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Thoracoscopic Surgery in Oncology

In this episode of our PodCast, Lorena Martínez interviews the renowned Dr. César Díaz, specialist in General Surgery and Oncologic Surgery. 🧑‍⚕️🩺 

What is Thoracoscopic Surgery and how is it used in Oncology?

Thoracoscopic surgery, also known as video-assisted thoracic surgery (VATS), is a minimally invasive technique used in the treatment of various chest conditions, including cancer. This technique has revolutionized thoracic surgery by allowing surgeons to operate inside the chest through small incisions, rather than making one large incision as in traditional open surgery.

How does Thoracoscopic Surgery work?

In thoracoscopic surgery, small incisions are made in the chest through which a camera and surgical instruments are inserted. The camera provides a detailed view of the inside of the chest on a monitor, allowing the surgeon to guide the instruments precisely. This approach minimizes trauma to surrounding tissues, reduces postoperative pain, and speeds the patient's recovery.

Use of Thoracoscopic Surgery in Oncology

In the field of oncology, thoracoscopic surgery is used to treat various types of cancer affecting the chest, such as lung cancer, mesothelioma, and other thoracic tumors. Some of the most common applications include:

  1. Resection of Lung Tumors: Thoracoscopic surgery allows the removal of lung tumors, either by lobectomy (removal of a lobe of the lung) or segmentectomy (removal of a smaller section of the lung), with greater precision and fewer complications than open surgery.
  2. Lung Nodule Biopsy: This technique is useful for obtaining tissue samples from suspicious lung nodules, which helps in diagnosis and treatment planning.
  3. Mesothelioma Treatment: VATS can be used to resect the pleura (membrane covering the lungs) in patients with mesothelioma, offering a less invasive option with a faster recovery.
  4. Mediastinal Lymphadenectomy: Removing lymph nodes in the mediastinum (the area between the lungs) is essential for staging and treating lung cancer.
Benefits of Thoracoscopic Surgery

The benefits of thoracoscopic surgery include:

  • Less postoperative pain: Thanks to smaller incisions, patients experience less pain and require less pain medication.
  • Faster recovery: Patients usually recover more quickly and can resume normal activities in less time.
  • Less complications: Because it is less invasive, thoracoscopic surgery has lower rates of complications, such as infections and bleeding.
  • Improved aesthetic results: Small incisions leave less visible scars.
Importance of a Qualified Professional

It is essential that these types of procedures are performed by highly trained surgeons with experience in thoracoscopic surgery. The surgeon's precision and skill are crucial to maximizing benefits and minimizing risks. In addition, collaboration with a multidisciplinary oncology team ensures a comprehensive and personalized approach to cancer treatment.

In conclusion, thoracoscopic surgery has transformed the approach to surgical treatment in oncology, offering patients a less invasive option with multiple benefits in terms of recovery and clinical outcomes. Its use in cancer treatment demonstrates the continued advancement and innovation in modern medicine. 

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