Single-port thoracoscopic thymectomy
A young patient diagnosed with a 3 cm calcified mediastinal mass. A single-port thoracoscopic approach was performed through a single 2 cm incision on the right side. The calcified mass and the thymic gland was completely removed en block by using thunderbeat and cautery. The patient was discharged home after 36 hours of surgery with excellent recovery and no pain
Uniportal VATS sleeve lobectomy after induction therapy full HD.Running suture
Lung cancer located on the RUL with endobronchial involvement. Received induction treatment with good response. A Right upper lobectomy with sleeve bronchoplasty was performed by using a single incision thoracoscopic approach. The patient was discharged on 5th postoperative day
Non intubated right upper lobectomy by means of single port VATS
Single port video-assisted thoracoscopic right upper lobectomy in a non intubated patient. The patient recovery was uneventful and was discharged home on the second postoperative day.
Non intubated uniportal VATS left upper lobectomy
In this video we show a left upper lobectomy performed by single port VATS in a non intubated patient. The surgery was performed with the spontaneous ventilation of the patient.The postoperative course was uneventful and the patient was discharged on the second postoperative day with excellent recovery
Non intubated single port VATS left lower lobectomy lung cancer
A 86 year old woman with a 3.5 cm adenocarcinoma was proposed for a non intubated uniportal video-assisted thoracoscopic (VATS) surgery. The total surgical time was 80 minutes. The postoperative course was excellent and the patient was discharged home on the third postoperative day with excellent recovery and no pain
Uniportal VATS bilobectomy and segmentectomy RLL
Big lung cancer (adenocarcinoma) located at RUL involving middle and segment 6 was evaluated for surgery. The patient was treated with induction chemotherapy and proposed for thoracoscopy. Uniportal VATS right upper and middle lobectomy with superior segmentectomy of lower lobe was performed. The incision was enlarged at the end of surgery to remove a 10 cm size tumor.
Extirpación toracoscópica por puerto único de quiste mediastinico complejo
Resección toracoscópica de un quiste mediastínico mediante una pequeña incisión. La lesión estaba localizada entre la vena cava y los troncos supra aorticos. La paciente fue dada de alta a las 24 horas de la cirugía.
Left upper trisegmentectomy (lingular sparing) by uniportal thoracoscopic approach
Presentamos un video que muestra como se realiza una trisegmentectomia anatómica del lobulo superior izquierdo pulmonar realizada mediante abordaje toracoscopico usando una pequeña y única incisión (single-port VATS)
Sleeve right upper lobectomy by uniportal VATS
First video reported of uniportal VATS total sleeve resection. 55 year-old smoker male diagnosed of T4N0M0 right upper lobe carcinoma. After induction chemotherapy the patient was proposed for single-port VATS sleeve resection.
Fisureless technique uniportal VATS Left upper lobe
Left upper lobectomy is the most difficult resection to perform by uniportal VATS, especially when an incomplete oblique fissure is found or there are silicotic lymph nodes around the hilar structures. In this video we use the Gonzalez-Rivas Uniportal Scanlan VATS set.
Uniportal thoracoscopic stapler insertion during lobectomy
This video shows the way to insert staplers for thoracoscopic major lung resection (uniportal thoracoscopic left upper lobectomy). This approach represents the minimally invasive approach possible for lobectomy
VATS lobectomy lower lobe-chest wall resection
Big right lower lobectomy lung cancer with chest wall involvement. The case was treated with induction therapy (chemotherapy) followed by surgery. The patient was operated by uniportal VATS approach and once the lobectomy was perforned a posterior incision was made to resect three ribs and adjacent muscles and soft tissue. The posterior hole was protected by using a mesh.
Uniportal Lung cancer N1 lymph node dissection
N1 station complete lymphadenectomy. Peribronchial and interlobar Lymph node dissection. N1 dissection. Single-port VATS left upper lobectomy through a 3 cm small incision.
Bleeding control by uniportal VATS during right upper lobectomy
Complex VATS lobectomy, right upper lobe tumor, after induction chemotherapy.Uniportal thoracoscopic approach. During the dissection over the pulmonary artery, once the truncus anterior and upper vein were stapled, bleeding happened from a recurrent branch. The bleeding was controlled by using vascular clips
Persistent pulmonary huge Aspergilloma operated by Minimally Invasive Surgery
We present a video showing a thoracoscopic resection of a pulmonary left lower lobe Aspergilloma. The surgery was necessary and the patient was operated by uniportal VATS to remove the left lower lobe. At the end of the procedure the incision was enlarged to remove the huge specimen.
Bronchial management during uniportal VATS left upper lobectomies
This video shows 4 different ways to transect the bronchus during uniportal VATS left upper lobectomy. When the upper lobectomy is performed by using the fissureless technique, care must be taken during dissection of the bronchus in order to avoid injury to the lingular and/or lower pulmonary artery, which is usually behind the bronchus.
Technical details of uniportal VATS upper lobectomies
In this video we present the technical details to manage the vein and artery during single port upper lobectomies. We recommend dividing first the upper lobe truncus anterior when possible in order to facilitate the insertion of the staplers in the upper lobe vein. Coordination between surgeon and the assistant handling the camera is crucial.
