VATS

Video-Assisted Thoracoscopic Surgery (VATS) is a minimally invasive surgical technique used for diagnosing and treating diseases within the chest (thoracic) cavity. By utilizing a thoracoscope, which is a small camera inserted through tiny incisions, surgeons can view the chest cavity on a monitor and perform various procedures with precision.

Purpose:

  • Diagnostic: To examine the chest cavity, lungs, and pleura for abnormalities.
  • Therapeutic: To treat conditions such as lung cancer, pleural effusions, pneumothorax, and infections.

Procedure:

  1. Preparation: Preoperative assessments, imaging studies, and patient counseling are conducted.
  • Anesthesia: General anesthesia is administered.
  • Incision: Several small incisions (typically 1-3 cm) are made in the chest wall.
  • Insertion: The thoracoscope and surgical instruments are inserted through these incisions.
  • Operation: The surgeon views the chest cavity on a monitor and performs the necessary procedure.
  • Closure: The incisions are closed with sutures or surgical staples.

Advantages:

  • Less Pain: Smaller incisions result in less postoperative pain compared to open thoracic surgery.
  • Shorter Hospital Stay: Patients typically experience a shorter hospital stay.
  • Quicker Recovery: Reduced recovery time allows for a faster return to normal activities.
  • Minimal Scarring: Smaller incisions lead to less visible scarring.
  • Lower Risk of Complications: Reduced risk of infection and other complications due to smaller incisions.

Applications:

  • Lung Resection: Removal of lung nodules, lobectomy, or pneumonectomy for lung cancer.
  • Pleural Procedures: Management of pleural effusions, pleurodesis, and pleural biopsies.
  • Mediastinal Surgery: Removal of tumors or cysts from the mediastinum.
  • Sympathectomy: Treatment for hyperhidrosis (excessive sweating).
  • Biopsy: Obtaining tissue samples for diagnosis.

Recovery:

  • Hospital Stay: Typically shorter compared to open surgery.
  • Pain Management: Less postoperative pain and discomfort.
  • Activity: Patients can usually resume normal activities more quickly.
  • Follow-Up: Regular follow-up appointments to monitor recovery and address any complications.