VATS RSP

Potential indications for VATS are listed below, except:

• Indeterminate pleural effusion

• Resection of lung tumor

• Pericardiectomy

• Thymectomy for stage I thymoma

• Thoracic trauma with hemodynamic instability

Relative contraindications for VATS are listed below, except

• Dense pleural adhesions

• Diagnostic for interstitial lung disease

• Pulmonary hilar lesions

• Coagulopathy

• Inability to tolerate single lung ventilation

Which equipment is not mandatory for VATS operation?

• Video Camera system

• Thoracoscope

• Electrocautery

• Suction

• Ultrasonic dissector coagulator

What is the main principal of VATS?

• Rib spreading avoidance

• Small incisions

• Direct visualization of the operating field

• Most costly compared to open surgery

• Stapling device is always required

A lung biopsy with VATS can be performed with… EXCEPT:

• VATS guided core needle biopsy

• Wedge resection

• Segmentectomy

• Lobectomy

• VATS guided fine needle biopsy

Modality for tissue coagulation in VATS surgery are:

• Electrocautery

• Ultrasonic dissector coagulator

• Laser

• Clip

• All the above

What is the maximum vessel diameter that can be sealed with harmonic scalpel?

• 2mm

• 4mm

• 7mm

• 10mm

• 12mm

Advantage of VATS surgery is:

• Suitable for poor lung function patient

• Less post-operative pain

• Can be done easily on children

• Double lumen ETT Is not needed

• Post-operative analgesia is not needed

Instruments routinely used for VATS, except:

• Small rib retractor to retrieve specimen

• Grasper

• Hook

• Dissector

• Clamps

Methods to achieve collapse lung, EXCEPT:

• Bronchial blocker

• Robert Shaw tube

• Carlene tube

• CO₂ over 5mmHg

• CO₂ below 5mmHg