VATS is a type of chest surgery that requires making tiny openings in the chest. During VATS, the doctor makes small, keyhole incisions and uses a tiny camera (called a thoracoscope) and other small tools. Images from the camera are sent to TV monitors. The doctor relies on these images to do the surgery.
VATS is used to diagnose and treat a range of conditions. Common reasons to undergo VATS include:
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Compared to traditional procedures, VATS may result in:
Problems from the procedure are rare, but all procedures have some risk. Your doctor will review potential problems, like:
Some factors that may increase the risk of complications include:
Depending on the reason for your surgery, your doctor may do the following:
Leading up to the surgery:
General anesthesia will be given—you will be asleep during the procedure
You will be connected to a ventilator. This is a machine that moves air in and out of your lungs. Depending on the reason you are having VATS, one lung will be completely or partly deflated. This will allow your doctor to have a better view of the chest cavity on that side.
Several small cuts in the skin will be made along your side. Carbon dioxide gas will be used to fill the chest cavity. The gas will make it easier for the doctor to see internal structures. Through one of the incisions, the doctor will insert the thoracoscope. This camera will send images to the TV monitors. The doctor will rely on these images to do the surgery. Other small tools will be inserted into the cuts. These tools will allow the doctor to grasp, cut, dissect, and suture.
When the surgery is done, the tools will be removed. The lung will be inflated. A chest tube will be placed to drain any air or fluid. The doctor will close the incisions with sutures or staples.
If you are doing well, the breathing tube will be removed. In the recovery room, the hospital staff will monitor your vital signs. You may be given fluids and medications through an IV.
1-2 hours (depending on the procedure)
Anesthesia will prevent pain during surgery. Pain and discomfort after the procedure can be managed with medications.
You may be able to go home the next day. If you have VATS for a lobectomy (removal of part of the lung), the usual length of stay is 3-4 days.
While you are recovering at the hospital, you may receive the following care:
During your stay, the hospital staff will take steps to reduce your chance of infection, such as:
There are also steps you can take to reduce your chance of infection, such as:
You will need to limit specific activities, but encouraged to walk daily. Follow instructions on wound care to prevent infection. Your doctor may advise pain medications to relieve discomfort. You may need to continue with deep breathing exercises to keep your lungs clear.
It is important for you to monitor your recovery after you leave the hospital. Alert your doctor to any problems right away. If any of the following occur, call your doctor:
Call for emergency medical services right away for:
If you think you have an emergency, call for medical help right away.
American Thoracic Society
The Society of Thoracic Surgeons
Canadian Society for Vascular Surgery
The Lung Association
A patient’s guide to lung surgery: Recovering in the hospital. University of Southern California Cardiothoracic Surgery website. Available at: http://www.cts.usc.edu/lpg-thoracoscopy-recoveringinthehospital.html. Accessed February 2, 2015.
A patient’s guide to lung surgery: Recovering at home. University of Southern California Cardiothoracic Surgery website. Available at: http://www.cts.usc.edu/lpg-thoracoscopy-recoveringathome.html. Accessed February 2, 2015.
A patient’s guide to lung surgery: When to call your doctor. University of Southern California Cardiothoracic Surgery website. Available at: http://www.cts.usc.edu/lpg-thoracoscopy-whentocallyourdoctor.html. Accessed February 2, 2015.
Video-assisted thoracic surgery. Harvard Health Publications website. Available at: http://www.health.harvard.edu/diagnostic-tests/video-assisted-thoracic-surgery.htm. Updated August 11, 2014. Accessed February 2, 2015.
Video-assisted thorascopic surgery (VATS). Rush University Medical Center website. Available at: http://www.rush.edu/rumc/page-1160429783340.html. Accessed March 8, 2010.
Video-assisted thoracoscopic surgery (VATS). Mayo Clinic website. Available at: http://www.mayoclinic.org/tests-procedures/video-assisted-thoracic-surgery/basics/definition/prc-20021362. Updated May 8, 2014. Accessed February 2, 2015.
6/6/2011 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Mills E, Eyawo O, et al. Smoking cessation reduces postoperative complications: a systematic review and meta-analysis. Am J Med. 2011;124(2):144-154.
Last reviewed February 2015 by Michael Woods, MD Last Updated: 6/20/2013