Trans Oral-Substernum Incision Thoracic Endoscopic Surgery: A Minimally Invasive Endoscopic Approach in Thoracic Surgery

Journal Title: Journal of Surgery - Year 2015, Vol 3, Issue 2

Abstract

Flexible endoscope is used in Natural Orifice Trans-luminal Endoscopic Surgery. Cervical incision thoracic surgery has recently been described. The use of a flexible endoscope through a natural orifice into the thoracic cavity still remains ethically doubtful. The authors present a surgical experimental study using a flexible endoscope through oral-substernum incision for the exploration of both the thoracic cavity in dog model. An experimental work on 5 male mongrel dogs was initiated. Through a small incision at oral floor, we performed simultaneous exploration of the pleural cavities. Identification and biopsies of pleural and lung was performed. None chest tube was placed in the thoracic cavity at the end of all pleural procedures. The potential advantages of this approach are exploration of the thoracic cavity and the performance of several thoracic interventions through oral floor. The flexible endoscope could become a surgical tool for thoracic surgery.

Authors and Affiliations

Zhang Zhe

Keywords

Related Articles

Predictors of Solid Organ Injury Following Blunt Abdominal Trauma: A Single Institution Process Improvement Initiative

Background: Computed tomography (CT) scan remains the gold standard for identifying solid organ injuries (SOI) following blunt abdominal trauma but subjects the child to ionizing radiation, requires transportation out of...

Splenopathy in Patients with Sickle Cell Disease

Splenopathy with sickle cell disease refers to disorders that require medical care and surgical treatment. It is common in patients with sickle cell disease. The genotype of patients with sickle cell disease could affect...

Laparoscopic Splenectomy as the Definitive Investigation for Differential Diagnosis of Elevated Serum CA 19-9 Levels Associated with a Splenic Cyst: Case Report and Review of the Literature

Splenic cysts are relatively rare entities. The differential diagnosis for these lesions includes parasite infections, results of previous trauma or infarction, congenital forms, primary splenic neoplasm or cystic metast...

The Role of Wider Safety Margins in the Prognosis of the Basal Cell Carcinoma of the Face and Scalp

The aim of this study was to assess the wider safety margins and its role in recurrence rate of the Basal Cell Carcinoma of the face and scalp. We excise the basal cell carcinoma with wider safety margins (5 mm). In all...

Seromas and Punctures after Complete Axillary Node Dissection for Breast Cancer: Differences between Mastectomy and Lumpectomy

Background:“Seromas” represent a frequent complication after complete axillary lymph node dissection (CALND) for breast cancer. The aims of this work were to analyze patients with seromas at our institution and to try to...

Download PDF file
  • EP ID EP203798
  • DOI 10.13188/2332-4139.1000022
  • Views 151
  • Downloads 0

How To Cite

Zhang Zhe (2015). Trans Oral-Substernum Incision Thoracic Endoscopic Surgery: A Minimally Invasive Endoscopic Approach in Thoracic Surgery. Journal of Surgery, 3(2), 1-3. https://europub.co.uk/articles/-A-203798