Sayir Fuat, Cobanoglu Ufuk, Mergan Duygu, Demir Halit
Department of Thoracic Surgery, Faculty of Medicine, Yuzuncu Yil University, Van, Turkey.
Asian Pac J Cancer Prev. 2011;12(2):415-8.
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.
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.
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 50 cc/24 h. The duration of drainage was significantly shorter in patients in whom VATS was performed.
We believe that VATS is an effective method in the diagnosis and palliative treatment of cases with malignant pleural effusions.
评估电视辅助胸腔镜手术（VATS）在恶性胸腔积液（MPE）诊断和治疗中的疗效，并评估该手术的结果及并发症。
回顾性评估2004年至2010年间共61例诊断为恶性胸腔积液的患者，其中女性25例（40.9%），男性36例（59.1%），年龄范围为18 - 78岁（平均61.3岁）。电视胸腔镜手术在全身麻醉下或在镇静患者的局部麻醉下进行。
未观察到术中并发症。6例出现持续性气胸。在恶性病例中成功实施了胸膜固定术。当引流量小于50 cc/24小时时拔除胸管。接受VATS手术的患者引流持续时间明显更短。
我们认为VATS是诊断和姑息治疗恶性胸腔积液病例的有效方法。
