Unanticipated troubles in video‐assisted thoracic surgery: A proposal for the classification of troubleshooting

Abstract

Veteran surgeons can instinctively deal with intraoperative variance, but we frequently see inexperienced surgeons panic and change the course of their procedures. A VATS classification system may have educational benefits for newer surgeons. We believe that the creation of a categorized coping plan will help inexperienced surgeons deal with unanticipated problems.

Management of unexpected intraoperative bleeding during thoracoscopic pulmonary resection: a single institutional experience

“…Moreover, it has expanded the indications for pulmonary resection to include aged people [4] and those with severe comorbidities, who previously would not have been able to tolerate surgery, and to encompass complicated procedures such as largely fused fissures, dense adhesions and lymphadenopathy, advanced stage disease, bronchoplasty, and diaphragm resection [5]. According to the annual report of the Japanese Association for Thoracic Surgery [6], 23,411 (65.7 %) of 35,667 patients with lung cancer underwent VATS in 2012.…”

Classification of GLOSSECTOMIES: Proposal for tongue cancer resections

“…[24][25][26][27][28][29][30][31][32][33] Some of these classifications have entered into daily clinical practice, while some others less so. To clarify such confusion, we decided to base our proposal on the surgical anatomy of the tongue.…”

“…Other classifications of surgical procedures are reported in the literature, not only in the field of head and neck surgery but also in other fields in an attempt to create a common unifying language and to make such techniques more reproducible and comprehensible. [24][25][26][27][28][29][30][31][32][33] Some of these classifications have entered into daily clinical practice, while some others less so. An early example is that of the Viennese surgeon Theodor Billroth, who in 1881 proposed the first classification of a surgical procedure for gastric resection.…”