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Your search keyword '"Thoracoscopic operation"' showing total 11 results
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11 results on '"Thoracoscopic operation"'

1. Preservation of the infected thoracic aortic endograft with thoracoscopic drainage and continuous irrigation.

Author

Yoneyama, Fumiya, Sato, Fujio, Sakamoto, Hiroaki, and Hiramatsu, Yuji

Abstract

The gold standard for aortic endograft infection includes the excision of infected endograft, debridement, and reconstruction. However, these methods are not always the best option for patients with poor clinical status. We assessed the suitability of alternative methods for managing aortic endograft infection. The patient was a 72-year-old man whose previous abdominal surgeries provoked recurrent cholangitis. The patient had also undergone thoracic endovascular aortic repair (TEVAR). One month after the TEVAR, he was readmitted with high-grade fever and diagnosed with endograft infection. Due to his frail condition, we chose a less invasive and conservative strategy; thoracoscopic drainage with endograft preservation, followed by continuous irrigation. He recovered well, and has survived more than 2 years after the drainage procedure. In unstable patients or those with severe comorbidities who cannot tolerate endograft excision, thoracoscopic drainage with endograft preservation is less invasive, and can be a bridging or temporary solution. [ABSTRACT FROM AUTHOR]

Published
2019
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4. 全胸腔镜与后外侧开胸手术对非小细胞肺癌患者炎症因子及免疫功能的影响

Author

王友于, 曾富春, 丛伟, 薛洋, 何彬, and 张琨

Abstract

Objective: To investigate the effect of total thoracoscopy and thoracotomy operation on inflammatory factor and immune function in patients with non small cell lung cancer. Methods: 80 patients with non small cell lung cancer in our hospital were selected and randomly divided into two groups, 40 in each group. The study group was treated with total thoracoscopic operation, while the control group, used posterolateral thoracotomy operation. The operation time, intraoperative bleeding, transfusion, and hospital stay of the patients in the two groups, as well as inflammatory factors and immune cell levels before and after treatment were compared. Results:The operation time, intraoperative bleeding, transfusion and hospital stay of the study group were significantly lower than those of the control group,with significant difference(P<0.05); Inflammatory cytokines CRP, SAA, IL-6 and IL-2R of the two groups after treatment obviously increased compared to before operation, and each factor level in the control group elevated significantly higher than that in the study group, with significant difference(P<0.05); CD4+, CD8+ and CD4+/CD8+ in T lymphocytes of the two groups after treatment decreased compared to before operation, and that in the control group obviously decreased higher than that of the study group, with statistical significance(P<0.05). Conclusion: Total thoracoscopic operation has a significant effect in treatment of early stage non small cell lung cancer, can protect the body’s immune function, and is worthy of clinical application. [ABSTRACT FROM AUTHOR]

Published
2015
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5. Preservation of the infected thoracic aortic endograft with thoracoscopic drainage and continuous irrigation

Author

Fujio Sato, Yuji Hiramatsu, Hiroaki Sakamoto, and Fumiya Yoneyama

Subjects
Male, Pulmonary and Respiratory Medicine, medicine.medical_specialty, Prosthesis-Related Infections, Drainage procedure, Therapeutic irrigation, Aorta, Thoracic, Case Report, 030204 cardiovascular system & hematology, Blood Vessel Prosthesis Implantation, 03 medical and health sciences, 0302 clinical medicine, Blood vessel prosthesis, medicine.artery, Thoracoscopy, medicine, Humans, Thoracic aorta, 030212 general & internal medicine, Prosthesis-Related Infection, Therapeutic Irrigation, Endograft preservation, Aged, Aortic Aneurysm, Thoracic, medicine.diagnostic_test, business.industry, Endovascular Procedures, Thoracoscopic operation, General Medicine, Anti-Bacterial Agents, Blood Vessel Prosthesis, Surgery, Cardiac surgery, Treatment Outcome, Debridement, Endograft infection, Cardiothoracic surgery, Drainage, Stents, Cardiology and Cardiovascular Medicine, business
Abstract

