Video-Assisted Thoracoscopic Surgery for Malignant Pleural Effusions

Sayır F., Çobanoğlu U., Mergan D., Demir H.

ASIAN PACIFIC JOURNAL OF CANCER PREVENTION, cilt.12, sa.2, ss.415-418, 2011 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 12 Sayı: 2
  • Basım Tarihi: 2011
  • Dergi Adı: ASIAN PACIFIC JOURNAL OF CANCER PREVENTION
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.415-418
  • Anahtar Kelimeler: Video, thoracoscopic surgery, pleurodesis, malignant pleural effusion, BRONCHOGENIC-CARCINOMA, PLEURODESIS, MANAGEMENT, RESECTION
  • Van Yüzüncü Yıl Üniversitesi Adresli: Evet

Özet

Aim: To evaluate the efficacy of video-assisted thoracoscopic surgery (VATS) in the diagnosis and treatment of malignant pleural effusions (MPE) and to assess the results and complications of the procedure. Methods: A total of 61 patients with the diagnosis of malignant pleural effusion were assessed retrospectively between 2004 - 2010, 25 women (40.9%) and 36 men (59.1%), with an age range of 18-78 (mean: 61.3). Video-thoracoscopic surgery was performed under general anesthesia or with local anesthesia in sedated patients. Results: No intraoperative complications were observed. In 6 cases, prolonged air leak developed. Pleurodesis was successfully implemented in malignant cases. The chest tube was removed when the amount of fluid was less 50cc/24h. The duration of drainage was significantly shorter in patients in whom VATS was performed. Conclusion: We believe that VATS is an effective method in the diagnosis and palliative treatment of cases with malignant pleural effusions.