VATS Surgery

VATS (Key Hole Surgery) Program

What is VATS (Video Assisted Thoracic Surgery) ?

Video-assisted thoracoscopic surgery (VATS) is a type of surgery for diagnosing and treating a variety of conditions involving the chest (thorax). It is a minimally invasive surgery where instead of conventional 15-20 cm cut on the chest, 3 smaller cuts each around 1-4 cm are used to perform the complete surgery. The surgery is done using a special camera (called a thoracoscope) and other long slender tools through these cuts. The complete surgery performed as would be done in conventional open surgery but without the need of large incisions and any rib spreading.

Who requires VATS?

VATS is employed to d treat a variety of diseases of the chest that require surgery. These include diseases of the, Pleura, Lung, Esophagus, Mediastinum, Chest Wall and Diaphragm. Many a times VATS is used to biopsy part of the lung, the lymph nodes, the tissue around the lung, the tissue around the heart, or the esophagus for purpose of diagnosing certain diseases.

List of Procedures done by VATS

  • VATS Drainage of infected Pleural Effusion (Early Stage Empyema)
  • VATS Decortication for Empyema Thoracic (Late Stage Empyema)
  • VATS Lobectomy (For Lung Cancer, Bronchiectasis, Aspergilloma, Lung Cysts etc)
  • VATS Segmentectomy
  • VATS resection of lung nodules (Metastasectomy, Solitary Pulmonary Nodule)
  • VATS Pleurodesis (for Recurrent Pleural Effusion / Pneumothorax)
  • VATS for Pneumothorax (Primary or Secondary)
  • VATS Thymectomy for Myasthenia Gravis and / or Thymoma
  • VATS resection of Posterior Mediastinal Tumours
  • VATS Resection of Cysts of lung / Mediastinum (Hydatid cysts, Bronchogenic Cysts, Esophageal Duplication Cysts)
  • VATS lung Biopsy for Interstitial Lung Disease
  • VATS enucleation of Esophageal Leiomyoma
  • VATS Esophagectomy for Esophageal Cancer

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Dr Belal Bin Asaf

Associate Director

Institute Of Chest Surgery, Chest

Onco-Surgery & Lung Transplantation

Medanta, Sector 38, Gurugram

List of Procedures done by VATS

  • VATS Drainage of infected Pleural Effusion (Early Stage Empyema)
  • VATS Decortication for Empyema Thoracic (Late Stage Empyema)
  • VATS Lobectomy (For Lung Cancer, Bronchiectasis, Aspergilloma, Lung Cysts etc)
  • VATS Segmentectomy
  • VATS resection of lung nodules (Metastasectomy, Solitary Pulmonary Nodule)
  • VATS Pleurodesis (for Recurrent Pleural Effusion / Pneumothorax)
  • VATS for Pneumothorax (Primary or Secondary)
  • VATS Thymectomy for Myasthenia Gravis and / or Thymoma
  • VATS resection of Posterior Mediastinal Tumours
  • VATS Resection of Cysts of lung / Mediastinum (Hydatid cysts, Bronchogenic Cysts, Esophageal Duplication Cysts)
  • VATS lung Biopsy for Interstitial Lung Disease
  • VATS enucleation of Esophageal Leiomyoma
  • VATS Esophagectomy for Esophageal Cancer

Benefits of VATS

VATS has shown several benefits when compared to conventional open surgery

  • Less Pain
  • Less Blood Loss
  • Shorter Hospital Stay
  • Better Cosmesis
  • Earlier Return to work

Risks of VATS

Any surgical procedure has some risks associated with it. VATS is no different. In experienced hands the incidence of these risks is reduced but is never zero. The possible complications of video-assisted thoracoscopic surgery (VATS) include:

The age of the patient, other coexisting medical conditions like diabetes, heart disease or other illnesses and the primary illness will help determine your risk for different complications. Please do not hesitate to ask your surgeon about your specific risks. An experienced team will take measures to reduce these complications by proper preoperative evaluation and optimization, immaculate surgical technique and aggressive post-operative monitoring and care.

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