Trans Oral-Substernum Incision Thoracic Endoscopic Surgery: A Minimally Invasive Endoscopic Approach in Thoracic Surgery
Journal Title: Journal of Surgery - Year 2015, Vol 3, Issue 2
Abstract
Flexible endoscope is used in Natural Orifice Trans-luminal Endoscopic Surgery. Cervical incision thoracic surgery has recently been described. The use of a flexible endoscope through a natural orifice into the thoracic cavity still remains ethically doubtful. The authors present a surgical experimental study using a flexible endoscope through oral-substernum incision for the exploration of both the thoracic cavity in dog model. An experimental work on 5 male mongrel dogs was initiated. Through a small incision at oral floor, we performed simultaneous exploration of the pleural cavities. Identification and biopsies of pleural and lung was performed. None chest tube was placed in the thoracic cavity at the end of all pleural procedures. The potential advantages of this approach are exploration of the thoracic cavity and the performance of several thoracic interventions through oral floor. The flexible endoscope could become a surgical tool for thoracic surgery.
Authors and Affiliations
Zhang Zhe
Comparative Study between Alvarado Score& Ripasa Score in Diagnosis of Acute Appendicitis
Background: Acute appendicitis is one of commonest surgical emergencies, and it is more prevalent in the second and third decades and decreasing with age. Up-till now there are no laboratory parameters that could indicat...
Tubularized Incised Plate (TIP) Repair Improves Outcome of Hypospadias Repair
Aim of the study: To analyze if a change of surgical method affects the complication rate in hypospadias surgery. Methods: Over a period of six years, the Mathieu procedure was replaced by the Tubularized Incised Plate...
Multistep Progression from Atypical Adenomatous Hyperplasia to Lung Adenocarcinoma: Clinico-Pathologic, Epigenetic and Genetic Aspects
Detection of small peripheral ground-glass opacity nodules has increased due to the advances in imaging modalities and the widespread use of computed tomography screening. Pathologic examination of these nodules revealed...
Therapeutic Ultrasound: Osteoarthritis Symptom-Modification and Potential for Disease Modification
Osteoarthritis (OA) is a degenerative joint disease and a leading cause of adult disability. While joint replacement surgery is a common treatment option for end-stage disease, non-surgical management is critical for pre...
The Role of Prophylactic Lymph Node Dissection in Patients with Intrahepatic Cholangiocarcinoma
Purpose: We investigated the role of prophylactic lymph node dissection (LND) in patients with intrahepatic cholangiocarcinoma (ICC). Methods: A retrospective analysis was performed evaluating the impact on survival of...