Ten-year Experience with Minimally-invasive Thoracic Surgery at the Hospital Dr. Rafael Ángel Calderón Guardia

Versión traducida del artículo "Experiencia de 10 años con cirugía mínimamente invasiva del tórax, en el Hospital Dr. Rafael Ángel Calderón Guardia" DOI: https://doi.org/10.51481/amc.v52i1.548

Autores/as

  • Jose A. Mainieri Hidalgo Caja Costarricense del Seguro Social, Hospital Dr. Rafael A. Calderón Guardia

DOI:

https://doi.org/10.51481/amc.v52i1.714

Palabras clave:

Thoracoscopy, VATS surgery, hyperperhidrosis, neumothorax, mesothelioma, empyema

Resumen

Objective: To analyze how useful has been the development of thoracoscopy at the Hospital Dr. Rafael A. Calderón Guardia Hospital.

Materials and methods: With the purpose of assessing the experience acquired with the practice of minimally-invasive thoracic surgery (VAT surgery) during the first 10 years; clinical data from March 1999 to March 2009 of 788 patients, taken from a database of the Thoracic Surgery Department, was reviewed. Results: During this 10-year period, 25% of the Department’s surgical procedures were performed through thoracoscopy. This percentage increased to 49% during the last 2 years of the reviewed period. The medical records of patients that underwent diagnostic procedures or tumor resections were analyzed. Diagnosis was obtained in 97.4% of patients that underwent surgery with the purpose of diagnosis; mediastinal tumors were the most difficult to diagnose, in two of these cases, the pathologist requested a larger sample. No major procedures were performed through this method. There were no mortality cases. The conversion rate was 2.6%, of which 20% was due to bleeding and 80% to perform a major procedure.

Conclusion: Thoracoscopy has revolutionized the field of medicine, superseding previous approaches, such as toracotomy, for minor surgeries; this has allowed the performance of complex surgeries and procedures. The results obtained show satisfactory results for patients and usefulness for the institution.

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Publicado

2010-01-01

Cómo citar

Mainieri Hidalgo, J. A. (2010). Ten-year Experience with Minimally-invasive Thoracic Surgery at the Hospital Dr. Rafael Ángel Calderón Guardia: Versión traducida del artículo "Experiencia de 10 años con cirugía mínimamente invasiva del tórax, en el Hospital Dr. Rafael Ángel Calderón Guardia" DOI: https://doi.org/10.51481/amc.v52i1.548. Acta Médica Costarricense, 52(1), 26–29. https://doi.org/10.51481/amc.v52i1.714