A Modified Approach for Video Assisted Thoracoscopy In Paediatric Patients
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 6
Abstract
Background: Thoracoscopy requires selective bronchial intubation and a sophisticated technical setup. This study was designed to assess the difficulty and feasibility of thoracoscopy using modified intubation maneuver and modified position for the surgery. Methods: 138 children below 12 years underwent right thoracoscopy from June2014-November2017. Data were collected from CCM Medical College and Pt. JNM Medical College. All procedures were done using modified technique of selective left endobronchial intubation. Modified position used was 45°tilt. The infrastructure used included 5mm telescope, single chip camera, halogen light source, suction apparatus and 14 inch television. CO2 insuflation was not used and ports were kept open. Results: Right thoracoscopy was performed. Follow-up ranged from 1-17 months. Age range was 18–144 months. All cases were asymptomatic at last follow up. Mean operating time was 1.30 hours (Range: 1.00-2.30 hours). There were 126 empyema, 9 hydatid cysts and 3 esophageal duplication cyst. There were 48 tubercular empyema and 78 post pneumonia empyema. Intercostal drain was kept for a mean period of 3 days (Range: 2-4 days). All the cases were kept nil by mouth for 6 hours and discharged at a mean duration of 5 days (Range: 4-6 days). Conclusions: Thoracoscopic procedures could safely and easily be performed even with limited facilities with modified position.
Authors and Affiliations
Chaurasia Basant MD, Sharma Nitin, MS, M. Ch.
Keywords
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- EP ID EP376598
- DOI 10.9790/0853-1706092729.
- Views 44
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