| Title |
Vaizdo torakoskopijos reikšmė diagnozuojant ir gydant plaučių ir krūtinės ligas / |
| Translation of Title |
Videothoracoscopy (VATS) in the diagnosis and treatment of lung and chest diseases. |
| Authors |
Aškinis, Renatas ; Vencevičius, Vladas ; Cicėnas, Saulius |
| DOI |
10.15388/LietChirur.2007.3.2185 |
| Full Text |
|
| Is Part of |
Lietuvos chirurgija. 2007, t. 5, Nr. 3, p. 229-233.. ISSN 1392-0995 |
| Keywords [eng] |
video-assisted thoracoscopic surgery ; peripherical lung tumors ; wedge and marginal resection ; lobectomy |
| Abstract [eng] |
Objective: To evaluate the efficacy of videothoracoscopic (VATS) operations in diagnosis and treatment of lung and chest diseases. Patients and methods: In 1997–2006, 415 videothoracoscopies were performed at Department of Thoracic Surgery and Oncology, Institute of Oncology, Vilnius University. In this article, we analyse the possibilities of video-assisted thoracoscopic surgery used in 106 (25.5%) pts to whom lung and pleural resections were performed. Preoperative evaluation included chest radiography, respiratory function test and sonoscopical investigation. Flexible bronchoscopy and chest CT were performed when clinically indicated. Results: In 1997–2006, at Institute of Oncology of Vilnius University, using video-assisted thoracoscopic surgery 106 resection of operations were performed: lobectomies – 6 (5.6%) pts, wedge resections lung tissue to I0NSCLC – 13 (12.2%) pts, removed lung metastases – 33 (31.1%) pts, removed hamartomas – 22 (20.7%) pts, pericardial cystectomies with electrocoagulation – 3 (2.8%) pts, resections of pericardium – 7 (6.6%) pts, resections of intrathoracal lipomectomies – 9 (8.4%) pts, calcificate – 4 (3.7%) pts, sympatectomies for patients with Raynaud‘s disease – 9 (8.4%) pts. Wedge and marginal endoscopic resections of the lung and lobectomy were performed using endoscopic staplers and endoscopic sewing equipment. Endoscopic operations shorten hospitalization and a quicker start of complex treatment. The mean period of our patients’ hospitalization was 5 days. After video-assisted thoracoscopic resection we had complications in 20 (18.8%) pts. All patients recovered. Conclusions: Video-assisted thoracoscopic surgery (VATS) is aneffective and safe method of treatment for lung and pleural diseases. In some cases, VATS is the only way to remove tumors, and it shortens hospital stay to 5 days. VATS surgery is very effective in elderly patients with concomitant diseases. |
| Type |
Journal article |
| Language |
Lithuanian |
| Publication date |
2007 |
| CC license |
|
