Video-Assisted Thoracic Surgery最新文献

{"title":"Socioeconomic, rural, and insurance-based inequities in robotic lung cancer resections","authors":"L. Erhunmwunsee, Prasha Bhandari, Ernesto Sosa, M. Sur, P. Ituarte, N. Lui","doi":"10.21037/vats.2020.02.01","DOIUrl":"https://doi.org/10.21037/vats.2020.02.01","url":null,"abstract":"Department of Surgery, City of Hope Comprehensive Cancer Center, Duarte, CA, USA; Department of Cardiothoracic Surgery, Stanford University Medical Center, Stanford, CA, USA; Department of Population Sciences, City of Hope Comprehensive Cancer Center, Duarte, CA, USA Contributions: (I) Conception and design: L Erhunmwunsee, P Bhandari, PH Ituarte, NS Lui; (II) Administrative support: E Sosa, M Sur; (III) Provision of study materials or patients: L Erhunmwunsee, P Bhandari, PH Ituarte, NS Lui; (IV) Collection and assembly of data: All authors; (V) Data analysis and interpretation: L Erhunmwunsee, P Bhandari, PH Ituarte, NS Lui; (VI) Manuscript writing: All authors; (VII) Final approval of manuscript: All authors. Correspondence to: Loretta Erhunmwunsee, MD. City of Hope Comprehensive Cancer Center, 1500 East Duarte Road, Duarte, CA 91010, USA. Email: lorettae@coh.org.","PeriodicalId":42086,"journal":{"name":"Video-Assisted Thoracic Surgery","volume":"1 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2020-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43276114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Long-term outcomes of 3-port VATS lobectomy with selective mediastinal lymphadenectomy for clinical stage I non-small cell lung cancer","authors":"Souichirou Suzuki, S. Fujimori, T. Kohno, M. Nagano, Shinichiro Kikunaga","doi":"10.21037/vats.2019.12.05","DOIUrl":"https://doi.org/10.21037/vats.2019.12.05","url":null,"abstract":"Department of Thoracic Surgery, Respiratory Center, Toranomon Hospital, Minato City, Tokyo, Japan; Department of Thoracic Surgery, New Tokyo Hospital, Matsudo, Chiba, Japan Contributions: (I) Conception and design: S Suzuki; (II) Administrative support: S Fujimori; (III) Provision of study materials or patients: S Suzuki, S Fujimori; (IV) Collection and assembly of data: S Suzuki; (V) Data analysis and interpretation: S Suzuki, S Fujimori, T Kohno; (VI) Manuscript writing: All authors; (VII) Final approval of manuscript: All authors. Correspondence to: Souichiro Suzuki, MD. Department of Thoracic Surgery, Respiratory Center, Toranomon Hospital, Minato City, Tokyo. Email: souichilow.s@gmail.com.","PeriodicalId":42086,"journal":{"name":"Video-Assisted Thoracic Surgery","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45578189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Transitioning from VATS to robotic lobectomy","authors":"L. Backhus","doi":"10.21037/VATS.2020.01.09","DOIUrl":"https://doi.org/10.21037/VATS.2020.01.09","url":null,"abstract":"Advances in surgical techniques have heralded significant growth in the application of robotics to thoracic surgery with even more platforms on the horizon. These will introduce an element of competition and further enhance innovation. There are several reported advantages associated with use of the robotic approach to lobectomy including reduced length of stay and peri-operative complications. High initial capital investment, ongoing costs, and length of operative times are common perceived disincentives to adoption of robotic programs and may influence the decision to use these techniques. Once a surgeon has committed to adoption of robotic techniques, they must be aware of the time commitment and investment required for successful transition. The learning curve for an experienced surgeon in transitioning to robotic surgery is estimated at 18–22 cases by most reports although this may vary significantly based upon surgeon background (VATS vs. open approaches) and experience. Surgeons have several options for training in robotic surgery including formal academic fellowships, mini-fellowships, and tailored mentored skills courses. Ultimately, success rests heavily on team training, proper case and patient selection with gradual increase in extent of a single operation performed and operative complexity. This will guide the surgeon through the transition in a safe and efficient manner.","PeriodicalId":42086,"journal":{"name":"Video-Assisted Thoracic Surgery","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2020-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.21037/VATS.2020.01.09","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46766675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Overview of robotic surgery for lung cancer","authors":"Sean C Wightman, N. Lui","doi":"10.21037/VATS.2020.01.08","DOIUrl":"https://doi.org/10.21037/VATS.2020.01.08","url":null,"abstract":"© Video-Assisted Thoracic Surgery. All rights reserved. Video-assist Thorac Surg 2020 | http://dx.doi.org/10.21037/vats.2020.01.08 Robotic-assisted thoracic surgery began in 2002 utilizing the da Vinci Surgical System (Intuitive, Sunnyvale, California) and has since increased in adoption (1). In 2017, 17.5% of lobectomies were performed robotically up from 3.4% in 2010 (2,3). Although some controversy remains on the specific improved benefit of robotic-assisted thoracic surgery over video-assisted thoracoscopic surgery (VATS), it has demonstrated non-inferiority (2). When robotic surgery was compared to a VATS cohort, it demonstrated similar intraoperative complications, postoperative complications, 30-day mortality, hospital length of stay, and patient discharge condition (2). Although robotic lobectomies are