A video-assisted thoracoscopic surgical technique for interruption of patent ductus arteriosus.
We describe herein a technique for patent ductus arteriosus (PDA) closure using a method of video-assisted thoracoscopic surgical (VATS) interruption derived from video-assisted endoscopic surgery. This technique of repair was performed on five patients with a mean age of 3 years and a mean weight of 13.7 kg during 1994 and 1995. Under general anesthesia, two 10-mm trocars and two or three 5-mm trocars were inserted through the left thoracic wall. A video camera and specially designed surgical tools including scissors, dissectors, and a clip applicator were then introduced. The ductus was dissected, and two titanium clips were applied to interrupt the ductus completely. Successful closure of the PDA by this video-assisted technique was achieved in all patients. The only complication which developed in one patient was hoarseness for 2 weeks postoperatively. The hospital stay ranged from 7 to 12 days and there were no serious complications or deaths. There results indicate that video-assisted thoracoscopic surgical interruption is a safe and effective technique for achieving closure of PDA.
Tsuboi
H
H
First Department of Surgery, Yamaguchi University School of Medicine, Japan.
Ikeda
N
N
Minami
Y
Y
Gohra
H
H
Hamano
K
K
Sugi
K
K
Katoh
T
T
Fujimura
Y
Y
Esato
K
K
D002675:Child, Preschool; D004374:Ductus Arteriosus, Patent / Q000601:surgery*; D019723:Endoscopes; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D020708:Thoracoscopes; D014743:Videotape Recording