The gold standard for aortic endograft infection includes the excision of infected endograft, debridement, and reconstruction. However, these methods are not always the best option for patients with poor clinical status. We assessed the suitability of alternative methods for managing aortic endograft infection. The patient was a 72-year-old man whose previous abdominal surgeries provoked recurrent cholangitis. The patient had also undergone thoracic endovascular aortic repair (TEVAR). One month after the TEVAR, he was readmitted with high-grade fever and diagnosed with endograft infection. Due to his frail condition, we chose a less invasive and conservative strategy; thoracoscopic drainage with endograft preservation, followed by continuous irrigation. He recovered well, and has survived more than 2 years after the drainage procedure. In unstable patients or those with severe comorbidities who cannot tolerate endograft excision, thoracoscopic drainage with endograft preservation is less invasive, and can be a bridging or temporary solution.

Published
2018

7. Thoracoscopic Microwave Coagulation Therapy for Hepatocellular Carcinoma

Author

Asahara, Toshimasa, Katayama, Koji, Itamoto, Toshiyuki, Okamoto, Yuzo, Nakahara, Hideki, Yoshioka, Shinkichiro, Ono, Eiji, Dohi, Kiyohiko, Kitamoto, Mikiya, Nakanishi, Toshio, Moriwaki, Katsufumi, Shiroyama, Kazuhisa, and Yuge, Osafumi

Subjects
Hepatocellular carcinoma, Thoracoscopic operation, Microwave coagulation therapy
Abstract

Thoracoscopic microwave coagulation therapy (MCT) is a new therapeutic approach for hepatocellular carcinoma (HCC) in segments VII and VIII, which allows minimal access to the tumor and complete tumor ablation. In this study, four patients with HCC in segments VII and VIII underwent thoracoscopic MCT as a less invasive therapeutic option due to advanced liver cirrhosis and/or severe complications. Tumor sizes ranged from 15 to 30 mm in diameter and the tumors were well differentiated in 2 patients, moderately in one and poorly in one patient. Microwave irradiation was performed at an SOW output with a 60-sec duration via a thoracoscopic route and the total duration ranged from 4 to 24 min (mean: 17 min). Patients recovered rapidly to preoperative conditions and no mortality was occurred. Complications were observed in one patient, including pleural effusion and fever elevation, but were cured conservatively. Postoperative computed tomography (CT) showed complete tumor ablation with a cancer-free margin, which is thought to be equivalent to a limited hepatic resection. This preliminary study suggests that thoracoscopic MCT might be a new, less invasive option providing a cure for HCC in segments VII and VIII in patients with advanced liver cirrhosis and severe complications.

Published
1998

8. Thoracoscopic closure of a congenital partial pericardial defect.

Author

Yamagishi, Toshiharu, Ishikawa, Susumu, Yoshida, Ichiro, Ohtaki, Akio, Takahashi, Toru, Ohki, Satoshi, Sakata, Shuji, and Morishita, Yasuo

Abstract

We describe our technique for performing direct thoracoscopic closure of a congenital partial pericardial defect, which was successfully employed in a 15-year-old boy. This is the first such report of a procedure that is noninvasive and may therefore become the treatment of choice for patients with a small congenital pericardial defect. [ABSTRACT FROM AUTHOR]

Published
1997
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9. Unidirectionally progressive left pneumonectomy & mediastinal lymph node dissection.

