Morcellation in Semi-Exteriorized Pouch in Thoracoscopic Surgery

Abstract

Extraction of small specimens such as excised blebs through trocar site is a simple procedure. However, working thoracotomy is mandatory for removal of large solid intrathoracic tumors. We have used an instrument to morcellate a specimen in semi-exteriorized pouch during video-assisted thoracoscopic surgery. Morcellation has provided the solution for removing large solid benign tumors without a working thoracotomy.

Keywords

morcellation - VATS - working thoracotomy

• References

• 1 Johna S, Alkoraishi A, Taylor E, Derrick M, Bloch JH. Video-assisted thoracic surgery: applications and outcome. JSLS 1997; 1 (1) 41-44
• 2 Tomaszek SC, Cassivi SD, Shen KR , et al. Clinical outcomes of video-assisted thoracoscopic lobectomy. Mayo Clin Proc 2009; 84 (6) 509-513
• 3 Varkarakis I, Rha K, Hernandez F, Kavoussi LR, Jarrett TW. Laparoscopic specimen extraction: morcellation. BJU Int 2005; 95 (Suppl. 02) 27-31
• 4 Rossetti A, Sizzi O, Chiarotti F, Florio G. Developments in techniques for laparoscopic myomectomy. JSLS 2007; 11 (1) 34-40
• 5 Fry WA, Siddiqui A, Pensler JM, Mostafavi H. Thoracoscopic implantation of cancer with a fatal outcome. Ann Thorac Surg 1995; 59 (1) 42-45