| CME ARTICLE |
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| Year : 2007 | Volume
: 3
| Issue : 4 | Page : 161-167 |
Video assisted thoracic surgery in children
Rasik Shah, A Suyodhan Reddy, Nitin P Dhende
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
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0972-9941.38910
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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