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Calvin SH Ng, Tak Wai Lee, Song Wan, Innes YP Wan, Alan DL Sihoe, Ahmed A Arifi, Anthony PC Yim. Thoracotomy is associated with significantly more profound suppression in
Lymphocytes and Natural Killer cells than Video-Assisted Thoracic Surgery following major lung resections for cancer. J Invest
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to remove section of one or more ribs in an effort to prevent jagged rib fractures. Although sternotomy and thoracotomy have been proven over decades to provide highly effective access to thoracic structures and in general are tolerated by patients, both incisions have the potential for causing
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for early stage lung cancer, have been slower to catch on and have tended to remain confined to selected centers. It is expected that advanced VATS techniques will continue to grow in numbers spurred by patient demand and greater surgeon comfort and familiarity with the techniques.
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Calvin SH Ng, Song Wan, Connie WC Hui, Tak Wai Lee, Malcolm J Underwood, Anthony PC Yim. Video-Assisted
Thoracic Surgery for Early Stage Lung Cancer – Can short-term immunological advantages improve long-term survival? Ann Thorac Cardiovasc Surg
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Juan C Garzon, Calvin SH Ng, Alan D Sihoe, Anthony V Manlulu, Randolph HL Wong, Tak Wai Lee, Anthony PC Yim. Video-Assisted
Thoracic Surgery Pulmonary Resection for Lung Cancer in Patients with Poor Lung Function. Ann Thorac Surg
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Calvin SH Ng, Song Wan, Connie WC Hui, Innes YP Wan, Tak Wai Lee, Malcolm J Underwood, Anthony PC Yim. VATS lobectomy for lung cancer is associated with less immunochemokine disturbances than thoracotomy. Eur J Cardiothorac Surg
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to spread apart the divided sternum to allow visualization and access to the thoracic structures. Thoracotomy, as most commonly performed, requires division of one or more major muscles of the chest wall including the
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Ng CSH, Wan S, Wong RHL, Ho AMH, Yim APC. Angiogenic
Response to Major Lung Resection for Non-Small Cell Lung Cancer with Video-Assisted Thoracic Surgical and Open Access. ScientificWorldJournal. 2012;2012:636754
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VATS came into widespread use beginning in the early 1990s. Operations that traditionally were carried out with thoracotomy or sternotomy that today can be performed with VATS include: biopsy for diagnosis of
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Ng CSH, Lau RWH, Wong RHL, Ho AMH, Wan S. Single Port
Vasoview Ò Sympathectomy for Palmar Hyperhidrosis: A Clinical Update. Journal of Laparoendoscopic & Advanced Surgical Techniques 2014;24(1):32-4
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Calvin SH Ng, Song Wan, Tak Wai Lee, Alan DL Sihoe, Innes YP Wan, Ahmed A Arifi, Anthony PC Yim. Video assisted thoracoscopic surgery for mediastinal extramedullary haematopoiesis. Ann R Coll Surg Engl
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Ng CSH, Yeung ECL, Wong RHL, Kwok WT. Single-port
Sympathectomy for Palmar Hyperhidrosis with VasoView: HemoPro 2 Endoscopic Vein Harvesting Device. J Thorac Cardiovasc Surg. 2012 Nov;144(5):1256-7
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Calvin SH Ng, Tak Wai Lee, Song Wan, Anthony PC Yim. Video-Assisted
Thoracic Surgery in the Management of Spontaneous Pneumothorax: The Current Status. Postgrad Med J 2006;82:179-185
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Ng CSH, Wong RHL, Yeung ECL, Kwok MWT, Lau RWH, Ho AMH, Yim APC, Underwood MJ. Needlescopic Video-Assisted
Thoracoscopic Pericardial Window. Surgical Practice 2012;16(2):84-5
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significant pain that may last for extended periods and both prevent the patients from heavy lifting or strenuous activity for weeks in order to heal, and can still result in
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Calvin SH Ng, Innes YP Wan, Anthony PC Yim. Impact of Video-Assisted
Thoracoscopic Major Lung Resection on Immune Function. Asian Cardiovasc Thorac Annals 2009;17:426-432
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Calvin SH Ng, Song Wan, Tak Wai Lee, Innes YP Wan, Ahmed Arifi, Anthony PC Yim. Video-assisted thoracic surgery in spontaneous pneumothorax. Can Respir J 2002;9:122-127
