Triviño Ana, Cózar Fernando, Congregado Miguel, Gallardo Gregorio, Moreno-Merino Sergio, Jiménez-Merchán Rafael, Loscertales Jesús
Servicio de Cirugía General y Torácica, Hospital Universitario Virgen Macarena, Seville, Spain.
Cir Esp. 2011 Dec;89(10):677-80. doi: 10.1016/j.ciresp.2011.05.006. Epub 2011 Sep 9.
Pericardial effusion is a clinical condition requiring multidisciplinary management. There are several surgical techniques for its diagnosis and treatment. In the present study we report our experience in performing a pericardial window (PW) by videothorascopy.
We performed surgery on 56 patients (20 females and 36 males), with a mean age of 56±1.22 years, and diagnosed with moderate to severe chronic pericardial effusion. The side chosen for the approach depended on whether there was an associated pleural effusion or lung lesion, and if not the left side was chosen.
The mean duration of the surgery was 37.6±16 minutes. The definitive diagnoses were malignant processes in 23% of cases, including bronchogenic carcinoma and breast cancer. The intra-operative mortality was 0%.
Videothorascopic pericardial window is an effective and safe technique for the diagnosis and treatment of chronic pericardial effusion, and which enables it to be drained and perform a pleuro-pulmonary and/or mediastinal biopsy during the same surgical act.
心包积液是一种需要多学科管理的临床病症。其诊断和治疗有多种手术技术。在本研究中，我们报告了通过电视胸腔镜进行心包开窗术（PW）的经验。
我们对56例患者（20例女性和36例男性）进行了手术，患者平均年龄为56±1.22岁，诊断为中度至重度慢性心包积液。手术入路的选择取决于是否存在合并胸腔积液或肺部病变，若不存在则选择左侧。
手术平均时长为37.6±16分钟。最终诊断为恶性病变的病例占23%，包括支气管肺癌和乳腺癌。术中死亡率为0%。
电视胸腔镜心包开窗术是诊断和治疗慢性心包积液的一种有效且安全的技术，并且能够在同一手术操作中进行引流以及胸膜 - 肺和/或纵隔活检。
