Abstract | OBJECTIVE: To summarize the clinical experience in video-assisted thoracic surgery (VATS). METHODS: From December 1993 to December 2005 1264 patients, 894 males and 370 females, aged 38.9 +/- 12.0, underwent VATS, including bullectomy in 622 cases, resection of mediastinal tumor or cyst in 119 cases, resection of esophageal diseases in 107 cases, lobectomy or wedge-shaped lung resection in 215 cases, lung volume reduction surgery (LVRS) in 17 cases, treatment of thoracic injury in 28 cases, treatment of other thoracic diseases in 72 cases, and biopsy in 84 cases. For the resection of esophageal carcinoma VATS was conducted via the right approach, the esophagus was dissociated, the lymph nodes were resected, upper-abdominal incision was made, the stomach was dissociated and drawn up to the neck region, a cervical incision was made to anastomose the stomach and the residue of esophagus. RESULTS: CONCLUSION:
Spontaneous pneumothorax and some benign thoracic diseases are the major indications of VATS; however, great care should be expended to decide to treat malignant diseases by VATS. It is very important to train the surgeons who are to practice VATS. The practice of VATS should be individualized.
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Authors | Jia-qi Qu, Xin Gao, Wei-ping Hou, Hong Teng, Xiang-dong Tong, Shu-min Wang, Shi-guang Xu |
Journal | Zhonghua yi xue za zhi
(Zhonghua Yi Xue Za Zhi)
Vol. 86
Issue 33
Pg. 2309-11
(Sep 05 2006)
ISSN: 0376-2491 [Print] China |
PMID | 17156622
(Publication Type: English Abstract, Journal Article)
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Topics |
- Adolescent
- Adult
- Aged
- Aged, 80 and over
- Child
- Child, Preschool
- Female
- Humans
- Male
- Middle Aged
- Minimally Invasive Surgical Procedures
(adverse effects, methods)
- Postoperative Complications
(prevention & control)
- Retrospective Studies
- Thoracic Diseases
(surgery)
- Thoracic Surgery, Video-Assisted
(adverse effects, methods)
- Treatment Outcome
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