Minimally invasive procedures

doi:10.3978/j.issn.2305-5839.2015.03.24

Review

. 2015 Mar;3(4):55.

doi: 10.3978/j.issn.2305-5839.2015.03.24.

Minimally invasive procedures

Nikolaos Baltayiannis¹, Chandrinos Michail¹, George Lazaridis¹, Dimitrios Anagnostopoulos¹, Sofia Baka¹, Ioannis Mpoukovinas¹, Vasilis Karavasilis¹, Sofia Lampaki¹, Antonis Papaiwannou¹, Anastasia Karavergou¹, Ioannis Kioumis¹, Georgia Pitsiou¹, Nikolaos Katsikogiannis¹, Kosmas Tsakiridis¹, Aggeliki Rapti¹, Georgia Trakada¹, Athanasios Zissimopoulos¹, Konstantinos Zarogoulidis¹, Paul Zarogoulidis¹

Affiliations

Affiliation

¹ 1 Consultant of Thoracic Surgery Department, Metaxa Hospital, Piraeus, Greece ; 2 Department of Surgery, Metaxa Hospital, Piraeus, Greece ; 3 Department of Medical Oncology, Aristotle University School of Medicine, Thessaloniki, Greece ; 4 Thoracic Surgery Department, Metaxa Hospital, Piraeus, Greece ; 5 Oncology Department, "Interbalkan" European Medical Center, Thessaloniki, Greece ; 6 Oncology Department, "BioMedicine" Private Clinic, Thessaloniki, Greece ; 7 Pulmonary-Oncology, "G. Papanikolaou" General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece ; 8 Surgery Department, University General Hospital of Alexandroupolis, Alexandroupolis, Greece ; 9 Thoracic Surgery Department, "Saint Luke" Private Hospital, Thessaloniki, Greece ; 10 2nd Pulmonary Clinic of "Sotiria" Hospital, Athens, Greece ; 11 Pulmonary Laboratory of Alexandra Hospital, University of Athens, Athens, Greece ; 12 Nuclear Medicine Department, University General Hospital of Alexandroupolis, Democritus University of Thrace, Greece.

PMID: 25861610
PMCID: PMC4381469
DOI: 10.3978/j.issn.2305-5839.2015.03.24

Review

Minimally invasive procedures

Nikolaos Baltayiannis et al. Ann Transl Med. 2015 Mar.

. 2015 Mar;3(4):55.

doi: 10.3978/j.issn.2305-5839.2015.03.24.

Authors

Affiliation

¹ 1 Consultant of Thoracic Surgery Department, Metaxa Hospital, Piraeus, Greece ; 2 Department of Surgery, Metaxa Hospital, Piraeus, Greece ; 3 Department of Medical Oncology, Aristotle University School of Medicine, Thessaloniki, Greece ; 4 Thoracic Surgery Department, Metaxa Hospital, Piraeus, Greece ; 5 Oncology Department, "Interbalkan" European Medical Center, Thessaloniki, Greece ; 6 Oncology Department, "BioMedicine" Private Clinic, Thessaloniki, Greece ; 7 Pulmonary-Oncology, "G. Papanikolaou" General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece ; 8 Surgery Department, University General Hospital of Alexandroupolis, Alexandroupolis, Greece ; 9 Thoracic Surgery Department, "Saint Luke" Private Hospital, Thessaloniki, Greece ; 10 2nd Pulmonary Clinic of "Sotiria" Hospital, Athens, Greece ; 11 Pulmonary Laboratory of Alexandra Hospital, University of Athens, Athens, Greece ; 12 Nuclear Medicine Department, University General Hospital of Alexandroupolis, Democritus University of Thrace, Greece.

PMID: 25861610
PMCID: PMC4381469
DOI: 10.3978/j.issn.2305-5839.2015.03.24

Abstract

Minimally invasive procedures, which include laparoscopic surgery, use state-of-the-art technology to reduce the damage to human tissue when performing surgery. Minimally invasive procedures require small "ports" from which the surgeon inserts thin tubes called trocars. Carbon dioxide gas may be used to inflate the area, creating a space between the internal organs and the skin. Then a miniature camera (usually a laparoscope or endoscope) is placed through one of the trocars so the surgical team can view the procedure as a magnified image on video monitors in the operating room. Specialized equipment is inserted through the trocars based on the type of surgery. There are some advanced minimally invasive surgical procedures that can be performed almost exclusively through a single point of entry-meaning only one small incision, like the "uniport" video-assisted thoracoscopic surgery (VATS). Not only do these procedures usually provide equivalent outcomes to traditional "open" surgery (which sometimes require a large incision), but minimally invasive procedures (using small incisions) may offer significant benefits as well: (I) faster recovery; (II) the patient remains for less days hospitalized; (III) less scarring and (IV) less pain. In our current mini review we will present the minimally invasive procedures for thoracic surgery.

