This report describes a 3-dimensional (3-D) video-assisted thoracoscopic lung resection guided by a 3-D video navigation system having a patient-specific 3-D reconstructed pulmonary model obtained by preoperative simulation. A 78-year-old man was found to have a small solitary pulmonary nodule in the left upper lobe in chest computed tomography. By a virtual 3-D pulmonary model the tumor was fo...

The aim of this study was to compare thoracoscopic surgery for spontaneous pneumothorax under epidural and/or local anesthesia (ELA) with that under general anesthesia and prove the feasibility and safety of thoracoscopic surgery under ELA for spontaneous pneumothorax. Relevant studies were searched in five databases from their date of publication to June 2016. We collected and analyzed the dat...

Thoracoscopic plication of the diaphragm has been recently described as an alternative treatment for eventration. It is considered to be much less traumatic than the conventional method. We attempted thoracoscopic diaphragm plication on three patients. Two patients were treated successfully by the minimally invasive technique and were discharged from hospital on the second postoperative day. In...

The thoracic splanchnic nerves and celiac ganglia play a major role in pain management of upper abdominal disorders, particularly chronic pancreatitis and pancreatic cancer. The variable anatomy of the splanchnic nerves is becoming increasingly important in view of splanchnicectomy being used more often for relief of pain originating from the upper abdominal viscera. In the present study variat...

S URGICAL treatment has been submitted by Peet and Isberg’ as a measure capable of arresting and sometimes reversing, in a significant percentage of cases, the progressive deteriorating course of arterial hypertension. This opinion has been founded on the results of a long-term study of a large group of hypertensive patients treated by splanchnic resection. The operation of bilateral supradiaph...

PURPOSE We sought to characterize our recent experience with thoracoscopic congenital diaphragmatic hernia (CDH) repair and identify patient selection factors. METHODS We reviewed the medical records of full-term neonatal (<1 month of age) patients who underwent thoracoscopic CDH repair between 2004 and 2008 (n = 15). We obtained data on prenatal diagnosis, characteristics of the CDH and repa...

Background Benign esophageal tumors are rare; complete surgical resection is essential for the management of the submucosal tumors. Larger, symptomatic, or non-diagnostic lesions should be resected for both diagnostic and therapeutic indications. VATS has become a popular treatment in the thoracic surgery, however thoracoscopic esophageal surgery may lead to increased operative complications. W...

Bronchogenic mediastinal cysts (BMC) represent 18% of primitive mediastinal tumors and the most frequent cystic lesions in this area. Nowadays, BMC are usually treated by VATS. However, the presence of major adhesions to vital structures is often considered as an unfavourable condition for thoracoscopic treatment. The authors report the thoracoscopic treatment of a BMC having dense adhesions to...

Bronchogenic cysts in the mediastinum are a rare condition. Progressive enlargement of the cyst may cause compression of adjacent organs. Dysphagia caused by bronchogenic cyst compression is quite rare. When a submucosal lesion is seen in panendoscopy, it should be included in one of the differential diagnoses. A complete resection, either by an open thoracotomy or thoracoscopic method, is usua...

OBJECTIVES Thoracoscopic surgery using internal intercostal nerve block, vagal block and targeted sedation without endotracheal intubation is a promising technique for selected patients, but little is known about its feasibility and safety. METHODS We evaluated 109 patients with lung (105), mediastinal (3) or pleural (1) tumours treated using non-intubated thoracoscopic surgery. Internal, int...