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  1. Article: Paediatric thoracoscopy: state of the art.

    Van Niekerk, M L

    South African journal of surgery. Suid-Afrikaanse tydskrif vir chirurgie

    2011  Volume 49, Issue 1, Page(s) 33–35

    Abstract: ... reviews the state of the art of thoracoscopic surgery in children. The author selected five procedures ... Brad Rogers reported the first significant use of thoracoscopy in children in the late 1970s. Over ...

    Abstract Brad Rogers reported the first significant use of thoracoscopy in children in the late 1970s. Over the past two decades there has been an exponential growth and expansion of this technique. Many advanced procedures, including lobectomy, repair of tracheo-esophageal fistula, excision of mediastinal tumours and diaphragmatic hernia repairs, are being done routinely in pediatric surgery centres around the world. This article reviews the state of the art of thoracoscopic surgery in children. The author selected five procedures which in his opinion are most relevant for this discussion. The thoracoscopic technique seems to offer a favourable alternative to open surgery, but more clinical research is necessary to confirm the benefits of minimal access surgery.
    MeSH term(s) Biopsy, Needle/methods ; Child ; Hernia, Diaphragmatic/surgery ; Humans ; Lung/pathology ; Mediastinal Cyst/surgery ; Mediastinal Neoplasms/surgery ; Respiratory Tract Diseases/surgery ; Thoracoscopy/methods ; Tracheoesophageal Fistula/surgery
    Language English
    Publishing date 2011-03-14
    Publishing country South Africa
    Document type Journal Article ; Review
    ZDB-ID 416504-4
    ISSN 0038-2361
    ISSN 0038-2361
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.B 593: Show issues Location:
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  2. Article: Thoracoscopy--state of the art.

    Loddenkemper, R

    The European respiratory journal

    1998  Volume 11, Issue 1, Page(s) 213–221

    Abstract: Medical" thoracoscopy as compared with "surgical" thoracoscopy (which is more precisely known ... expensive. The main diagnostic and therapeutic indications for medical thoracoscopy are pleural effusions ... In addition, medical thoracoscopy provides staging for lung cancer and diffuse malignant mesothelioma. Talc ...

    Abstract "Medical" thoracoscopy as compared with "surgical" thoracoscopy (which is more precisely known as video-assisted thoracic surgery (VATS)) has the advantage that it can be performed under local anaesthesia or conscious sedation, in an endoscopy suite, using nondisposible rigid instruments. Thus, it is considerably less invasive and less expensive. The main diagnostic and therapeutic indications for medical thoracoscopy are pleural effusions and pneumothorax. Due to its high diagnostic accuracy, approaching almost 100% in malignant and tuberculous pleural effusions, it should be used when pleural fluid analysis and needle biopsy are nondiagnostic. In addition, medical thoracoscopy provides staging for lung cancer and diffuse malignant mesothelioma. Talc poudrage, as the best conservative method for pleurodesis in 1998, can also be performed with medical thoracoscopy. It can also be effectively used in the early management of empyema. In spontaneous pneumothorax it allows staging, thereby facilitating treatment decisions, and in addition coagulation of eventual blebs and talc poudrage for efficient pleurodesis. Medical thoracoscopy is a safe procedure which is even easier to learn than flexible bronchoscopy. Due to its high diagnostic and therapeutic efficiency, it should be applied increasingly in the management of the above-mentioned pleuropulmonary diseases.
    MeSH term(s) Empyema/surgery ; Humans ; Lung Neoplasms/pathology ; Mesothelioma/pathology ; Neoplasm Staging ; Pleural Effusion/diagnosis ; Pneumothorax/diagnosis ; Pneumothorax/therapy ; Thoracoscopes ; Thoracoscopy/methods
    Language English
    Publishing date 1998-01
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 639359-7
    ISSN 1399-3003 ; 0903-1936
    ISSN (online) 1399-3003
    ISSN 0903-1936
    DOI 10.1183/09031936.98.11010213
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Thoracoscopy in infants and children: the state of the art.