longer, they also carry a significantly decreased conversion rate to open at 6.3% (2). Some of the published discrepancy in operative time may be attributed to the learning curve of surgeons adopting robotic-assisted thoracic surgery. Additionally, there is a paucity of data covering roboticassisted thoracic surgery and most of the present single institution data is not generalizable. Similarly, national data sets capturing robotic-assisted thoracic surgery operations may exclude or be missing details needed for appropriate comparisons also contributing to the discrepancy. Cost of use of robotic-assisted thoracic surgery often seems to be the main concern by many institutions over its individual adoption into practice. Regardless of the above factors, since its utilization for chest surgery, robotic-assisted thoracic surgery has only been increasing. VATS traditionally has limitations during the operation due to the two dimensional camera as well as nonarticulating instrumentation (3). Due to these operative restrictions of VATS, robotic-assisted thoracic surgery has increased in popularity due to its improved manual dexterity and three-dimensional optics. These advances permit faster minimally invasive innovation in thoracic surgery. Not only does it allow standard thoracic operations to be minimally invasive, it also pushes the envelope on what advanced operations can be performed with minimally invasive techniques. Patient interest in robotic-assisted thoracic surgery is on the rise as the novelty of technique and integration of a robot into surgery is both attractive to patients and marketable. Although the use of the da Vinci robot can be incorporated into all areas of thoracic surgery, this issue will focus on its utilization in lung cancer. This focused issue is directed to thoracic surgeons who are interested in starting a robotic practice or are currently using the da Vinci robot as part of their practice. Due to the breadth of literature on robotic-assisted thoracic surgery, experts in the field of robotic thoracic surgery were selected to consolidate applicable knowledge for the practicing surgeon. Each topic will concisely, yet ","PeriodicalId":42086,"journal":{"name":"Video-Assisted Thoracic Surgery","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2020-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45130139","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Oncological clearance of minimally invasive lobectomy for clinical N0 non-small cell lung cancer: the role of robotic surgery","authors":"P. Muriana, G. Veronesi","doi":"10.21037/VATS-20-42","DOIUrl":"https://doi.org/10.21037/VATS-20-42","url":null,"abstract":"Robotic and video-assisted thoracic surgery (VATS) approaches are the procedures of choice for the radical treatment of patients affected by clinical early-stage non-small cell lung cancer (NSCLC). Several studies demonstrated better perioperative outcomes of minimally invasive techniques compared to open surgery. However, there is still a certain skepticism about long-term results of the robotic approach. In recent years, some studies demonstrated similar 5-year survival in patients undergoing robotic lobectomy for cN0 NSCLC compared to VATS and open surgery, overcoming 75% overall. These results were confirmed by a few multi-center trials. Moreover, robotic surgery was associated to nodal upstaging at final pathologic examination in a considerable proportion of patients undergoing lobectomy for cN0 disease. The high number of lymph nodes harvested during robotic surgery and, consequently, the more accurate pathologic staging allow the correct delivery of adjuvant therapies to patients. While several studies demonstrated comparable nodal upstaging in robotic and thoracotomic lobectomies, results are still unclear regarding nodal upstaging in VATS vs. robotic surgery. Further multi-center prospective studies are required to assess the potential long-term oncological superiority of robotic lobectomy for the treatment of early-stage NSCLC.","PeriodicalId":42086,"journal":{"name":"Video-Assisted Thoracic Surgery","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2020-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44734963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Minimally invasive transhiatal esophagectomy","authors":"T. Grenda, Jules Lin, A. Chang, R. Reddy","doi":"10.21037/VATS-2019-MIE-03","DOIUrl":"https://doi.org/10.21037/VATS-2019-MIE-03","url":null,"abstract":"While traditionally performed through an open approach, the role of minimally invasive technologies has evolved in its application to esophageal resection. Esophagectomy is associated with significant morbidity, which has led to interest in developing minimally invasive esophagectomy (e.g., laparoscopic/thoracoscopic approaches) to address this issue. As a result, the role of minimally invasive approaches for esophageal resection has evolved, with a growing body of literature describing these techniques. Minimally invasive approaches have been applied to transhiatal esophagectomy, with application of both laparoscopic and robotic-assisted techniques. Although minimally invasive esophagectomy approaches are well-described in the literature for esophageal malignancies, the efficacy of robotic-assisted esophagectomy is not as well established. Since the initial reports of this application, the adoption of this technology for esophagectomy has continued to expand. As the role for robotic techniques has expanded across esophageal resection approaches, a more defined application to minimally