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Wong RHL, Ng CSH, Wong JKW, Tsang S. Needlescopic video-assisted thoracic surgery for reversal of thoracic sympathectomy. Interact CardioVasc Thorac Surg 2012;14:350-2
231:. However, lung deflation on the side of the operated chest is a must to be able to visualize and pass instruments into the thorax; this is usually effected with a
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Ng CSH, Wong RHL, Lau RWH, Yim APC. Minimizing Chest Wall Trauma in Single Port Video-Assisted
Thoracic Surgery. J Thorac Cardiovasc Surg 2014;147(3):1095-6
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Calvin SH Ng, Anthony PC Yim. Videothoracoscopic Approach to Posterior Mediastinal Tumors. Mineo TC (eds). Thoracic Surgery Clinics 2010 May; 20(2):297-309
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Ng CSH, Lau RWH, Wong RHL, Yim APC. Evolving Techniques of Endoscopic Thoracic Sympathectomy: Smaller Incisions or Less? The Surgeon 2013;11:290-291
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Juan C Garzon, Calvin SH Ng, Tak Wai Lee, Anthony PC Yim. Video-assisted Thoracic Surgery for Pneumothorax in LAM. Heart Lung Circ 2007;16: 300-302
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Ng CSH, Hui JWY, Wong RHL. Minimizing Single Port Access in VATS Wedge Resection by Hookwire. Asian Cardiovasc Thorac Annals 2013;21(1):114-115
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435:. The great advantage of VATS over sternotomy or thoracotomy is the avoidance of muscle division and bone-cutting, which allows for reduced
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Calvin SH Ng, Song Wan, Anthony PC Yim. Paradigm shift in surgical approaches to spontaneous pneumothorax: VATS. Thorax 2004;59:357
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505:"Thoracotomy versus video-assisted thoracoscopic resection of lung cancer: A protocol for a systematic review and meta-analysis"
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Ng CSH, Lau KKW, Gonzalez-Rivas D, Rocco G. Evolution in Surgical Approach & Techniques for Lung Cancer. Thorax 2013;68:681
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Calvin SH Ng, Song Wan, Malcolm J Underwood, Anthony PC Yim. VATS and Extramedullary Haematopoiesis. Eur Resp J 2006;28:255-6
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that allows for single-lung ventilation, or a one-side bronchial occlusion delivered via a standard single-lumen
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Calvin SH Ng, Innes YP Wan, Anthony PC Yim. VATS Thymectomy- The Better Approach. Ann Thorac Surg 2010;89: S2135
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Calvin SH Ng, Anthony PC Yim. Spontaneous Hemopneumothorax. Curr Opin Pulm Med 2006;12:273-277
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VATS procedures are done using either conventional surgical instruments or
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Chai, Tianci; Lin, Yuhan; Kang, Mingqiang; Lin, Jiangbo (March 2019).
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is not generally required in VATS due to the inherent rigidity of the
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Ng CSH. Uniportal VATS in Asia. J Thorac Dis 2013;5(S3):S221-S225
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Traditional thoracic surgery requires opening the chest through
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or mediastinal pathology; decortication for empyema;
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132:Diagram showing video assisted thoracoscopy (VATS)
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348:drastically reduce the risk for
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725:Lung transplantation
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361:thoracotomy
329:pleurodesis
321:laparoscopy
306:diverticula
286:mediastinal
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745:Categories
720:Bullectomy
460:References
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386:pectoralis
382:latissimus
365:sternotomy
354:dehiscence
280:-assisted
211:chest wall
199:procedures
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433:nonunions
429:malunions
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258:pulmonary
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443:See also
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411:like a
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