    Rothenberg, Steven S

    Journal of pediatric surgery

    2005  Volume 40, Issue 2, Page(s) 303–306

    MeSH term(s) Adolescent ; Child ; Child, Preschool ; Equipment Design ; Esophageal Atresia/surgery ; Humans ; Infant ; Infant, Newborn ; Miniaturization ; Pneumonectomy/instrumentation ; Thoracoscopes ; Thoracoscopy
    Language English
    Publishing date 2005-02
    Publishing country United States
    Document type Addresses
    ZDB-ID 80165-3
    ISSN 1531-5037 ; 0022-3468
    ISSN (online) 1531-5037
    ISSN 0022-3468
    DOI 10.1016/j.jpedsurg.2004.10.021
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: [Medical thoracoscopy in the elucidationof recurrent pleural effusion].

    Skaarup, Søren Helbo / Clementsen, Paul Frost / Laursen, Christian B / Folkersen, Birgitte / Katballe, Niels / Bødtger, Uffe

    Ugeskrift for laeger

    2020  Volume 182, Issue 13

    Abstract: ... as patients are sedated rather than in general anaesthesia. This is a review of the state of the art ... Medical thoracoscopy allows the respiratory physician access to inspection and biopsy of the pleura ... The method has several names, such as pleuroscopy, non-intubated thoracoscopy and exploratory thoracoscopy ...

    Abstract Medical thoracoscopy allows the respiratory physician access to inspection and biopsy of the pleura. The method has several names, such as pleuroscopy, non-intubated thoracoscopy and exploratory thoracoscopy, all of which cover the same procedure. The main indication for medical thoracoscopy is the diagnosis of recurrent pleural effusion, where pleural biopsy is needed. Medical thoracoscopy differs from thoracic surgical surgery as patients are sedated rather than in general anaesthesia. This is a review of the state of the art of pulmonological investigations of recurrent pleural effusion and the important role of medical thoracoscopy.
    MeSH term(s) Biopsy ; Exudates and Transudates ; Humans ; Pleura/surgery ; Pleural Effusion/diagnosis ; Thoracoscopy
    Language Danish
    Publishing date 2020-04-14
    Publishing country Denmark
    Document type Journal Article ; Review
    ZDB-ID 124102-3
    ISSN 1603-6824 ; 0041-5782
    ISSN (online) 1603-6824
    ISSN 0041-5782
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  5. Article: A complex modality of achalasia, diverticulum and paraesophageal hernia treated through three-dimensional left thoracoscopy.

    Mpaili, Eustratia / Meropouli, Antonia / Mpoura, Maria / Vagios, Ilias / Davakis, Spyridon / Liakakos, Theodore / Charalabopoulos, Alexandros

    Journal of minimal access surgery

    2021  Volume 17, Issue 1, Page(s) 91–94

    Abstract: ... and endoscopic state-of-the-art techniques, when combined with minimally invasive surgical techniques ...

    Abstract Herein, we report a case of a patient with recurrent dysphagia after an open transabdominal hernia repair for a Type IV paraesophageal hernia performed elsewhere. Subsequent work-up and medical records' review revealed the coexistence of a large left epiphrenic diverticulum in combination with achalasia synchronous to the recently repaired paraesophageal hernia. A three-dimensional left thoracoscopic diverticulectomy with a long esophagomyotomy was conducted under endoscopic guidance intraoperatively, with no perioperative complications. At 12 months' follow-up evaluation, the patient presents well with no documented recurrence. Cumulative experience from various medical specialties regarding esophageal motility disorders and endoscopic state-of-the-art techniques, when combined with minimally invasive surgical techniques, provide an effective management of esophageal motility syndromes, overall.
    Language English
    Publishing date 2021-01-19
    Publishing country India
    Document type Case Reports
    ZDB-ID 2186884-0
    ISSN 1998-3921 ; 0972-9941
    ISSN (online) 1998-3921
    ISSN 0972-9941
    DOI 10.4103/jmas.JMAS_23_20
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Outcomes after lobectomy using thoracoscopy vs thoracotomy: a comparative effectiveness analysis utilizing the Nationwide Inpatient Sample database.

    Paul, Subroto / Sedrakyan, Art / Chiu, Ya-Lin / Nasar, Abu / Port, Jeffrey L / Lee, Paul C / Stiles, Brendon M / Altorki, Nasser K

    European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery

    2013  Volume 43, Issue 4, Page(s) 813–817

    Abstract: ... underwent a lobectomy by either thoracoscopy [n = 10 554 (15%)] or thoracotomy [n = 57 796(85%)]. Thirty-two ...