Keywords: Pneumothorax; minimally invasive procedures; video-assisted thoracoscopic surgery (VATS).

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Figures

**Figure 1**
The operation is performed under general anaesthesia and single lung ventilation.

**Figure 2**
The patient is in the lateral decubitus position and the nondependent arm was suspended perpendicular to the chest wall.

**Figure 3**
A horizontal skin incision was made in the superior aspect of the axilla posterior to the pectoralis major muscle and anterior to the latissimus dorsi muscle.

**Figure 4**
A rib spreader was used to expose the thoracic cavity.

**Figure 5**
A single small-bore thoracostomy tube (usually 20French) was inserted and positioned in the apex of the chest cavity.

**Figure 6**
The limited axillary thoracotomy has excellent cosmetic result.

See this image and copyright information in PMC

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References

1. Henry M, Arnold T, Harvey J, et al. BTS guidelines for the management of spontaneous pneumothorax. Thorax 2003;58Suppl 2:ii39-52. - PMC - PubMed
1. Melton LJ, 3rd, Hepper NG, Offord KP. Incidence of spontaneous pneumothorax in Olmsted County, Minnesota: 1950 to 1974. Am Rev Respir Dis 1979;120:1379-82. - PubMed
1. Wait MA, Estrera A. Changing clinical spectrum of spontaneous pneumothorax. Am J Surg 1992;164:528-31. - PubMed
1. Baumann MH, Strange C, Heffner JE, et al. Management of spontaneous pneumothorax: an American College of Chest Physicians Delphi consensus statement. Chest 2001;119:590-602. - PubMed
1. Miller AC, Harvey JE. Guidelines for the management of spontaneous pneumothorax. Standards of Care Committee, British Thoracic Society. BMJ 1993;307:114-6. - PMC - PubMed

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[1] Henry M, Arnold T, Harvey J, et al. BTS guidelines for the management of spontaneous pneumothorax. Thorax 2003;58Suppl 2:ii39-52. - PMC - PubMed

[2] Henry M, Arnold T, Harvey J, et al. BTS guidelines for the management of spontaneous pneumothorax. Thorax 2003;58Suppl 2:ii39-52. - PMC - PubMed

[3] Melton LJ, 3rd, Hepper NG, Offord KP. Incidence of spontaneous pneumothorax in Olmsted County, Minnesota: 1950 to 1974. Am Rev Respir Dis 1979;120:1379-82. - PubMed

[4] Melton LJ, 3rd, Hepper NG, Offord KP. Incidence of spontaneous pneumothorax in Olmsted County, Minnesota: 1950 to 1974. Am Rev Respir Dis 1979;120:1379-82. - PubMed

[5] Wait MA, Estrera A. Changing clinical spectrum of spontaneous pneumothorax. Am J Surg 1992;164:528-31. - PubMed

[6] Wait MA, Estrera A. Changing clinical spectrum of spontaneous pneumothorax. Am J Surg 1992;164:528-31. - PubMed

[7] Baumann MH, Strange C, Heffner JE, et al. Management of spontaneous pneumothorax: an American College of Chest Physicians Delphi consensus statement. Chest 2001;119:590-602. - PubMed

[8] Baumann MH, Strange C, Heffner JE, et al. Management of spontaneous pneumothorax: an American College of Chest Physicians Delphi consensus statement. Chest 2001;119:590-602. - PubMed

[9] Miller AC, Harvey JE. Guidelines for the management of spontaneous pneumothorax. Standards of Care Committee, British Thoracic Society. BMJ 1993;307:114-6. - PMC - PubMed

[10] Miller AC, Harvey JE. Guidelines for the management of spontaneous pneumothorax. Standards of Care Committee, British Thoracic Society. BMJ 1993;307:114-6. - PMC - PubMed

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Minimally invasive procedures

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Minimally invasive procedures

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