Less Port Sites In Vats Surgery?
Sofoklis Mitsos, Davide Patrini, Iria Roibas Vega, Martin Hayward, Marco Scarci, David Lawrence, Nikolaos Panagiotopoulos.
University College London Hospitals NHS Foundation Trust, London, United Kingdom.
Less port sites in VATS surgery? The application of Teleflex MiniLap percutaneous surgical system (PSS) in sublobar lung resections.
Sofoklis Mitsos, Davide Patrini, Iria Vega, Martin Hayward, Marco Scarci, David Lawrence, Nikolaos Panagiotopoulos
Department of Thoracic Surgery, University College London Hospitals (UCLH) NHS Foundation Trust, London, UK
VATS surgery has developed significantly over the last two decades representing the gold standard approach for the majority of lung resections. The percutaneous Teleflex MiniLap instruments have been introduced in Thoracic Surgery leading in better cosmetic results and more minimally invasive procedures.
The MiniLAP instruments have a slim 2.3mm shaft diameter and are inserted percutaneously using a integrated needle tip. Following insertion, the grasper jaws with an opening of 12.5mm or the probe are deployed to grasp or coagulate lung tissue. At the same time the proprietary steel shaft provides the strength and necessary stiffness for secure tissue retractor.
We present our experience with the application of MiniLap PSS in sublobar lung resections. All procedures (including bullectomies and wedge lung resections) were performed with the clutch grasper for lung retraction and manipulation. The overall aesthetic result was excellent eliminating the need of a third working port. The 2.3mm skin incision did not require the need for stitch and all procedures were performed with two port sites.
The application of PSS in sublobar lung resections allowed better retraction of the parenchyma with no lung tissue damage. It was associated with elimination of one port site resulting in patient cosmetic satisfaction and reduced postoperative pain. Overall, it represents a step forward to more minimally invasive Thoracic Surgery procedures.
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