Video-Assisted Thoracoscopic Surgery for Malignant Pleural Effusions


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

ASIAN PACIFIC JOURNAL OF CANCER PREVENTION, vol.12, no.2, pp.415-418, 2011 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 12 Issue: 2
  • Publication Date: 2011
  • Journal Name: ASIAN PACIFIC JOURNAL OF CANCER PREVENTION
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.415-418
  • Keywords: Video, thoracoscopic surgery, pleurodesis, malignant pleural effusion, BRONCHOGENIC-CARCINOMA, PLEURODESIS, MANAGEMENT, RESECTION
  • Van Yüzüncü Yıl University Affiliated: Yes

Abstract

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.