Humans ; Minimally Invasive Surgical Procedures ; Thoracic Surgical Procedures ; methods

China ; Humans ; Thoracic Surgery ; trends ; Thoracic Surgical Procedures ; trends

Precise surgery is based on the integrated application of modern science and technology and integrated innovation of surgical technology revolution features. It is built in high-end digital medical bases. The purpose of precise surgery is to achieve accurate lesion resection, minimize injury, improve the quality of life and reduce the risk of surgery. In this paper we forward new concept of precise thoracic surgery. An overview was made on the development of precise surgery with great support of virtual reality technology, augmented reality technology and image acquisition technology. Finally the paper illustrated the prospect of precise of thoracic surgery from the following aspects: preoperative planning, the choice of surgical approach, precise tumor localization, postoperative immediate 3-dimension multi modality imaging evaluation.
Humans ; Minimally Invasive Surgical Procedures ; Quality of Life ; Thoracic Surgery ; trends ; Thoracic Surgical Procedures

Humans ; Neoplasms ; surgery ; Robotic Surgical Procedures ; Thoracic Surgical Procedures ; Time Factors ; Treatment Outcome

With advancement of the technique of video-assisted thoracic surgery (VATS), some surgeons have made great efforts to reduce the number of incisions in the conventional three- or four-port approach. Several studies on cases treated by single-incision VATS and their short-term outcomes were reported. Here, we present our experience with single-incision VATS for the treatment of benign mediastinal diseases.
Mediastinal Diseases ; Surgical Procedures, Minimally Invasive ; Thoracic Surgery, Video-Assisted

Recently, minimally invasive approach via limited incision becomes one of the rapidly developing strategy in cardiac surgery as it gives less surgical trauma and is more satisfactory to the patients in respect to operative scar although the surgical technique is more demanding. Here, we report two cases of aortic valve replacement via limited transsternal incision. The methodology is described with review of the relevant literature.
Aortic Valve* ; Cicatrix ; Humans ; Surgical Procedures, Minimally Invasive ; Thoracic Surgery

Recently, Minimally invasive direct coronary artery bypass surgery (MIDCAB) is becoming one of the rapidly developing strategies in cardiac surgery. We report a case of MIDCAB used in upper sternotomy because of severe pleural adhesion.
Coronary Artery Bypass ; Sternotomy* ; Surgical Procedures, Minimally Invasive ; Thoracic Surgery

Feasibility Studies ; Humans ; Pneumonectomy ; Robotic Surgical Procedures ; Thoracic Diseases ; surgery

Female ; Humans ; Male ; Reconstructive Surgical Procedures ; Thoracic Wall ; surgery

OBJECTIVE: To investigate the validity and safety of trans-esophageal echocardiography (TEE) in monitoring of Nuss surgery. METHODS: A total of 140 patients with pectus excavatum from Sichuan Provincial People's Hospital underwent Nuss surgery from August, 2011 to Aμgust, 2013. Among them, 72 patients received TEE monitoring while 68 patients didn't. The injury of heart and large vessels by the introducer and Nuss steel bar was observed by intraoperative TEE monitoring under middle-esophageal four chamber view and middle-esophageal aortic short axis view. RESULTS: The operation in all patients had been performed successfully without any severe complications. Satisfactory TEE images were obtained in all patients. The procedure of inserting the inducer and Nuss steel bar behind sternum and steel bar overturn could be seen clearly. No injury in heart and large vessels was detected. Local streak-like hemorrhage in 3 patients was observed under intra-operative TEE screen, but no further new bleeding was found in postoperative TEE examination. The blood was absorbed and couldn't see under trans-thoracic echocardiography in 1 month after the operation. CONCLUSION The TEE is a non-invasive monitoring method. It is sensitive to detect the status of the heart and large vessels and can prevent the severe complications due to Nuss surgery.
Echocardiography ; Funnel Chest ; diagnosis ; Heart ; Humans ; Sternum ; Thoracic Surgical Procedures