Video assisted thoracic surgery in children

Rasik Shah, A Suyodhan Reddy, Nitin P Dhende, Rasik Shah, A Suyodhan Reddy, Nitin P Dhende

Abstract

Thoracoscopic surgery, i.e., video assisted thoracic surgery (VATS) has been in use in children for last 98 years. Its use initially was restricted to the diagnostic purposes. However, with the improvement in the optics, better understanding of the physiology with CO2 insufflation, better capabilities in achieving the single lung ventilation and newer vessel sealing devices have rapidly expanded the spectrum of the indication of VATS. At present many complex lung resections, excision of mediastinal tumors are performed by VATS in the experienced centre. The VATS has become the standard of care in empyema, lung biopsy, Mediastinal Lymphnode biopsy, repair of diaphragmatic hernia, etc. The article discusses the indications of VATS, techniques to achieve the selective ventilation and surgical steps in the different surgical conditions in children.

Keywords: Thoracoscopy; children; video assisted thoracic surgery.

Conflict of interest statement

Conflict of Interest: None declared.

References

    1. Jacobaeus HC. About facilities at the cystoscopy investigation seroser apply hohlungen. Munch Med Wochenschr. 1910;40:2090–2.
    1. Rodgers BM, Talbert JL. Thoracoscopy for diagnosis of intrathoracic lesions in children. J Pediatr Surg. 1976;11:703–8.
    1. Shah RS, Varela PJ, Merry CM. Selective ventilation using a fogarty balloon catheter as a bronchial blocker: An essential technique for paediatric thoracoscopic surgery. Pediatr Endosurg Innov Tech. 1997;1:147–50.
    1. Hill RC, Jones DR, Vance RA, Kalantarian B. Selective lung ventilation during thoracoscopy: Effects of insufflation on haemodynamics. Ann Thorac Surg. 1996;61:945–8.
    1. Perttunen K, Tasmuth T, Kalso E. Chronic pain after thoracic surgery: A follow-up study. Acta Anaesthesiol Scand. 1999;43:563–7.
    1. Rogers ML, Duffy JP. Surgical aspects of chronic post-thoracotomy pain. Eur J Cardiothorac Surg. 2000;18:711–6.
    1. Browne D. Patent ductus arteriosus. Proc R Soc Med. 1952;45:719–22.
    1. Soucy P, Bass J, Evans M. The muscle sparing thoracotomy in infants and children. J Pediatr Surg. 1991;26:1232–5.
    1. Bianchi A, Sowande O, Alizai NK, Rampersad B. Aesthetics and lateral thoracotomy in the neonate. J Pediatr Surg. 1998;33:1798–800.
    1. Khan IH, McManus KG, McCraith A, McGuigan JA. Muscle sparing thoracotomy: A biomechanical analysis confirms preservation of muscle strength but no improvement in wound discomfort. Eur J Cardiothorac Surg. 2000;18:656–61.
    1. Jaureguizar E, Vazquez J, Murcia J, Diez Pardo JA. Morbid musculoskeletal sequelae of thoracotomy for tracheoesophageal fistula. J Pediatr Surg. 1985;20:511–4.
    1. Hicks LM, Masfiled PB. Esophageal atresia and tracheoesophageal fistula: Review of thirteen years' experience. J Thorac Cardiovasc Surg. 1981;81:358–63.
    1. Shah RS. Empyema thoracis-recent trends in the management. Indian J Pract Pediatr. 2004;6:21–6.
    1. Merry CM, Bufo AJ, Shah RS, Schropp KP, Lobe TE. Early definitive treatment in paediatric empyema. J Pediatr Surg. 1999;33:178–81.
    1. Piolanti M, Coppola F, Papa S, Pilotti V, Mattioli S, Gavelli G. Ultrasonographic localization of occult pulmonary nodules during video-assisted thoracic surgery. Eur Radiol. 2003;13:2358–64.
    1. Blakely ML, Shah R, Lakshman S, Lezamme P, Lobe TE. Pediatric thoracoscopy. In: Di Falco G, editor. Atlas of Videothorascopic Surgery. Milan: Masson; 1998.
    1. Kogut KA, Bufo AJ, Rothenberg SS, Lobe TE. Thoracoscopic thymectomy for myasthenia gravis in Children. J Pediatr Surg. 2000;35:1576–7.
    1. Ho AM, Wong JC, Chui PT, Karmakar MK. Case report: Use of two balloon-tipped catheters during thoracoscopic repair of a type C tracheoesophageal fistula in a neonate. Can J Anesth. 2007;54:223–6.
    1. Holcomb GW, 3rd, Rothenberg SS, Bax KM, Martinez-Ferro M, Albanese CT, Ostlie DJ, et al. Thoracoscopic repair of esophageal atresia and tracheoesophageal fistula: A multi-institutional analysis. Ann Surg. 2005;242:422–30.
    1. St Peter SD, Calkins CM, Holcomb GW., 3rd The use of biosynthetic mesh to separate the anastomoses during the thoracoscopic repair of esophageal atresia and tracheoesophageal fistula. J Laparoendosc Adv Surg Tech A. 2007;17:380–2.
    1. Tsao K, Lee H. Extrapleural thoracoscopic repair of esophageal atresia with tracheoesophageal fistula. Pediatr Surg Int. 2005;21:308–10.
    1. Becmeur F, Reinburg O, Dimtriu C, Moog R, Philippe P. thoracoscopic repair of congenital diaphragmatic hernia in children. Semin Pediatr Surg. 2007;17:234–44.
    1. Yang EY, Allmedinger N, Jhonson SM, Chen C, Wilson JM, Fishman SJ. Neonatal thoracoscopic repair of congenital diaphragmatic hernia: Selection criteria for successful outcome. J Pediatr Surg. 2005;40:1369–75.
    1. Nezafati MH. Closure of patent ductus arteriosus by video-assisted thoracoscopic surgery, minimally invasive, maximally effective: Report of 600 cases. Heart Surg Forum. 2003;6:S28.
    1. Galbis Caravajal JM, Mafe Madueno JJ, Benlloch Carrion S, Baschwitz Gomez B, Rodriguez Paniagua JM. Video-assisted thoracoscopic surgery in the treatment of pneumothorax: 107 consecutive procedures. Arch Bronconeumol. 2003;39:310–3.
    1. Hazama K, Akashi A, Shigemura N, Nakagiri T. Less invasive needle thoracoscopic laser ablation of small bullae for primary spontaneous pneumothorax. Eur J Cardiothorac Surg. 2003;24:139–44.
    1. Samphire J, Nafteux P, Luketich J. Minimally invasive techniques for resection of benign esophageal tumors. Semin Thorac Cardiovasc Surg. 2003;15:35–43.

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