Brazilian Journal of Pulmonology

ISSN (on-line): 1806-3756 | ISSN (printed): 1806-3713

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Mini-thoracostomy with vacuum-assisted closure: a minimally invasive alternative to open-window thoracostomy

Minipleurostomia com curativo a vácuo: uma opção minimamente invasiva a pleurostomia

Alessandro Wasum Mariani1,a, João Bruno Ribeiro Machado Lisboa1,b, Guilherme de Abreu Rodrigues1,c, Ester Moraes Avila2,d, Ricardo Mingarini Terra1,e, Paulo Manuel Pêgo-Fernandes1,f

J Bras Pneumol.2018;44(3):227-230

Abstract PDF PT PDF EN Portuguese Text

Thoracostomy is a common treatment option for patients with stage III pleural empyema who do not tolerate pulmonary decortication. However, thoracostomy is considered mutilating because it involves a thoracic stoma, the closure of which can take years or require further surgery. A new, minimally invasive technique that uses the vacuum-assisted closure has been proposed as an alternative to thoracostomy. This study aims to analyze the safety and effectiveness of mini-thoracostomy with vacuum-assisted closure in an initial sample of patients.

 


Keywords: Infection; Empyema, pleural; Negative-pressure wound therapy; Thoracostomy.

 


Applications for a hybrid operating room in thoracic surgery: from multidisciplinary procedures to ­­image-guided video-assisted thoracoscopic surgery

Usos da sala híbrida em cirurgia torácica: de procedimentos multidisciplinares à cirurgia toracoscópica videoassistida guiada por imagem

Ricardo Mingarini Terra1,2, Juliano Ribeiro Andrade2, Alessandro Wasum Mariani1,2, Rodrigo Gobbo Garcia2, Jose Ernesto Succi2,3, Andrey Soares2,4, Paulo Marcelo Zimmer2

J Bras Pneumol.2016;42(5):387-390

Abstract PDF PT PDF EN Portuguese Text

The concept of a hybrid operating room represents the union of a high-complexity surgical apparatus with state-of-the-art radiological tools (ultrasound, CT, fluoroscopy, or magnetic resonance imaging), in order to perform highly effective, minimally invasive procedures. Although the use of a hybrid operating room is well established in specialties such as neurosurgery and cardiovascular surgery, it has rarely been explored in thoracic surgery. Our objective was to discuss the possible applications of this technology in thoracic surgery, through the reporting of three cases.

 


Keywords: Thoracic surgery, video-assisted; Bronchoscopy; Thoracoscopy; Radiology, interventional.

 


 

 


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CNPq, Capes, Ministério da Educação, Ministério da Ciência e Tecnologia, Governo Federal, Brasil, País Rico é País sem Pobreza
Secretariat of the Brazilian Journal of Pulmonology
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