Single-port thoracoscopic right upper lobectomy echelon power
Uniportal VATS right upper lobectomy performed at Charité Hospital, Berlin (Germany). Video recorded and edited by Ethicon endosurgery showing the use of echelon power
Uniportal VATS anatomic superior segmentectomy lower lobe tumor
Uniportal thoracoscopic anatomic segmentectomy of superior segment of left lower lobe. The lesion was a 1.5 cm carcinoid tumor. The patient was discharged 24 hours after the surgery with no complications and no pain.
Single-port VATS total sleeve lobectomy (Trailer)
Trailer of complex sleeve lobectomy by single-port VATS approach (after induction chemotherapy)
The full video will be presented at Elancourt (Paris) on 24th September 2012, ESTS, School of Thoracic Surgery.
Dr Diego Gonzalez-Rivas, MD, FECTS.
Situs inversus uniportal VATS left middle lobectomy
This video is the first report of a thoracoscopic lung resection of a pulmonary mass in a patient with SIT. A VATS approach through a single 4 cm incision was made with no rib spreading. Azygos vein, superior vena cava, and paratracheal space were mirror images of normal condition.A middle lobectomy with lymphadenectomy was performed.The patient was discharged on the second post-operative day.
Congenital Adenomatoid Cystic Malformation operated by single-port VATS
Young patient, suffering from recurrent lung infections since childhood (CCAM and bronchial atresia). The patient was operated by uniportal thoracoscopic approach and lower lobectomy was performed.Bronchial and vascular lower superior segment atresia was found. The patient was discharged on the second postoperative day with no complications
Uniportal VATS anatomic lingulectomy
Single port anatomic resection (lingulectomy) in a patient with a metastasis in the left upper lobe (lingula) involving part of the fissure (incomplete fissure). The patient was operated by a single 4 cm incision and no rib spreading.
Single port VATS lobectomy and chest wall enbloc resection
This video shows a minimal invasive technique for chest wall resection and uniportal VATS upper lobectomy. Right upper lobe adenocarcinoma with chest wall involvement. After induction therapy the patient was operated by uniportal VATS for lobectomy and a posterior subescapular incision for chest wall enbloc resection.
Single port thoracoscopic lobectomy with unusual anatomy
Video showing unusual findings during uniportal VATS lobectomy. Complex anatomy during right upper lobectomy, azigos lobe, subcarinal lymph node dissection and unusual middle lobe veins in the fissure in a uniportal middle lobectomy
Uniportal VATS Upper lobectomies: technical details
Technical details of single port thoracoscopic upper lobectomies and lymph node dissection
Lobectomias toracoscopicas single port usando clips vasculares
Este video muestra el uso de clips de polimero (click 'aV, GRENA) para su uso en pequeñas ramas arteriales o venosas durante la lobectomia por VATS e incision unica. A veces se puede usar el ligasure para la parte distal evitando asi un clip que podria dificultar la fissureless technique
Single port VATS left upper lobectomy (fissureless technique)
Lobectomia superior izquierda mediante abordaje uniportal (incision de 4 cm) para tratamiento de cáncer de pulmon localizado en lóbulo pulmonar superior izquierdo. La paciente fue dada de alta a las 48 horas de la cirugia.
Uniportal VATS left lower lobectomy fissureless technique
Single port Thoracoscopic Left lower lobectomy performed from inferior to superior in a patient diagnosed of lung cancer. The fissure was incomplete so the fissureless technique was carry out. After lobectomy a complete lymph node dissection was performed and a chest tube was placed.
Reseccion de tumor mediastinico por videotoracoscopia
Reseccion de masa mediastinica anterior en mujer de 46 años mediante videotoracoscopia. Se utilizó CO2 para mejorar la exposicion mediastinica y permitir la exeresis de la masa. La paciente fue dada de alta a las 24 horas de la cirugia, sin dolor y con una excelente recuperacion funcional.
Situs Inversus Single port VATS lef middle lobectomy
This is the trailer of first report of thoracoscopic resection in a situs inversus condition. Uniportal thoracoscopic left middle lobectomy. The patient was discharged home in the second postoperative day. The complete video coming soon..
Reseccion suglotica por cancer de tiroides (Operacion de Pearson)
Resección traqueal subglotica en una paciente con recidiva de carcinoma papilar de tiroides. Se trata de un caso complejo con afectación recurrencial preoperatoria. Afectacion crico traqueal que precisó resección subglótica (Operación de Pearson). No se dejó tubo en T de Montgomery. La evolución postoperatoria fue satisfactoria tras precisar tratamiento con laser mediante fibrobroncoscopia.
Single port VATS lower nodule enucleation
Lower lobe nodule VATS resection by a single small incision. The lesion was enucleated and the parenchyma was repaired by using interrupted sutures (no parenchymal resection).The diagnosis was condroid hamartoma. The patient was discharged on the second postoperative day, with excellent recovery and no pain.
Operación de tumor pulmonar mediante videocirugia. La historia de Ana.
