Lucciarini Paolo, Augustin Florian, Maier Herbert Thomas, Zaraca Francesco, Schmid Thomas
Department of Visceral, Transplant and Thoracic Surgery (VTT-Chirurgie), Medical University Innsbruck, Austria.
Department of Vascular and Thoracic Surgery, Regional Hospital Bolzano, Italy.
J Vis Surg. 2018 Feb 3;4:28. doi: 10.21037/jovs.2018.01.05. eCollection 2018.
The aim of this study was to explore intraoperative complications during video-assisted thoracoscopic surgery (VATS) lobectomy. Vascular and bronchial injuries, after a robust learning curve, can be sometimes successfully managed by VATS. During a VATS lobectomy, it is necessary: to be prepared in potentially dangerous situations; to think about strategies to handle intraoperative complications and to share these strategies with your own staff. Herein we present some videos showing cases where vascular injuries led to conversion and others where a minimally-invasive trouble shooting of intraoperative complications was achieved.
本研究的目的是探讨电视辅助胸腔镜手术(VATS)肺叶切除术中的术中并发症。经过一段稳固的学习曲线后,血管和支气管损伤有时可通过VATS成功处理。在VATS肺叶切除术中,有必要:为潜在的危险情况做好准备;思考处理术中并发症的策略并与自己的团队分享这些策略。在此,我们展示一些视频,这些视频展示了血管损伤导致中转开胸的病例以及实现术中并发症微创故障排除的其他病例。