Single-incision thoracoscopic surgery of pleural effusions for diagnosis and treatment

Basit Öğe Kaydı
dc.contributor.authorAlar, Timucin
dc.contributor.authorOzcelik, Cemal
dc.date.accessioned2025-01-27T20:16:38Z
dc.date.available2025-01-27T20:16:38Z
dc.date.issued2013
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractSeveral procedures such as video-assisted thoracoscopic surgery (VATS) are used to make a definite diagnosis in recurrent pleural effusions so that appropriate treatment can be arranged. Single-incision thoracoscopic surgery (SITS) is the most appropriate procedure that can be used for this purpose. The contribution of SITS to diagnosis and treatment is evaluated in this study that we conducted using a single thoracoport in patients with pleural effusion. Nineteen consecutive patients with pleural effusion that was recurrent or refractory to medical treatment were included in the study to be diagnosed and treated with SITS. Thoracentesis was performed and pleural fluid samples obtained in all patients before the procedure. Pleural effusion drainage was performed from the 11-mm single skin incision by using a 10.5-mm single thoracoport, and biopsy or talc pleurodesis was performed in the same session when needed. The median age of the patients was 56.68 +/- A 3.05 years and there were 11 males and 8 females. The total amount of fluid drained by SITS was 1,436 +/- A 227 mL and the surgery lasted 81.05 +/- A 5.36 min. In addition, partial decortication and/or deloculation were performed in six patients and talc pleurodesis in nine patients. Fifteen patients were diagnosed with benign and four patients with malignant pleural effusion by thoracentesis, while nine patients were diagnosed with benign and ten patients with malignant pleural effusion by SITS. We therefore had six cases diagnosed as benign with thoracentesis who were diagnosed with malignant disease after SITS. SITS presents both diagnosis and treatment options together for pleural effusions. We believe SITS should be preferred to conventional three-port VATS to minimize the spread of infection and tumor cells to the chest wall in infectious and malignant diseases.
dc.identifier.doi10.1007/s00464-013-3060-y
dc.identifier.endpage4336
dc.identifier.issn0930-2794
dc.identifier.issn1432-2218
dc.identifier.issue11
dc.identifier.pmid23824160
dc.identifier.scopus2-s2.0-84892829900
dc.identifier.scopusqualityQ1
dc.identifier.startpage4333
dc.identifier.urihttps://doi.org/10.1007/s00464-013-3060-y
dc.identifier.urihttps://hdl.handle.net/20.500.12428/21325
dc.identifier.volume27
dc.identifier.wosWOS:000325477600053
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSpringer
dc.relation.ispartofSurgical Endoscopy and Other Interventional Techniques
dc.relation.publicationcategoryinfo:eu-repo/semantics/openAccess
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WoS_20250125
dc.subjectPleural effusion
dc.subjectSingle-incision thoracoscopic surgery
dc.subjectVideo-assisted thoracoscopic surgery
dc.subjectThoracentesis
dc.titleSingle-incision thoracoscopic surgery of pleural effusions for diagnosis and treatment
dc.typeArticle

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