Thoracoscopic lung single port surgery without intubation

Written by: Dr. Diego González Rivas
Published: | Updated: 24/02/2018
Edited by: Top Doctors®

The video surgery, a technique of thoracic surgery , significantly improves outcomes compared to traditional surgery and recovery is faster and less painful.

thoracoscopic lung surgery Thanks to advances in medicine both in the prevention, early diagnosis and new surgical techniques, lung tumors today, and when detected early, can become curable

Lung cancer can be operated in two ways. The classic way is open surgery, also known in which a thoracotomy incision is made about 15-20 cm and the ribs are separated. This approach has a very painful postoperative and today has been replaced by thoracoscopic techniques in many centers.

The less aggressively and offering the best results is the video surgery, also called VATS. It is made from one to three small incisions and operates through video cameras High resolution. By not separating the ribs recovery it is much better.

Our group was a pioneer in the world of video surgery through a single incision, performing the first case in 2010. Since then we have conducted more than 1,000 uniportales procedures and over 600 major procedures with this technique, including very complex cases.

Since 2014 we have gone a step further to reduce the surgical aggression developing lung surgery without intubation with the patient under sedation and maintaining spontaneous ventilation, which is less invasive and less altered immunity. To date we have made over 30 lobectomies using this technique with excellent postoperative results.

The advantages of this new development are manifold. The adverse effects of tracheal intubation and the use of general anesthesia are minimized, such as the trauma associated with intubation, ventilator induced lung injury, neuromuscular blockade, reduced heart function, nausea and vomiting. Moreover, as a minimally invasive technique with a single incision, reduced hospital stay and patient recovery is much faster.

Importantly, the use of this technique also allows to operate on patients whose state of health they can not be given general anesthesia or elderly patients. This new form of intervention is a safe option for them.

*Translated with Google translator. We apologize for any imperfection

By Dr. Diego González Rivas
Thoracic & Cardiac Surgery

Formed in video surgery at the best hospitals in the world as Cedars Sinai in Los Angeles and Duke Medical Center in North Carolina, Dr. González Rivas has managed to evolve the thoracic video surgery until lung cancer operate with thoracoscopy and using only a small cut so the patient can be discharged 24 to 48 hours after surgery. Pioneer in the world with this technique. Medical Specialist Thoracic Surgery from July 2004 until April 2005 worked at the University Hospital Complex of Santiago de Compostela. Impeller in 2010 Unit Minimally Invasive Thoracic Surgery (UCTMI). He is currently Deputy Medical Thoracic Surgery Unit of the Hospital Universitario Juan Canalejo Coruna.

*Translated with Google translator. We apologize for any imperfection

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