Laparoscopic transdiaphragmatic chest surgery: Early experience

Andrade, Rafael S.; Diaz-Gutierrez, Ilitch; Hutchins, Jacob; Kaizer, Alexander M.; Small, Joseph; Rao, Madu

doi:10.1016/j.jtcvs.2017.10.127

Cited by 8 publications

(6 citation statements)

References 9 publications

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“…Transdiaphragmatic approach which was described by Andrade et al involves introduction of 4 laparoscopic ports including 2 intrathoracic ports inserted through diaphragmatic openings (33). An intrathoracic resection was performed in a standard VATS technique, a specimen was retrieved through the abdomen and the diaphragmatic openings which were finally closed.…”

Section: Transdiaphragmatic Approachmentioning

confidence: 99%

Non-intercostal access for video-assisted thoracic surgery—analysis of technical advantages and disadvantages

et al. 2018

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Background: Video-assisted thoracoscopic surgery (VATS) lobectomy has become an accepted method for the treatment of early-stage non-small-cell lung cancer (NSCLC). The standard VATS approach is an intercostal one which is often followed by postoperative pain due to injury of the intercostal nerve. The non-intercostal techniques of VATS include the subxiphoid, transcervical, transdiaphragmatic and transoral procedures. Methods: The technical difficulty of operative management of the anatomical structures during VATS anatomical resection are compared for the intercostal, subxiphoid and transcervical approaches. Results: Some operative steps have different range of difficulty, which are analyzed in detail. Conclusions: The clearest advantages of the non-intercostal approaches include less postoperative pain and superradial bilateral mediastinal lymphadenectomy in case of the transcervical approach. However, the non-intercostal approaches are more technically demanding procedures, which therapeutic role has to be clarified in the future.

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Section: Transdiaphragmatic Approachmentioning

confidence: 99%

Non-intercostal access for video-assisted thoracic surgery—analysis of technical advantages and disadvantages

et al. 2018

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“…Twenty-eight patients who underwent laparoscopic transdiaphragmatic VATS procedures using two-port entry sites to access the thoracic cavity with curative intent due to various etiologies, were reported by Andrade et al Authors did not report an exclusion criteria but recommended avoiding such procedure in patients with a body mass index (BMI) ≥ 35 kg/m2. In addition, they recommended avoiding the left transdiaphragmatic approach in relatively young patients or those who practice heavy lifting due to increased possibility of herniation [15].…”

Section: Discussionmentioning

confidence: 99%

“…All studies reported chest tube insertion before wound closure without emphasizing how long it remained inside the chest cavity and when it was removed. They also reported pulmonary complications, such as pneumonia, air-leak, atelectasis, and pleural effusion without a clear postoperative timeline [13,15,16].…”

Section: Discussionmentioning

confidence: 99%

Transdiaphragmatic Single-Port Video-Assisted Thoracoscopic Surgery; a Novel Approach for Pulmonary Metastasectomy through Laparotomy Incision – Case Series

Jalil

Chaar

Shihadeh

et al. 2020

Preprint

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Background: Pulmonary metastasectomy was performed in the early twentieth century and ever since, it has evolved to be one of the main treatment options for certain metastatic malignancies. The advancement of minimally invasive procedures enabled new techniques to minimize morbidity and improve patient quality of care and overall outcome. Cases presentation: Herein we present three patients, aged 53, 48, and 27 years, known to have sigmoid, rectal, and non-seminomatous germ cell tumors respectively. All patients were diagnosed to have metastatic lung nodules and underwent laparotomy to excise abdominal tumors followed by trans-diaphragmatic single-port video-assisted thoracoscopic pulmonary metastasectomy. All patients achieved complete surgical tumor excision, and none had pulmonary related complications on follow-up.Conclusion: Our prescribed novel trans-diaphragmatic single-port video-assisted thoracoscopic surgery (VATS) technique for synchronous pulmonary metastasectomy and intra-abdominal tumor resection is safe and can achieve complete resection with negative margins.

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“…There are some reported cases of lower posterior mediastinal tumor resection using a transdiaphragmatic approach by laparoscopic surgery in the literature. [ 10 – 14 ] They were all used the transperitoneal approach. However, we have reported the first case of a lower posterior mediastinal benign schwannoma that was successfully retroperitoneoscopic resected using a transdiaphragmatic approach.…”

Section: Discussionmentioning

confidence: 99%

Retroperitoneal robot-assisted resection of a lower posterior mediastinal benign schwannoma using a transdiaphragmatic approach

Qin

Jing²,

Wang³

et al. 2020

Medicine

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Introduction: Neurogenic tumors are the most frequent neoplasms of the lower posterior mediastinum. Traditionally, lower posterior mediastinal tumors are excised by video-assisted thoracic surgery. However, the available robotic treatment for the lower posterior mediastinum tumors to date are rare. Herein, we report a case of a right lower posterior mediastinal tumors successfully treated with retroperitoneal robot-assisted surgery using a transdiaphragmatic approach. Patient concerns: A 54-year-old male patient without any symptoms was admitted into our department with a right lower posterior mediastinal paravertebral tumor that was detected during a medical check-up. Diagnosis: A right lower posterior mediastinal paravertebral tumor. Interventions: Retroperitoneal robot-assisted resection using a transdiaphragmatic approach was performed. Outcomes: The patient was treated with retroperitoneal robot-assisted surgery using a transdiaphragmatic approach and remained disease-free throughout a 6-month follow-up. His postoperative course was uneventful. Histopathological examination revealed a benign schwannoma. Conclusion: Our initial experience showed that retroperitoneal robot-assisted resection of a lower posterior mediastinal tumor using a transdiaphragmatic approach is technically feasible and can be considered a potential alternative for either video-assisted thoracic surgery or a thoracotomy.

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Laparoscopic transdiaphragmatic chest surgery: Early experience

Cited by 8 publications

References 9 publications

Non-intercostal access for video-assisted thoracic surgery—analysis of technical advantages and disadvantages

Non-intercostal access for video-assisted thoracic surgery—analysis of technical advantages and disadvantages

Transdiaphragmatic Single-Port Video-Assisted Thoracoscopic Surgery; a Novel Approach for Pulmonary Metastasectomy through Laparotomy Incision – Case Series

Retroperitoneal robot-assisted resection of a lower posterior mediastinal benign schwannoma using a transdiaphragmatic approach

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