Dark side of the moon: the price to pay in minimally invasive thoracic surgery (MITS)

Abstract

The longer you can look back, the farther you can look forward. 1 " -Winston Churchill "I transmit but do not create. I believe in and love the ancients. 2 " -Confucius

Evaluating the Environmental Impact of Single-Use and Multi-Use Surgical Staplers with Staple Line Buttressing in Laparoscopic Bariatric Surgery

“…16,17 However, the single-use staplers produce large amounts of waste, which can be addressed by using multi-use staplers. 14,27 The results of our study show that preloaded buttressing reduces the amount of waste created by reinforcement per staple firing compared to separate buttressing. The preloaded buttressing is used with a MUS, whose reuse further reduces the environmental impact, whereas the separate buttressing is paired with the SUS.…”

“…Laparoscopic surgery can offer many benefits if it is applied in the interest of the patient as well as the operating surgeon. 27 A laparoscopic approach to bariatric surgery has been shown to offer benefits compared to an open procedure, 28 , 29 and often relies on stapling for tissue approximation. The use of buttressing to reinforce the staple line has been shown to reduce bleeding and leakage.…”

A pneumothoraxról: Szövetségesből ellenség •

“…Bár az 1950-es évektől ismert, az ezredfordulótól szaporodnak a katameniális PTX esetei, az endometriózis szinte endémiás terjedésével. A mellkassebészeti műtétek biztonságossá válásával a thoracotomia, majd a VATS-módszerek 1990-es évektől számolandó elterjedésével, mostanra dominánssá válásával a műtéti megoldás gyakorisága is radikálisan nőtt [14].…”

“…A nemzetközi szakirodalom és ennek alapján a guideline-ok sora [1, 4, 5-7] egyértelműen a VATS megoldást preferálja, ami fiatalok légmellénél kétségtelenül támogatandó. A beavatkozás recidiva hányada 6-8% körül mozog [14], a nyitott, izomkímélő műtét 6-8-szorosa. Stabil traumás PTXműtétnél jobb az arány, vélhetően a mellűri kísérő vér jótékony ragasztó hatása miatt.…”

Aesculapius meets Vulcanus: robotic chest surgery

“…Obviously, RATS represents the cutting edge technology with definitive potential, primarily in oncologic surgery. It is as important to the progress of the art of thoracic surgery as Formula 1’s contribution to the car industry, specifically the motor of improvement [ 6 ]. Exploring the technological terra incognita ahead of us must be secured by a strict adherence to the basic rules of surgery, otherwise we find the cart well before the horses.…”