VIDEO-ASSISTED THORACIC SURGERY FOR DISEASES WITHIN THE MEDIASTINUM
| Autor: | Jeffrey C. Lin, Rodney J. Landreneau, Stephen R. Hazelrigg |
|---|---|
| Rok vydání: | 2000 |
| Předmět: |
medicine.medical_specialty
Esophageal Neoplasms medicine.medical_treatment Lymph node biopsy Achalasia Pericardial effusion Pericardial Effusion Bronchogenic Cyst parasitic diseases Mediastinal Diseases medicine Humans Sympathectomy Lymphatic Diseases medicine.diagnostic_test Thoracic Surgery Video-Assisted business.industry nutritional and metabolic diseases Mediastinum Esophageal cancer medicine.disease Mediastinitis Surgery medicine.anatomical_structure Esophagectomy Drainage business |
| Zdroj: | Surgical Clinics of North America. 80:1511-1533 |
| ISSN: | 0039-6109 |
| DOI: | 10.1016/s0039-6109(05)70242-5 |
| Popis: | The development of advanced video-assisted thoracic surgery (VATS) instrumentation and refinement of endoscopic surgical techniques have allowed for increasing VATS applications to disease processes of the mediastinum for diagnostic evaluation and definitive surgical treatment. VATS techniques have yielded decreased patient pain and morbidity while increasing patient and referring physician acceptance. 27,33,44,70 Thoracic surgeons have recognized VATS techniques as effective approaches for the diagnosis and treatment of many common mediastinal diseases, including: Accepted mediastinal indications for VATS Biopsy of mediastinal lymph nodes Biopsy of mediastinal masses Resection of benign germ cell tumors Resection of ectopic parathyroid Resection of thymus for thymic cyst, myasthenia gravis, stage I thymoma Resection of bronchogenic or pericardial cysts Esophageal cystectomy Enucleation of esophageal leiomyomata Esophagomyotomy for achalasia Resection of posterior mediastinal (neurogenic) tumors Thoracic dorsal sympathectomy for palmar or axillary hyperhidrosis Thoracic splanchnicectomy for chronic intractable abdominal pain Relative mediastinal indications for VATS Antireflux operation for gastroesophageal reflux disease Pericardiectomy and drainage of pericardial effusion VATS facilitated anterior approach to the thoracic spine Drainage of suppurative or descending necrotizing mediastinitis Sympathectomy for conditions other than upper-extremity hyperhidrosis Adjunctive dissection of intrathoracic goiter Preoperative lymph node biopsy and staging for esophageal cancer Esophagectomy In this article, the role of VATS in the diagnosis and therapy of mediastinal diseases is reviewed, together with the indications and results of VATS procedures for the mediastinum. |
| Databáze: | OpenAIRE |
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