• Bethany J. Slater
  • Steven S. Rothenberg
Part of the Springer Surgery Atlas Series book series (SPRISURGERY)


Thoracoscopy is a technique that has been in use since the early 1900s but has undergone an exponential increase in popularity and growth over the past two decades. Until the late 1980s, most thoracoscopies were purely diagnostic. It wasn’t until the early 1990s, with the dramatic revolution in technology associated with laparoscopic surgery in adults, that more advanced diagnostic and therapeutic procedures have been performed in children. The development of high definition cameras, superior optics, and smaller instrumentation has enabled pediatric surgeons to perform even the most complicated thoracic procedure thoracoscopically. Currently, most of the operations that have been classically performed through a formal thoracotomy can now be performed in a video-assisted fashion using a number of small incisions. The term VATS is often used and stands for video-assisted thoracoscopic surgery. This technique provides excellent visualization of the relevant anatomy and pathology, and drastically reduces the pain, recovery, and long-term morbidity associated with the procedures.


Pediatrics Thoracoscopy Video-assisted thoracoscopic surgery VATS 

Suggested Reading

  1. Chen H, Weng G, Chen Z, Wang H, Bao J, Ziao R. Comparison of posterolateral thoracotomy and video-assisted thoracoscopic clipping for the treatment of patent ductus arteriosus in neonates and infants. Pediatr Cardiol. 2011;32:386–90.CrossRefGoogle Scholar
  2. Fraga JC, Rothenberg SS, Kiely E, Peirro A. Video-assisted thoracic surgery resection for pediatric mediastinal neurogenic tumors. J Pediatr Surg. 2012;47:1349–53.CrossRefGoogle Scholar
  3. Hammer GB. Single-lung ventilation in infants and children. Paediatr Anaesth. 2004;14:98–102.CrossRefGoogle Scholar
  4. Kogut KA, Bufo AJ, Rothenberg SS, Lobe TE. Thoracoscopic thymectomy for myasthenia gravis in children. J Pediatr Surg. 2000;35:1576–7.CrossRefGoogle Scholar
  5. Partrick DA, Rothenberg SS. Thoracoscopic resection of mediastinal masses in infants and children: an evaluation of technique and results. J Pediatr Surg. 2001;38:1165–7.CrossRefGoogle Scholar
  6. Rothenberg SS. Thoracoscopic pulmonary surgery. Semin Pediatr Surg. 2007;16:231–7.CrossRefGoogle Scholar
  7. Rothenberg SS. First decade’s experience with thoracoscopic lobectomy in infants and children. J Pediatr Surg. 2008;43:40–5.CrossRefGoogle Scholar
  8. Smith TJ, Rothenberg SS, Brooks M, Bealer J, Chang J, Cook BA, Cullen JW. Thoracoscopic surgery in childhood cancer. J Pediatr Hematol Oncol. 2002;24:429–35.CrossRefGoogle Scholar

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  • Bethany J. Slater
    • 1
  • Steven S. Rothenberg
    • 1
  1. 1.Department of Pediatric SurgeryRocky Mountain Hospital for ChildrenDenverUSA

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