative complications; Troubleshooting; Intraoperative bleeding; Uniportal VATS; CELL LUNG-CANCER; MAIN PULMONARY-ARTERY; THORACIC-SURGERY; SPONTANEOUS PNEUMOTHORAX; MATCHED ANALYSIS; VATS LOBECTOMY; COMPLICATIONS; THORACOTOMY; CONVERSION; RESECTION;
D O I
10.1016/j.thorsurg.2017.06.002
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
The learning curve of the uniportal video-assisted thoracoscopic surgery (VATS) approach is linked to a larger rate of intraoperative complications, which can lead to an emergency conversion to thoracotomy. Despite technical advancements and the large number of surgical videos posted on specialized websites, live surgery events and experimental courses have significantly contributed to accelerate the learning and evolution of minimally invasive thoracic surgery. Bleeding and other complications are the most dreaded events for many VATS surgeons. This article analyzes possible major intraoperative complications during uniportal VATS and explains how to manage them effectively and safely.
引用
收藏
页码:339 / +
页数:9
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