VIDEO-ASSISTED THORACOSCOPIC SURGICAL (VATS) CLOSURE OF PATENT DACTUS ARTERIOSUS; REPORT OF THREE-HUNDRED CASES

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NEZAFATI M.H.

مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

Journal Paper

Paper Information

Journal: MEDICAL JOURNAL OF MASHHAD UNIVERSITY OF MEDICAL SCIENCES Year:2001 | Volume:44 | Issue:72 Page(s): 79-83

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Title

VIDEO-ASSISTED THORACOSCOPIC SURGICAL (VATS) CLOSURE OF PATENT DACTUS ARTERIOSUS; REPORT OF THREE-HUNDRED CASES

Author(s)

NEZAFATI M.H. | Issue Writer Certificate

Keywords

VIDEO-ASSISTED THORACOSCOPIC SURGERYQ4

VATS TECHNIQUEQ4

PATENT DUCTUS ARTERIOSUSQ4

PDA CLOSUREQ4

Abstract

Objective: VIDEO-ASSISTED THORACOSCOPIC SURGERY (VATS) has recently been used for PATENT DUCTUS ARTERIOSUS (PDA) closure on a routine basis. Our entire experience with this technique is reviewed here supporting its efficacy and other advantages, without performing thoracotomy but with the same results.Methods: From june 1997 to october 2000, three-hundred patients (mean age: 6 years old) with P D A. recognized by echocardiography and/or cardiac catheterization, who underwent VATS were studied. With the patients under general anesthesia, three 5mm holes were made through the left thoracic wall. A video camera and specialized surgical devices were introduced. The ductus was dissected, and two titanium clips were applied for complete closure of the ductus. Exclusion criteria were: 1) Diameter of the ductus>9mm, 2) Complicated PDA such as: aneurysm formation, endocardiatis and calcification, 3) Pleural adhesion and/or left sided thoracic operation in the past.Results: All cases were re-assessed immediately after the procedure, and followed for more than 3 years by control echocardiography. No significant complication and residual shunt was recorded during the follow-up period. The procedure was changed to thoracotomy in three adult patients due to inappropriately dilated canal (>9mm), meanwhile, two additional patients developed transient recurrent laryngeal nerve dysfunction. Mean procedure time was about 20+/-2 minutes. All patients were discharged shortly after the procedure (≈20 hours).Conclusion: Our results confirm that adventages of VATS TECHNIQUE for P D A closure is rapid, cost-effective, painless and of cosmotic benefits compared with the classical thoracotomy approach.

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APA: Copy

NEZAFATI, M.H.. (2001). VIDEO-ASSISTED THORACOSCOPIC SURGICAL (VATS) CLOSURE OF PATENT DACTUS ARTERIOSUS; REPORT OF THREE-HUNDRED CASES. MEDICAL JOURNAL OF MASHHAD UNIVERSITY OF MEDICAL SCIENCES, 44(72), 79-83. SID. https://sid.ir/paper/51782/en

Vancouver: Copy

NEZAFATI M.H.. VIDEO-ASSISTED THORACOSCOPIC SURGICAL (VATS) CLOSURE OF PATENT DACTUS ARTERIOSUS; REPORT OF THREE-HUNDRED CASES. MEDICAL JOURNAL OF MASHHAD UNIVERSITY OF MEDICAL SCIENCES[Internet]. 2001;44(72):79-83. Available from: https://sid.ir/paper/51782/en

IEEE: Copy

M.H. NEZAFATI, “VIDEO-ASSISTED THORACOSCOPIC SURGICAL (VATS) CLOSURE OF PATENT DACTUS ARTERIOSUS; REPORT OF THREE-HUNDRED CASES,” MEDICAL JOURNAL OF MASHHAD UNIVERSITY OF MEDICAL SCIENCES, vol. 44, no. 72, pp. 79–83, 2001, [Online]. Available: https://sid.ir/paper/51782/en

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