| The field of video-assisted thoracoscopic surgery (VATS) has evolved from our experience with laparoscopic procedures now routinely performed by the general surgeons. In the past we used rudimentary devices to peer into the chest; now we utilize advanced video technology, computers and high-tech electronics to perform many operations that formerly required open large incision thoracotomy. In essence, video-assisted surgery allows the thoracic surgeon to accomplish the same goal as the comparable open procedure but with less pain, less morbidity and a shorter hospital stay for the patients.
At USC the Thoracic surgeons utilize VATS to examine the chest cavity from within and to perform diagnostic procedures such as lung, diaphragmatic and pleural biopsies. Increasingly complex procedures are now being performed such as lung resections, evacuation of pleural based problems, decortication, anti-reflux procedures, diaphragmatic plication.
Traditional surgical approaches have utilized a single large incision (cut) that is placed between the patient's ribs. The ribs are then spread apart, allowing the surgeon to look directly into the patient's chest. The surgery is then performed via this single large opening. These incisions are known as thoracotomies, and while very safe, are uncomfortable. By utilizing VATS, this large incision is avoided, thereby sparing the patient some of the post-operative pain and assisting them with a potentially quicker recovery.
|