invasive transhiatal esophagectomy (MI-THE) has developed. Our group has sought to adapt laparoscopic and robotic techniques to the transhiatal approach for both malignant and end-stage benign esophageal disease. With growing MI-THE experience, operative technique has been further refined. This report describes the operative technique and best practices for robotic-assisted transhiatal esophagectomy with cervical esophagogastric anastomosis, including preoperative preparation, operative technique, postoperative care, and perioperative outcomes.","PeriodicalId":42086,"journal":{"name":"Video-Assisted Thoracic Surgery","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2020-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46460424","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Application of the CARE guideline as reporting standard in the Video-Assisted Thoracic Surgery","authors":"","doi":"10.21037/vats.2019.10.01","DOIUrl":"https://doi.org/10.21037/vats.2019.10.01","url":null,"abstract":"","PeriodicalId":42086,"journal":{"name":"Video-Assisted Thoracic Surgery","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46819631","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Near-infrared imaging for complex thoracoscopic resections","authors":"B. Bédat, Sandrine Dackam, Amaia Ojanguren, W. Karenovics","doi":"10.21037/VATS.2019.04.01","DOIUrl":"https://doi.org/10.21037/VATS.2019.04.01","url":null,"abstract":"Lobectomy by video-assisted thoracic surgery (VATS) is now considered as a standard in the treatment of early-stage lung cancer with equivalent oncologic outcome as open lobectomy (1). Consequently, the widespread practice of thoracoscopic procedures pushed surgeons to perform more extended and complex resections. The feasibility of pulmonary segmentectomy, pneumonectomy, sleeve or carinal resections by VATS has been demonstrated in expert centers (2-4). However, the clinical and oncologic safety of such procedures has yet to be established.","PeriodicalId":42086,"journal":{"name":"Video-Assisted Thoracic Surgery","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2019-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.21037/VATS.2019.04.01","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43307610","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The use of near infra-red fluorescence mapping with indocyanine green in thoracic surgery: an exciting real-world clinical application of an established scientific principle","authors":"M. Taylor, Vijay Josh","doi":"10.21037/vats.2019.09.01","DOIUrl":"https://doi.org/10.21037/vats.2019.09.01","url":null,"abstract":"The use of near infra-red fluorescence mapping with indocyanine green (ICG) in thoracic surgery for identification of nodules and visualisation of anatomical segmental margins is a contemporary solution to the problem of determining anatomical boundaries in sub-lobar resection.","PeriodicalId":42086,"journal":{"name":"Video-Assisted Thoracic Surgery","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2019-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.21037/vats.2019.09.01","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48842779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Division of inferior pulmonary ligament did not impact on the postoperative recovery or recurrence in patients undergoing video-assisted thoracoscopic surgery for primary spontaneous pneumothorax","authors":"Chao-Chun Chang, W. Lai, Y. Tseng, Y. Yen","doi":"10.21037/vats.2019.08.03","DOIUrl":"https://doi.org/10.21037/vats.2019.08.03","url":null,"abstract":"Background: Division of inferior pulmonary ligament (IPL) after upper lobectomy was reported to prevent air leak. The research purpose is to investigate whether division of IPL for primary spontaneous pneumothorax (PSP) would decrease air leak and recurrence. \u0000 Methods: Between 2013/10 and 2015/9, all the patients younger than 30 years old in our institution undergoing video-assisted thoracoscopic surgery (VATS) for PSP were included in this study. Patient with odd chart number underwent division of IPL in addition to VATS wedge resection and pleurodesis for PSP, whereas patients with even chart number underwent VATS wedge resection and pleurodesis without division of IPL. The patient’s age, gender, operative time, and recurrence were all recorded. Chest plain films were taken on the postoperative day 1 (POD1), postoperative day 7 (POD7), and two months after discharge to observe residual pleural space. \u0000 Results: A total of 110 patients were included in this study. The IPL was divided in 51 patients (rIPL group), and preserved in the other 59 patients (control group). The operative time increased in rIPL group slightly without significant difference (rIPL 81.1 verse control 88.4 minutes, P=0.539). The residual pleural space on the follow-up chest X-ray did not differ between these two groups. They both had similar chest tube drainage days (rIPL 2.7 days versus control 3.1 days, P=0.393). During the follow-up period, one patient in rIPL group (2.0%) and three patients (5.1%) in control group had recurrent pneumothorax (P=0.622). \u0000 Conclusions: Division of IPL for PSP did not provide clinical benefit of reduction air leak or recurrence rate.","PeriodicalId":42086,"journal":{"name":"Video-Assisted Thoracic Surgery","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2019-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.21037/vats.2019.08.03","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42763444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}