VIDEO ASSISTED THORACIC SURGERY
What is video assisted thoracic surgery (VATS)?
Video-Assisted Thoracic Surgery (VATS) is a minimally invasive surgery used to treat a wide variety of thoracic diseases. The procedure is performed by making small incisions through which specialized instruments, including an endoscopic camera, are inserted into the body.
What are the advantages of video assisted thoracic surgery (VATS)?
With minimally invasive surgery, smaller incisions are made than in traditional surgery. As a result, there is less blood loss, less scarring, and less post-operative pain. The recovery time is significantly shorter than after traditional surgery. The procedure eliminates the need for rib spreading which helps to reduce post-operative pain.
Who should have video assisted thoracic surgery (VATS)?
Patients with thoracic disease may be candidates for VATS. The procedure is used for the following problems:
- resection of lung cancer
- symptomatic bronchogenic cysts
- intra or extra lobar sequestrations
- localized bronchiectasis
- benign end stage and malignant conditions affecting the esophagus
- lung volume reduction surgery
- sympathectomy for hyperhidrosis
- thymectomy for myasthenia gravis.
What preparations will be needed prior to surgery?
The surgeon may have the patient see a primary care doctor prior to surgery to make sure there are no medical conditions that may cause a problem with the surgery. There will be a pre-op appointment prior to the day of surgery that will include a history and physical examination, possible blood samples, possible EKG, and a visit with a member of anesthesia department. Patients should not eat or drink anything after midnight on the night before surgery.
What type of anesthesia will be required?
VATS is done under General Anesthesia.
Is there a hospital stay after surgery?
Generally, this procedure requires an overnight hospital stay for most major lung resections. Other resections such as wedge resections can be done as an outpatient procedure.
What kind of a recovery can be expected?
Pain is usually tolerable with oral pain medications. Patients can resume their medications, walking and other gentle activities when they return home.