Minimally Invasive Thoracoscopic Procedures - A Single Centre Experience
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 5
Abstract
VATS is principally employed in the management of pulmonary, mediastinal, and pleural pathology. Its main benefit has been the avoidance of a thoracotomy incision, which allows a shorter operating time, less postoperative morbidity, and earlier return to normal activity than with thoracotomy.Video-assisted thoracoscopic surgical (VATS) procedures are very safe and efficacious in paediatric patients of all age groups. Our study was undertaken to analyse the usefulness of thoracoscopy in Paediatric population in the management of various thoracic pathologies in relation to its feasibility,safety,efficacy and reliability and to compare its advantages over thoracotomy in relation to post operative pain ,recovery,morbidity and cosmesis. This study retrospectively analysed the records of patients who had undergone thoracoscopic procedures for various pathologies during January 2001 to December 2015 at the Department of Paediatric Surgery, Coimbatore Medical College Hospital. The study population included cases of Empyema thoracis, Pyopericardium, Congenital Diaphragmatic hernia (CDH), Eventration , Bronchogenic cyst, Foregut Duplication Cyst, Lymphoma, Tracheo Esophageal Fistula. A total of 60 patients were included. Operating time, conversion rate, post operative intercostal drianage tube time, post operative recovery and complication rates were assesed. Thoracoscopy was found to be definitely superior to thoracotomy in the management of Empyema thoracis in relation to pain relief, morbidity, early recovery and requirement of blood transfusion. Pyopericardial patients ha better cosmetic results. Thoracoscopy helps better in sick children and the yield of mediastinal biopsy was extremely high. Cystic lesions of the lung were excised safely .Procedure like thoracoscopic esophageal atresia repair needed more operative time and expertise with specialized instruments. Complications encountered in thoracoscopy are usually minor.
Authors and Affiliations
Rengarajan R, Dr. Muthulingam V, G Rajamani, Raghul M
Keywords
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- EP ID EP595908
- DOI 10.9790/0853-1605015663.
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