    Abstract Objectives: We examined the Nationwide Inpatient Sample (NIS) database to compare short-term postoperative outcomes following open and thoracoscopic lobectomy. Thoracoscopic (video-assisted thoracic surgery) lobectomy has been demonstrated to be associated with fewer postoperative complications compared with open thoracotomy lobectomy in several large case series. However, as no randomized trial has been performed, there are many who question this.
    Methods: We examined the NIS database for all patients undergoing lobectomy as their principal procedure either via thoracoscopic or open thoracotomy from 2007 to 08. We compared the postoperative outcomes of these two groups of patients after propensity matching these groups based on several preoperative variables.
    Results: Over a 2-year-period, 68 350 patients underwent a lobectomy by either thoracoscopy [n = 10 554 (15%)] or thoracotomy [n = 57 796(85%)]. Thirty-two percent of thoracoscopic lobectomies (n = 3421) were performed in either rural or non-teaching urban centres. Although in propensity-matched cohorts there was no difference in operative mortality, thoracoscopic lobectomy was associated with a lower incidence of postoperative complications [n = 4146 (40.8%) vs n = 13 913 (45.1%), P < 0.001] and shorter length of stay (5.0 vs 7.0 days; P < 0.001) compared with open lobectomy. Specifically, the incidences of supraventricular arrhythmias, myocardial infarction, pulmonary embolism and empyema were lower.
    Conclusions: This large national database study demonstrates that thoracoscopic lobectomy is associated with fewer in-hospital postoperative complications compared with open lobectomy. Thoracoscopic lobectomy appears to be applicable to the wider general thoracic surgical community.
    MeSH term(s) Aged ; Cohort Studies ; Databases, Factual ; Female ; Humans ; Length of Stay ; Lung Neoplasms/surgery ; Male ; Middle Aged ; Morbidity ; Pneumonectomy/methods ; Pneumonectomy/mortality ; Postoperative Complications/epidemiology ; Thoracoscopy/methods ; Thoracoscopy/mortality ; Thoracotomy/methods ; Thoracotomy/mortality ; Treatment Outcome ; United States/epidemiology
    Language English
    Publishing date 2013-04
    Publishing country Germany
    Document type Comparative Study ; Journal Article
    ZDB-ID 639293-3
    ISSN 1873-734X ; 1010-7940 ; 1567-4258
    ISSN (online) 1873-734X
    ISSN 1010-7940 ; 1567-4258
    DOI 10.1093/ejcts/ezs428
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 2303: Show issues Location:
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  7. Article ; Online: Thoracoscopie chirurgicale chez l’enfant.

    Becmeur, F / Gossot, D

    Archives de pediatrie : organe officiel de la Societe francaise de pediatrie

    2007  Volume 14 Suppl 4, Page(s) S222–6

    Abstract: This article is a state-of-the-art about the main diagnostic and therapeutic indications ... of paediatric surgical thoracoscopy. The authors stress the features of this surgery in children, in terms ...

    Title translation Surgical thoracoscopy in children.
    Abstract This article is a state-of-the-art about the main diagnostic and therapeutic indications of paediatric surgical thoracoscopy. The authors stress the features of this surgery in children, in terms of anatomy, anaesthesia and postoperative analgesia. For experienced teams, almost any pleural, mediastinal or pulmonary lesion can be approached thoracoscopically.
    MeSH term(s) Biopsy ; Bronchopulmonary Sequestration/diagnosis ; Bronchopulmonary Sequestration/surgery ; Child ; Diskectomy/methods ; Empyema, Pleural/diagnosis ; Empyema, Pleural/surgery ; Esophageal Atresia/surgery ; Evidence-Based Medicine ; Funnel Chest/surgery ; Hernia, Diaphragmatic/surgery ; Humans ; Mediastinal Neoplasms/diagnosis ; Mediastinal Neoplasms/surgery ; Pneumonectomy/methods ; Thoracoscopy
    Language French
    Publishing date 2007-12
    Publishing country France
    Document type English Abstract ; Journal Article
    ZDB-ID 1181947-9
    ISSN 1769-664X ; 0929-693X
    ISSN (online) 1769-664X
    ISSN 0929-693X
    DOI 10.1016/S0929-693X(07)78711-0
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