Needlescopic versus conventional video-assisted thoracic surgery for primary spontaneous pneumothorax: a comparative study Jin-Shing Chen, MD, Hsao-Hsun.

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Presentation transcript:

Needlescopic versus conventional video-assisted thoracic surgery for primary spontaneous pneumothorax: a comparative study Jin-Shing Chen, MD, Hsao-Hsun Hsu, MD, Shuenn-Wen Kuo, MD, Pi-Ru Tsai, RN, Robert J Chen, MD, MPH, Jang-Ming Lee, MD, PhD, Yung-Chie Lee, MD, PhD The Annals of Thoracic Surgery Volume 75, Issue 4, Pages 1080-1085 (April 2003) DOI: 10.1016/S0003-4975(02)04649-0

Fig 1 Two cameras with independent sets of videothoracoscopic equipment and monitors, one for 10-mm videothoracoscopy (Monitor 1) and the other for needlescopic videothoracoscopy (Monitor 2), were used concomitantly to improve the vision and shorten the time of operation. The Annals of Thoracic Surgery 2003 75, 1080-1085DOI: (10.1016/S0003-4975(02)04649-0)

Fig 2 Operative technique of needlescopic video-assisted thoracic surgery. (A) A 10-mm, 30-degree telescope and two mini-endograspers were used to identify the bulla. (B) After the bulla was identified and fixed, a needlescope was inserted through the lower mini-port. The bulla was resected by an endoscopic stapler introduced through the chest tube wound. (12 mm = 12 mm disposable trocar [US Surgical, Norwalk, CT]). The Annals of Thoracic Surgery 2003 75, 1080-1085DOI: (10.1016/S0003-4975(02)04649-0)