Feasibility of 3-dimensional video-assisted thoracic surgery (3D-VATS) for pulmonary resection.

Dickhoff, Chris; Li, Wilson W.; Symersky, Petr; Hartemink, Koen J.

Background: Two-dimensional video-assisted thoracic surgery (2D-VATS) has gained its position in daily practise. Although very useful, its two-dimensional view has its drawbacks when performing pulmonary resections. We report our first experience with 3-dimensional video-assisted surgery (3D-VATS). Advantages and differences with 2D-VATS and robotic surgery (RS) are discussed. Methods: To evaluate feasibility, we scheduled patients for surgery by 3D-VATS who would normally be treated with 2D-VATS. The main difference of the equipment in 3D-VATS compared with former VATS equipment, is the flexible camera-tip (100-degrees) and the necessary 3D-glasses. Results: Four patients were successfully operated for anatomic pulmonary resections. On-the-structure dissection was easily performed and with the flexible camera-tip, a perfect view can be obtained, with clear visualisation of important (hilar) structures. These features highly facilitate the surgeon in tissue preparation and recognition of the dissection planes. Conclusion: In our opinion, 3D-VATS is superior to 2D-VATS for performing anatomic pulmonary resection and we expect an improvement in terms of operation time and learning curve. Furthermore, it is a valuable alternative for RS at lower costs.

THORACIC surgery; LUNG surgery; SURGICAL robots; HUMAN dissection; MEDICAL care costs

Annals of Surgical Innovation & Research, 2015, Vol 9, p1

1750-1164

Academic Journal

10.1186/s13022-015-0018-x