DR MUJAHID Z ALI

CONSULTANT GENERAL & THORACIC SURGEON

CMH RAWALPINDI

WHAT IS VATS??

Similarities
Same instruements
hand-eye coordination
Learning curve
ergonomics

Differences
Thoracic anaesthesia
Limited space
Port mobility

Indications
Pleural

Mediastinum

Effusion
Mass

LN
Mass

pxt

Cyst

Lung
Nodules
Resection
Chest wall
Mass

Diaphragm
Eventration
Hernia
Esophagus
Resection

Contra-indications
Single lung
Unfit for OLV
Thoracic anaesthetist unavailability
Adhesions
Space issues

Complications
Anaesthesia related
Surgery related
Pulmonary
Space
Cardiac