Laparoscopic thoracic surgery

A supportive laparoscopic thoracic surgery is also known as Video assisted Thoracic surgery, abbreviated as VATS. This is a surgical method with a minimum incision of 4 to 6cm and has the support of a video screen and professional endoscopic instruments.

This method of surgery is often used for the treatment of lung and medias center diseases. It has advantages over open surgical methods. This method does not or less balloon the ribs, incisions on the small skin. After surgery, the patient will be less painful, the hospital stay is shorter and the aesthetics are higher.

VATS is generally in dinhable for lung diseases. This method is used to take biosupptus samples from the lungs or pleura, remove lymph nodes, remove lung tumors or treat other lung diseases such as pleural effusion.

For benign lung disease, VATS is used for diseases such as bronchiectonic dilation, large lung cocoons and pulmonary lobe removal, benign pulmonary tumor removal.

VATS is also in dinhed for early-stage, less than 6cm-sized main lung cancers. With a second lung cancer, the patient is prescribed a tumor removal, but if the tumor is deep, difficult to cut, requires a doctor to cut the lung lobe.

For mediascular diseases, tumors, mediasdenum cysts or lymphadenopathy found in the medias center in which cutting is in place can also be used.

Before surgery, patients will be instructed by doctors what to do. Smoking should be discontinued (if any) to reduce the risk of respiratory problems during and after surgery. If antia cryrobial medication is used, the patient needs to discontinue the drug several days before surgery.

Patients also need to do some tests necessary to assess respiratory function before surgery. If the patient is under total anesthesia, he will be required to fast, drink before surgery, the timeline will be clearly stated by the doctor.

There are two main surgical techniques: pulmonary lobe surgery and laparoscopic mescopy. After preparing the anaesthetic steps, placing trocars and incisions … doctors will conduct surgery according to the technique depending on the patient's condition.

4.1 Pulmonary lobe surgery

• Separate analysis of the components: veins and arteries that govern the pulmonary lobe that need cutting;
• Cutting and stitching arteries and veins with an automatic cutting system;
• Bronchial surgery of the pulmonary lobe needs cutting, temporary clamping, pulmonary bulging to check the integrity of the remaining lung parts;
• Bronchiectar;
• Take the product and send it to the anatomy of the disease;
• Check the tightness of the bronchiectar beak by pouring the eptic serum into the pleural cavity and then the lung room for examination. If there is a phenomenon of deflating gas through the cutting beak, it needs to be strengthened;
• Pay attention to check for bleeding of the bronchial arteries;
• Dredging of the ganglia;
• Hemic, and breast rinsing pump;
• Put silicone conduction in the pleural cavity, constantly sucking the flow after placing;
• Close the chest and trocar holes.

4.2 Mediast mediast mediast mediast mediast mediasted surgery

• Surgery to separate the tumor from the lungs and organize the mediascinal thanks to endoscopic instruments such as, super-warm knives, electric knives;
• Vascular peduncle bleeding;
• If the cyst is too large, it is possible to poke the solution inside the cyst;
• Attention should be paid to mild complications such as lacerations to the lungs, lacerations of small blood vessels or rupture of tumors;
• It is necessary to be ready to carry out open surgery through the sternum or a classic thoracic open surgery to be able to control complications such as a lot of bleeding;
• Other surgeries are similar to pulmonary lobe surgery.

Patients will be tested for blood gases, blood formula, renal liver function, electrolycite, hematocrit after 15-30 minutes after returning to the resuscitation room. The patient will receive an X-ray at the bed.

The doctor checks hemolysis continuously, supports steaming, urine, drainage every 30 minutes or once every 1 hour depending on hemolysis.

Patients are given antibiotics to prevent bacterial infections along with cardiac medications, diuretic and blood transfusions and blood replacements depending on the patient's condition.

Patients after surgery with VATS will recover faster, less painfully than open surgery. Possible complications such as bleeding, collapse of the lungs or respiratory failure will be monitored regularly and promptly by your doctor.

After surgery, the patient can be discharged after only 3-5 days depending on the degree of recovery. This method also helps patients to be less painful and recover quickly.

Doctors will likely discuss with patients how long they will progress their health and advise on resting at home. In addition, patients will also be provided with information about breathing exercises that help prevent infection after surgery. And it is important that patients persistently rest, practice avoiding strong movement.

VATS is a surgery with minimal invasiveness but when the instruments are inserted through between the ribs can also override the nerves and cause numbness, pain in this area. If this condition persists even if painkillers have been used after surgery, patients should immediately contact their doctor for timely treatment.

If you want to use additional painkillers even if you have been prescribed earlier, you need to consult a doctor.

Thoracic surgery with endoscopy is the optimal method chosen by many patients because of its many outstanding advantages. However, to perform surgery using this method safely and effectively requires doctors to have experience, high professional qualifications and modern equipment.

Share99 International Hospital is one of the hospitals with a team of quality doctors, leading experts of departments, high level, experienced, famous in the industry. Comprehensive professional cooperation with major hospitals at home and abroad (USA, Japan, Singapore) to bring patients the best treatment conditions. For more information, please contact Share99 Health System Hotline nationwide, or register for an online examination HERE.