La historia real de una paciente con un cáncer de pulmón intervenida mediante videocirugía. Recibió quimioterapia postoperatoria de apoyo. Tuvo que ser reintervenida al año siguiente debido a una recurrencia de la enfermedad. Se volvió a realizar Videocirugia (VATS). Actualmente la paciente se encuentra bien siguiendo controles por parte de oncologia y en nuestra unidad.
Uniportal VATS resection of bronchogenic cyst
Single port thoracoscopic resection of a extrapulmonary mass the left thorax. The lesion was 16 cm in size and was resected by using a 3 cm incision with no rib spreading (using suction of the cyst content after resection). The diagnosis was a benign bronchogenic cyst.
Single port VATS subcarinal lymph node dissection lung cancer
Linfadenectomia de la región subcarinal derecha e izquierda tras completar la lobectomía pulmonar mediante abordaje videotoracoscópico por una única incisión (carcinoma broncopulmonar)
Single-port VATS paratracheal lymph node dissection
Single-port VATS paratracheal lymph node dissection
Single port VATS azygos lobe
Liberación de lóbulo ácigos mediante videocirugía por una única vía antes de realizar lobectomía superior derecha single-port
Videocirugía single-port para resección de metástasis pulmonar
Cirugía mediante videotoracoscopia asistida (VATS) por una sola incisión para resección de metástasis pulmonar única en lóbulo superior izquierdo.
Covidien Workshop Single-port VATS live surgery (Lisboa)
Cirugía en directo (lobectomía VATS por incisión única) en el Workshop organizado por el Profesor Martelo en Lisboa
Lobectomía superior izquierda por única incisión
Cirugía de cáncer de pulmón realizando lobectomía superior izquierda mediante videocirugía mediante una sola incisión (single-port VATS)
Lobectomía lóbulo medio por única incisión
Cáncer de pulmón operado mediante videocirugía con una sola incisión (lobectomía del lóbulo medio) por donde se introduce la óptica y el instrumental
Linfadenectomía mediastínica single-port
Diseccion ganglionar sistemática paratraqueal derecha y subcarinal izquierda en cirugía del cancer de pulmón mediante VATS por una sola incisión
Lobectomía superior izquierda por VATS en tumor con afectación de la arteria pulmonar
Tumor con infiltración del tronco superior de la arteria pulmonar, a nivel proximal operado mediante VATS
Lobectomia superior derecha por VATS en tumor de sulcus superior postquimioterapia
Tumor de Lóbulo superior derecho (de sulcus superior), con buena respuesta tras quimoterapia neoadyuvante operado mediante VATS (lobectomía superior derecha y linfadenectomía mediastínica)
Lobectomia superior izquierda videotoracoscópica mediante una única incisión.
Primera parte muy resumida de lobectomia superior izquierda videotoracoscópica mediante una única incisión.
Lobectomia inferior derecha por single-port. velocidad x4
Video quirurgico completo sin editar de una lobectomia inferior derecha por single-port. Velocidad del video x4 ( duracion real de la lobectomia 45 minutos)
Single-port VATS pneumonectomy
Capitulo 2 del video de una neumonectomia derecha singe-port en una tumor de 5 cm tras haber recibido quimioterapia de induccion.
Lobectomía superior derecha por 2 vías.
Video de una lobectomía superior derecha con linfadenectomía mediastínica por VATS mediante solo dos incisiones: incisión de ayuda de unos 4 cm y incisión de óptica de 1 cm.
Timectomía toracoscópica 2.
Timectomía toracoscópica realizada con tres incisiones.
Timectomía toracoscópica 1.
Timectomía con exéresis de grasa peritímica realizada de forma totalmente toracoscópica mediante tres incisiones con insuflación de gas carbónico.
Disección vascular y reseccion atípica lobectomía superior 1 vía
Resección atípica de nódulo en lóbulo superior izquierdo mediante VATS por una vía de 4 cm sin separación costal. Disección vascular lingular arterial y venosa y vena pulmonar superior.
Broncoplastia de lóbulo inferior derecho por VATS
Resección broncoplástica videoasistida mediante 2 incisiones (incisión de óptica de 1 cm y incisión de ayuda de 5 cm sin separación costal). Lobectomía inferior izquierda y linfadenectomía mediastínica en Ca LII.
Secuestro pulmonar intervenido mediante VATS 2 vías
Secuestro pulmonar intralobar en lóbulo inferior izquierdo con infecciones de repetición. Fue intervenido mediante lobectomía inferior izquierda por 2 vías de abordaje y sección de rama aberrante aórtica.
Lobectomia inferior izquierda(VATS 1 vía)
Lobectomía inferior izquierda con linfadenectomía mediastínica en paciente intervenido por videocirugía mediante una única y mínima incisión de 4 cm sin separación costal.
Lobectomía inferior izquierda videotoracoscópica por única incisión
Lobectomía inferior izquierda mediante abordaje videotoracoscópico y una única incisión de 4cm sin separación costal.
Exéresis de quiste broncogénico en mediastino anterior
Exéresis videotoracoscópica de masa mediastínica anterior mediante un abordaje toracoscópico con 3 incisiones. El diagnostico final fue quiste broncogénico en mediastino anterior.