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 CME ARTICLE
Year : 2007  |  Volume : 3  |  Issue : 4  |  Page : 161-167

Video assisted thoracic surgery in children


Department of Pediatric Surgery, Sir J J Hospital and Grant Medical College, Mumbai, India

Correspondence Address:
Rasik Shah
G/10, Pannalal Terraces, Grant Road, Mumbai - 400 007
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-9941.38910

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Thoracoscopic surgery, i.e., video assisted thoracic surgery (VATS) has been in use in children for last 98 years. Its use initially was restricted to the diagnostic purposes. However, with the improvement in the optics, better understanding of the physiology with CO2 insufflation, better capabilities in achieving the single lung ventilation and newer vessel sealing devices have rapidly expanded the spectrum of the indication of VATS. At present many complex lung resections, excision of mediastinal tumors are performed by VATS in the experienced centre. The VATS has become the standard of care in empyema, lung biopsy, Mediastinal Lymphnode biopsy, repair of diaphragmatic hernia, etc. The article discusses the indications of VATS, techniques to achieve the selective ventilation and surgical steps in the different surgical conditions in children.






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Online since 15th August '04