The effectiveness of single port thoracoscopic approach in pleural effusions

Abstract

Objective: Currently, thoracoscopic procedures have been used frequently in diagnosis and treatment of pleural effusions. It was reported, high diagnosis and treatment success with thoracoscopy in pleural effusion, which was not, diagnosed using cytology and blinding pleural biopsy procedures. In this study, it was aimed to evaluate of the patient was performed video-assisted thoracic surgery (VATS) due to pleural effusion.

Uniportal VATS Pleural Biopsy: Analysis of 50 Cases Is It Safe and Effective ?

“…In the study of Kurkcuoglu et al, the diagnostic success rate of VATS was found to be 97.9% (4). In the study of Buyukkarabacak et al on pleural effusions with a single port VATS approach, an accuracy of 100% was found in the malignancy group (5). Confirming the above studies, we found the correct diagnosis rate to be 100% in pleural biopsies performed with Uniportal VATS.…”

“…When the literature is evaluated in terms of the pathology results of the pleural tissue obtained during the operation, it is seen that there are series with quite different weights for the rates of benign and malignant diseases. It has been published in different series that a varying range of malignancies was detected with a rate of 15-53% (4,5,8,9). In our study, malignant pleural tissue results were encountered with 36%.…”

“…Radiologically, it may present with classical cavitation findings and pleural effusion alone (3,4). In different studies, tuberculous pleuritis has been reported with 5.7-17% (4,5,8,11). In our study, the rate of tuberculosis pleuritis was 16%, and this result was found at a similar rate to the studies in our country.…”

“…In parallel with the increase in uniportal minimally invasive surgical methods used in other surgical branches, uniportal VATS is rapidly becoming widespread in thoracic surgery (1). It has been reported that the Uniportal VATS procedure, performed with only one incision to be used for tube thoracostomy, is less invasive, less painful, performed in a shorter time, and has a shorter postoperative hospital stay compared to the conventional VATS procedure performed through three separate ports (1,2,5,6). In addition, the Uniportal VATS application can be easily performed by a single thoracic surgeon, unlike the classical 3port VATS application.…”