Peri-operative complications of video-assisted thoracoscopic surgery (VATS)

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• 作者：Andrea Imperatori ; Nicola Rotolo ; Matteo Gatti ; Elisa Nardecchia ; Lavinia De Monte ; Valentina Conti ; Lorenzo Dominioni
• 关键词：Video-assisted thoracoscopic surgery ; Complications ; Bleeding ; Surgical site infection ; Air leak ; Lung surgery
• 刊名：International Journal of Surgery
• 出版年：2008
• 出版时间：2008
• 年：2008
• 卷：6
• 期：Supplement 1
• 页码：S78-S81
• 全文大小：114 K

文摘

Video-assisted thoracoscopic surgery (VATS) has multiple indications for diagnosis and treatment of many different thoracic diseases; the commonest are lung wedge resection, pleural and mediastinal biopsy, treatment of pneumothorax, and pleurectomy. Moreover, in recent years a few surgeons have performed routinely major lung anatomic resections by VATS approach, including segmentectomy, lobectomy and pneumonectomy.

In our experience VATS constitutes about one-third of all thoracic surgical procedures. In the reviewed literature as in the most frequent complications after VATS procedures are: prolonged air leak, bleeding, infection, postoperative pain, port site recurrence and the need to convert the access in thoracotomy. The complication and mortality rates are generally very low and VATS procedures are considered safe and effective.

It is recommended that all thoracic surgery departments audit their VATS procedures for peri-operative morbidity and mortality to compare results and outcomes.