VATS Wedge Resection
Lung wedge resection through video-assisted thoracic surgery (VATS) is aimed at achieving the same goals as open surgery, but according to minimally invasive principles. Main indications for VATS wedge resection include management of pneumothorax and advanced emphysema (i.e., pneumoplasty or lung volume reduction surgery), diagnosis of interstitial lung diseases and solitary pulmonary nodules, and surgical management of pulmonary metastases. The technical details of conventional three-port VATS wedge resection are described in this chapter; however, there is general interest in innovative surgical approaches that, coupled with the implementation of locoregional anesthesia, may further reduce the invasiveness of wedge resection, rendering this procedure feasible through a single-access (uniportal) incision in a day-surgery setting.
KeywordsInterstitial Lung Disease Wedge Resection Solitary Pulmonary Nodule Pulmonary Metastasectomy Primary Spontaneous Pneumothorax
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