Author

Cai K, Ren P, Feng S, Wu H, Huang Z, Wang H, Xiong G, and Zhang Z

Abstract

The patient has lower left lung tumor and adenocarcinoma at the openings of both upper and lower left lung. Preoperative bronchoscopic biopsy has confirmed the diagnosis. The surgical approach is unidirectionally progressive left pneumonectomy + mediastinal lymph node dissection. The layers of structure are treated one after another until the fissure from a single direction through the working port. Hence, the resecting order should be left superior pulmonary vein-left lower pulmonary vein-left main bronchus-left pulmonary artery. The vessels and bronchi are cut using an endoscopic linear stapler or the Hemolock clips. The resected lobe is placed into a large-size specimen bag and retrieved through the working port to prevent contamination of the chest incision by any tumor tissue. Mediastinal lymph node dissection is performed at the end. The surgery is performed under general anesthesia with double-lumen endotracheal intubation. The patient is placed in a 90-degree position lying on the unaffected side. Similar to traditional resection of left lung lobes, an approximately 1.5-cm observation port is created in the 7th intercostal space between the middle and anterior axillary lines, an approximately 4-cm working port in the 4th intercostal space between the anterior axillary line and the midclavicular line, and an approximately 1.5-cm auxiliary port in the 9th intercostal space between the posterior axillary line and the subscapular line. The operator stands in front of the patient, manipulating the endoscopic instruments while watching the monitor.

Published
2013
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10. Unidirectionally progressive resection of lower right lung cancer under video-assisted thoracoscopy.

Author

Cai K, Wu H, Ren P, Cai R, Xiong G, and Wang H

Abstract

Unlabelled: The surgery is performed under general anesthesia with double-lumen endotracheal intubation. The patient is placed in a 90-degree position lying on the unaffected side. An approximately 1.5-cm observation port is created in the 7th intercostal space between the middle and anterior axillary lines, an approximately 4-cm working port in the 4th intercostal space between the anterior axillary line and the midclavicular line, and an approximately 1.5-cm auxiliary port in the 9th intercostal space between the posterior axillary line and the subscapular line. The operator stands in front of the patient, manipulating the endoscopic instruments while watching the monitor., Surgical Procedure: since the patient has right lower lung cancer, a unidirectional procedure is adopted for the surgery, in which the layers of structure are treated one after another until the fissure from a single direction through the working port. Hence, the pulmonary vein, bronchi, pulmonary artery and the poorly developed fissure of the right lower lobe are treated successively during lobectomy. The vessels, bronchi and fissures are cut using an endoscopic linear stapler or the Hemolock clips. The resected lobe is placed into a size 8 sterile glove and retrieved through the working port to prevent contamination of the chest incision by any tumor tissue. Mediastinal lymph node dissection is performed at the end.

Published
2013
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11. Thoracoscopic Microwave Coagulation Therapy for Hepatocellular Carcinoma

Author

Asahara, Toshimasa, Katayama, Koji, Itamoto, Toshiyuki, Okamoto, Yuzo, Nakahara, Hideki, Yoshioka, Shinkichiro, Ono, Eiji, Dohi, Kiyohiko, Kitamoto, Mikiya, Nakanishi, Toshio, Moriwaki, Katsufumi, Shiroyama, Kazuhisa, Yuge, Osafumi, Asahara, Toshimasa, Katayama, Koji, Itamoto, Toshiyuki, Okamoto, Yuzo, Nakahara, Hideki, Yoshioka, Shinkichiro, Ono, Eiji, Dohi, Kiyohiko, Kitamoto, Mikiya, Nakanishi, Toshio, Moriwaki, Katsufumi, Shiroyama, Kazuhisa, and Yuge, Osafumi

Abstract

Thoracoscopic microwave coagulation therapy (MCT) is a new therapeutic approach for hepatocellular carcinoma (HCC) in segments VII and VIII, which allows minimal access to the tumor and complete tumor ablation. In this study, four patients with HCC in segments VII and VIII underwent thoracoscopic MCT as a less invasive therapeutic option due to advanced liver cirrhosis and/or severe complications. Tumor sizes ranged from 15 to 30 mm in diameter and the tumors were well differentiated in 2 patients, moderately in one and poorly in one patient. Microwave irradiation was performed at an SOW output with a 60-sec duration via a thoracoscopic route and the total duration ranged from 4 to 24 min (mean: 17 min). Patients recovered rapidly to preoperative conditions and no mortality was occurred. Complications were observed in one patient, including pleural effusion and fever elevation, but were cured conservatively. Postoperative computed tomography (CT) showed complete tumor ablation with a cancer-free margin, which is thought to be equivalent to a limited hepatic resection. This preliminary study suggests that thoracoscopic MCT might be a new, less invasive option providing a cure for HCC in segments VII and VIII in patients with advanced liver cirrhosis and severe complications.

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