| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Ann Thorac Surg 1997;64:211-215
© 1997 The Society of Thoracic Surgeons
Columbia Hospital at Medical City Dallas, Dallas, Texas, The Montreal General Hospital, Montreal, Canada, and Allegheny General Hospital,Pittsburgh, Pennsylvania
Accepted for publication January 17, 1997.
Background. Since the introduction of minimally invasive surgical techniques in thoracic surgery in 1990, video-assisted thoracic surgery (VATS) has become the approach for many thoracic operations. The role of VATS has slowly evolved but has not been clearly defined. To better understand the role of VATS, we undertook a survey of practicing thoracic surgeons.
Methods. A questionnaire was sent to members of the General Thoracic Surgery Club asking the role of VATS in their practice and their opinions regarding appropriate applications, advantages, and limitations of the approach.
Results. Two hundred of the 229 members (87.3%) responded to the questionnaire. In this largely academic (66.3%) group of thoracic surgeons, 72% of whom had more than 10 years experience in general thoracic surgery, VATS was the preferred approach (>50% response) for the management of pleural disease, lung biopsy, recurrent pneumothorax, and sympathectomy. A majority of respondents thought that VATS was an acceptable approach for the diagnosis of the indeterminate pulmonary nodule and of anterior and posterior mediastinal masses, and for the management of early empyema, clotted hemothoraces, secondary pneumothorax, limited lung cancer treatment, and benign esophageal disease. Video-assisted thoracic surgery was thought to be unacceptable or investigational by a majority for thymectomy, lobectomy, and lung volume reduction operations. Video- assisted thoracic surgery still represents only a small portion of the thoracic procedures performed, but there is a gradual increase in its rate of use, although 38.1% expressed concern regarding overuse. The main limitation was thought to be in the management of oncologic disease.
Conclusions. It appears that VATS is a valuable addition to the practice of thoracic surgery, but significant limitations exist. Although there appear to be many specific indications defined, there is still a significant evolutionary component.
This article has been cited by other articles:
|
|
 |
|
  J-M. Tschopp, R. Rami-Porta, M. Noppen, and P. Astoul Management of spontaneous pneumothorax: state of the art. Eur. Respir. J., September 1, 2006; 28(3): 637 - 650. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 G. Roviaro, F. Varoli, C. Vergani, O. Nucca, M. Maciocco, and F. Grignani Long-term Survival After Videothoracoscopic Lobectomy for Stage I Lung Cancer Chest, September 1, 2004; 126(3): 725 - 732. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 F. Gharagozloo, B. Tempesta, M. Margolis, and E. P. Alexander Video-assisted thoracic surgery lobectomy for Stage I lung cancer Ann. Thorac. Surg., October 1, 2003; 76(4): 1009 - 1015. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. Nomori, T. Ohtsuka, H. Horio, T. Naruke, and K. Suemasu Thoracoscopic Lobectomy for Lung Cancer With a Largely Fused Fissure Chest, February 1, 2003; 123(2): 619 - 622. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. P.C. Yim VATS major pulmonary resection revisited--controversies, techniques, and results Ann. Thorac. Surg., August 1, 2002; 74(2): 615 - 623. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 H. K. Kolski, P. C.W. Kim, and J. Vajsar Video-Assisted Thoracoscopic Thymectomy in Juvenile Myasthenia Gravis J Child Neurol, August 1, 2001; 16(8): 569 - 573. [Abstract] [PDF]
|
|
|
|
 |
|
 K. Parekh, V. Rusch, M. Bains, R. Downey, and R. Ginsberg VATS Port Site Recurrence: A Technique Dependent Problem Ann. Surg. Oncol., March 1, 2001; 8(2): 175 - 178. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. Cekirdekci, O. Koksel, T. Goncu, O. Burma, A. Rahman, I. S. Uyar, E. Ayan, A. Uysal, A. Cekirdekci, O. Koksel, et al. Management of Parapneumonic Empyema in Children Asian Cardiovasc Thorac Ann, June 1, 2000; 8(2): 137 - 140. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. P.C. Yim, H. P. Liu, T. W. Lee, S. Wan, and A. A. Arifi Needlescopic' video-assisted thoracic surgery for palmar hyperhidrosis Eur. J. Cardiothorac. Surg., June 1, 2000; 17(6): 697 - 701. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. C. Mineo, E. Pompeo, T. E. Lerut, G. Bernardi, W. Coosemans, and I. Nofroni Thoracoscopic thymectomy in autoimmune myasthenia: results of left-sided approach Ann. Thorac. Surg., May 1, 2000; 69(5): 1537 - 1541. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. Cardillo, F. Facciolo, R. Giunti, R. Gasparri, M. Lopergolo, R. Orsetti, and M. Martelli Videothoracoscopic treatment of primary spontaneous pneumothorax: a 6-year experience Ann. Thorac. Surg., February 1, 2000; 69(2): 357 - 361. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. G. Colt Thoracoscopy: Window to the Pleural Space Chest, November 1, 1999; 116(5): 1409 - 1415. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. P.C. Yim, R. J. Landreneau, M. B. Izzat, A. L.K. Fung, and S. Wan Is video-assisted thoracoscopic lobectomy a unified approach? Ann. Thorac. Surg., October 1, 1998; 66(4): 1155 - 1158. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. H. Hines, A. S. Bensky, J. W. Hammon Jr, and D. G. Pennington Video-assisted thoracoscopic ligation of patent ductus arteriosus: safe and outpatient Ann. Thorac. Surg., September 1, 1998; 66(3): 853 - 859. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 L. A. Scherer, F. D. Battistella, J. T. Owings, and M. M. Aguilar Video-Assisted Thoracic Surgery in the Treatment of Posttraumatic Empyema Arch Surg, June 1, 1998; 133(6): 637 - 642. [Abstract] [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
