Thoracoscopy
Key Points
- Video-assisted thoracic surgery (VATS) is useful for undiagnosed exudative pleural effusions to rule out malignancy.
- VATS is very effective for empyema before the chronic fibrous phase, which occurs after 3-4 weeks.
- VATS wedge resection for peripheral nodules provides definitive diagnosis.
- VATS lobectomy appears safe and comparable to open lobectomy when done by experienced thoracic surgeons.
- Lung volume reduction study may be done by VATS or sternotomy with comparative long-term outcome results in regard to lung function, 6-minute walk, and oxygen requirements.
- VATS sympathectomy approaches 100% success for palmar hyperhidrosis.
- VATS pericardectomy may provide advantages over a subxiphoid approach when the cause is benign; for malignant sources, the subxiphoid route is typically preferred.
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Last updated: October 17, 2023
Citation
Hazelrigg, Stephen R, et al. "Thoracoscopy." Pearson's General Thoracic Surgery. STS Cardiothoracic Surgery E-Book, Chicago: Society of Thoracic Surgeons, 2023. STS Surgery, ebook.sts.org.
Hazelrigg SR, Crabtree TD, Thomas MJ, Gebremedhin PK. Thoracoscopy. In: Darling GE, Baumgartner WA, Jacobs JP, eds. Pearson's General Thoracic Surgery. STS Cardiothoracic Surgery E-Book. Chicago: Society of Thoracic Surgeons; 2023. ebook.sts.org. Accessed December 9, 2023.
Hazelrigg, S. R., Crabtree, T. D., Thomas, M. J., & Gebremedhin, P. K. (2023). Thoracoscopy. In Darling, G., Baumgartner, W., & Jacobs, J. (Eds.), Pearson's General Thoracic Surgery. STS Cardiothoracic Surgery E-Book. Chicago: Society of Thoracic Surgeons. ebook.sts.org
Hazelrigg SR, Crabtree TD, Thomas MJ, Gebremedhin PK. Thoracoscopy [Internet]. In: Darling GE, Baumgartner WA, Jacobs JP, editors. Pearson's General Thoracic Surgery. STS Cardiothoracic Surgery E-Book. Chicago: Society of Thoracic Surgeons; 2023. [cited 2023 December 09]. Available from: ebook.sts.org.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC
T1 - Thoracoscopy
ID - 1418121
A1 - Gebremedhin,Philipos,
ED - Jacobs,J,
ED - Darling,Gail,
ED - Baumgartner,William,
Y1 - 2023/10/17/
BT - Pearson's General Thoracic
UR - https://ebook.sts.org/sts/view/Pearsons-General-Thoracic/1418121/all/Thoracoscopy
PB - Chicago: Society of Thoracic Surgeons
DB - STS Surgery
DP - Unbound Medicine
ER -