thoracic surgery with a single incision

Written by: Dr. Diego González Rivas
Published: | Updated: 24/05/2018
Edited by: Top Doctors®

Assisted VATS (VATS video-assisted thoracoscopic surgery) offers great advantages: lower long-term postoperative pain, greater functional recovery, reduced immune damage and complication rate, better cosmesis and early discharge.

Since 2010, we developed thoracoscopic with a single incision to operate lung cancer (UNIPORTAL VATS). Thus it allows more complex bronchial and vascular reconstruction surgeries and prevent complete removal of the lung.

Since 2014, we have gone a step further: lung surgery without intubate the patient under sedation and maintaining spontaneous ventilation. With this less aggressive option complications are decreased, oxygenation conditions and hemodynamics are improved, the patient has greater postoperative comfort, income is avoided in intensive care, returning home in the shortest possible time and costs are significantly lower. These techniques should be performed only by surgeons with extensive experience.

Another innovation is the subxiphoid UNIPORTAL approach for lung surgery more. The advantage is that the chest is not opened and the incidence of postoperative pain is very low. From the subxifiodeo space we can make thymectomies in myasthenic patients, mediastinal tumor resections, surgery of both lungs and pulmonary lobectomy. For this type of surgery the surgeon must have extensive experience in the UNIPORTAL technique.

The next technological advances such as robotic surgery through a single incision, the development of new finer and luffing endostaplers or using wireless cameras facilitate the adoption of the single port thoracic surgery by a large number of surgeons.

*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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