TY - JOUR AU - Mainieri Hidalgo, Jose A. PY - 2010/01/01 Y2 - 2024/03/29 TI - 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 JF - Acta Médica Costarricense JA - AMC VL - 52 IS - 1 SE - Originales DO - 10.51481/amc.v52i1.714 UR - http://actamedica.medicos.cr/index.php/Acta_Medica/article/view/714 SP - 26-29 AB - <p class="MsoNormal" style="text-align: justify; margin: 0cm 0cm 10pt;"><strong><span style="line-height: 115%; font-family: ";Arial";,";sans-serif";; font-size: 10pt; mso-ansi-language: EN-US;" lang="EN-US">Objective: </span></strong><span style="line-height: 115%; font-family: ";Arial";,";sans-serif";; font-size: 10pt; mso-ansi-language: EN-US;" lang="EN-US">To analyze how useful has been the development of thoracoscopy at the <em>Hospital Dr. Rafael A. Calderón Guardia Hospital</em>.</span></p><p class="MsoNormal" style="text-align: justify; margin: 0cm 0cm 10pt;"><strong><span style="line-height: 115%; font-family: ";Arial";,";sans-serif";; font-size: 10pt; mso-ansi-language: EN-US;" lang="EN-US">Materials and methods: </span></strong><span style="line-height: 115%; font-family: ";Arial";,";sans-serif";; font-size: 10pt; mso-ansi-language: EN-US;" lang="EN-US">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. <strong>Results: </strong>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. </span></p><p class="MsoNormal" style="text-align: justify; margin: 0cm 0cm 10pt;"><strong><span style="line-height: 115%; font-family: ";Arial";,";sans-serif";; font-size: 10pt; mso-ansi-language: EN-US;" lang="EN-US">Conclusion: </span></strong><span style="line-height: 115%; font-family: ";Arial";,";sans-serif";; font-size: 10pt; mso-ansi-language: EN-US;" lang="EN-US">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.</span><span style="font-family: ";Arial";,";sans-serif";; mso-ansi-language: EN-US;" lang="EN-US"></span></p> ER -