Efficacy of pericardial window opening with uniportal video-assisted thoracoscopic surgery under two lung ventilation in pericardial effusions: A study at Medical Faculty of Bulent Ecevit University in Turkey

Gokce, Mertol; Tilkan, Osman Korcan; Uysal, Serkan; Sayın, Muhammet Raşit; Aydın, Bengü Gülhan; Bahadir, Burak

doi:10.5455/jpma.28968

Cited by 1 publication

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“…VATS has become a commonly used surgical technique for PW opening over the years. [ 8 ] The studies conducted that PW opening using VATS is the most effective technique with the lowest recurrence rate. [ 9 ]…”

Section: Discussionmentioning

confidence: 99%

“…[ 14 ] By combining the advantages of VATS, subxiphoid pericardiotomy and pericardiectomy,[ 15 ] not only the pericardium can be evaluated but also lung parenchyma, pleura and/or mediastinum. [ 8 , 10 ]…”

Section: Discussionmentioning

confidence: 99%

“…Gokce et al . [ 8 ] described their mean operation time for uniportal VATS under general anaesthesia as 35 (25–60) min, Georghiou et al . as 46 (30–60) min[ 15 ] and Geissbühler et al .…”

Section: Discussionmentioning

confidence: 99%

“…The median length of stay was 9 days for subxiphoid and 7 days for anterior thoracotomy in a study by Balla et al . [ 8 , 16 , 24 ] Our median day of discharge and/or referral to the clinic where they are followed up due to comorbidities was 1 (1–2).…”

Section: Discussionmentioning

confidence: 99%

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Awake uniportal video-assisted thoracoscopic surgery for the management of pericardial effusion

Cardak

Külahçıoğlu

Erdem

2023

Journal of Minimal Access Surgery

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Introduction: Pericardial drainage can be performed either with pericardiocentesis or pericardial “window” in cases with hemodynamic compromise for therapeutic and diagnostic purposes. Awake single-port video-assisted thoracoscopic surgery (VATS) is an alternative to pericardial window (PW) that has been described only in case reports in the literature. We aimed to analyse a series of patients with chronic, recurrent and/or large pericardial effusions who underwent single-port VATS-PW opening without intubation. Patients and Methods: The PW was opened using awake single-port VATS in 20 of 23 patients referred to our clinic with recurrent, chronic and/or large pericardial effusion between December 2021 and July 2022. Demographic data, imaging modalities, treatment processes and pathological samples were analysed retrospectively. Results: The median age of 20 patients was 68 years (52–81). The mean body mass index was 29.1 ± 6.0 kg/m² and mean pericardial fluid measurements with pre-operative transthoracic echocardiography (TTE) was 2,8 ± 0,9 cm. The mean operation time was 44 ± 13.0 min and mean peri-operative drainage was 700 ± 307 cc. On the 1st post-operative day, control TTE revealed ≤0.5 cm effusion in 18 (90%) patients and ≥0.5 cm in 2 (10%) patients. The median day of discharge or referral to the clinic where they are followed up was 1 (1–2). Conclusions: Awake single-port VATS could be used safely in all patient groups with pericardial effusion or tamponade as a diagnostic and therapeutic option. This technique has advantages, especially in patients with high surgical risk.

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Section: Discussionmentioning

confidence: 99%