Mediastinoscopy and video-assisted thoracoscopic surgery: anesthetic pitfalls and complications.

Autor: Thomsen RW; Johns Hopkins University School of Medicine, Baltimore, Maryland 21287, USA. rthomse1@jhmi.edu
Jazyk: angličtina
Zdroj: Seminars in cardiothoracic and vascular anesthesia [Semin Cardiothorac Vasc Anesth] 2008 Jun; Vol. 12 (2), pp. 128-32.
DOI: 10.1177/1089253208319873
Abstrakt: Endoscopic evaluation of the thoracic cavity was first described in 1910 when Jacobaeus used a cystoscope for pleural examination. Significant advances in thoracoscopic surgery, including the use of high-definition videoscopy and refinements in surgical technique, have created a vast array of increasingly complex procedures that can be performed. The minimally invasive nature of video-assisted thoracoscopic surgery (VATS) makes it ideal for diagnostic and therapeutic procedures in ambulatory and critically ill patients. Mediastinoscopy is often performed immediately preceding VATS to permit sampling of mediastinal lymph nodes. As the indications for thoracoscopic surgery expand, the anesthesiologist must be familiar with common anesthetic and surgical complications, which occur in up to 9% of patients.
Databáze: MEDLINE