Treatment of Pleural Effusions with Nonintubated Video-Assisted Thoracoscopic Surgery

Qaqish, T. Robert; Cox, Solange E.; Carr, Rebecca; Katlic, Mark R.

doi:10.1016/j.thorsurg.2019.08.003

Cited by 3 publications

(2 citation statements)

References 29 publications

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“…At this stage, however, the trauma caused by thoracotomy and the occurrence of postoperative complications make it difficult for the physician to decide whether to perform thoracotomy to staunch bleeding [18]. With the continuous development of minimally invasive surgical techniques, VATS provides a new way to treat traumatic hemopneumothorax, which has a clear field of view and fine instruments, and its lens and operator can enter the chest cavity and explore the damage to the patient's intrathoracic organs at a faster speed, providing good prerequisites for appropriate treatment measures for the patient in the first place [19,20]. e results of this study showed that the operative time, intraoperative bleeding, time to analgesic medication, time to chest tube retention, and hospital stay were shorter in the VATS group than those in the thoracotomy group; the length of surgical incision and drainage were lower than those in the thoracotomy group.…”

Section: Discussionmentioning

confidence: 99%

Curative Effect Observation and Prognosis Analysis of Video-Assisted Thoracic Surgery and Thoracotomy in Patients with Hemopneumothorax

Zhang

Yang

Liu

et al. 2021

Evidence-Based Complementary and Alternative Medicine

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Currently, the incidence of hemopneumothorax is high in China, and with the continuous improvement of modern medical standards, video-assisted thoracoscopic surgery (VATS) has gradually become the main method of clinical treatment of hemopneumothorax. The aim of this study was to investigate the minimally invasive mechanism and the clinical value of television thoracoscopy in the diagnosis and treatment of traumatic hemopneumothorax and to provide a relevant theoretical basis for the superiority of television thoracoscopy. In this study, total of 98 patients with traumatic hemopneumothorax admitted to three hospitals from January 2017 to December 2019 were selected and divided into 49 cases each in the thoracotomy group and VATS group according to the differences of the surgical method. The surgical situation such as operation time, intraoperative bleeding, and incision length, postoperative recovery such as duration of painkiller use, chest tube retention time, volume of drainage, and hospital stay, levels of C-reactive protein (CRP), tumor necrosis factor-α (TNF-α), interleukin-6 (IL-6), and other inflammatory factors at different times after admission to hospital, postoperative complications such as pulmonary infection, enveloped effusion, incisional infection, and pressureulcers, and recurrence rate at 12-month follow-up were used as the evaluation indexes to analyze the effect of different surgical treatment modalities in patients with hemopneumothorax and the impact on patient prognosis. The results showed that the operative time, intraoperative bleeding, duration of painkiller use, chest tube retention time, and hospital stay were shorter in the VATS group than in the thoracotomy group. The length of the surgical incision, volume of drainage, and inflammatory factor levels at different postoperative periods were lower in the VATS group than in the thoracotomy group. The incidence of postoperative complications was lower in both groups, and the difference was not statistically significant. The follow-up results showed that there were no recurrent cases in both groups 12 months after discharge. This indicates that VATS is an effective treatment option for hemopneumothorax, which can achieve the same exploration and treatment effect as thoracotomy, and has the advantages of less trauma, less bleeding, shorter operation time, and faster postoperative recovery compared with thoracotomy. The prognosis of patients treated by VTAS is good, which provides a new treatment route for patients who cannot tolerate thoracotomy and are poorly tolerated.

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Section: Discussionmentioning

confidence: 99%

Curative Effect Observation and Prognosis Analysis of Video-Assisted Thoracic Surgery and Thoracotomy in Patients with Hemopneumothorax

Zhang

Yang

Liu

et al. 2021

Evidence-Based Complementary and Alternative Medicine

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“…Thoracoscopic surgery has emerged as an increasingly popular technique among thoracic surgery and has the advantages over open thoracotomy procedures including reduced surgical pain, reduced mortality, improved postoperative pulmonary function, and shorter hospital length of stay. [1][2][3][4][5] However, many patients suffer from a considerable amount of postoperative acute pain after thoracoscopic surgery. Inadequate pain control may result in the development of chronic pain, [6] increased hospital length of stay [7] and decreased patient satisfaction.…”

Section: Introductionmentioning

confidence: 99%

Analgesic comparison of erector spinae plane block with intercostal nerve block for thoracoscopic surgery: A meta-analysis of randomized controlled trials

Ma,

Gou,

Chen

et al. 2023

Medicine

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Introduction: The analgesic efficacy of erector spinae plane block (ESPB) versus intercostal nerve block (ICNB) for thoracoscopic surgery remains controversial. We conducted a systematic review and meta-analysis to explore the impact of ESPB versus ICNB on thoracoscopic surgery. Methods: We searched PubMed, EMbase, Web of Science, EBSCO, and Cochrane library databases through May 2023 for randomized controlled trials (RCTs) assessing the effect of ESPB versus ICNB on thoracoscopic surgery. This meta-analysis was performed using the random-effect model or fixed-effect model based on the heterogeneity. Results: Four RCTs and 203 patients are included in the meta-analysis. Overall, compared with ICNB for thoracoscopic surgery, ESPB results in significantly reduced pain scores at 48 hours (SMD [standard mean difference] = −3.49; 95% CI [confidence interval] = −6.76 to −0.21; P = .04), but demonstrated no impact on pain scores at 24 hours (SMD = −0.04; 95% CI = −1.24 to 1.16; P = .95), pain scores at 4 to 6 hours (SMD = −0.16; 95% CI = −2.02 to 1.71; P = .87), pain scores at 12 hours (SMD = −0.16; 95% CI = −2.38 to 2.05; P = .88) or analgesic consumption (SMD = 0.27; 95% CI = −0.80 to 1.35; P = .62). Conclusions: ESPB may be comparable with ICNB for the postoperative pain control of thoracoscopic surgery.

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Massive secretions in paragonimiasis pleural effusion: a new finding concerning clinical recognition and treatment

Zhang

Xie

Luo

et al. 2023

Eur J Clin Microbiol Infect Dis

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Treatment of Pleural Effusions with Nonintubated Video-Assisted Thoracoscopic Surgery

Cited by 3 publications

References 29 publications

Curative Effect Observation and Prognosis Analysis of Video-Assisted Thoracic Surgery and Thoracotomy in Patients with Hemopneumothorax

Curative Effect Observation and Prognosis Analysis of Video-Assisted Thoracic Surgery and Thoracotomy in Patients with Hemopneumothorax

Analgesic comparison of erector spinae plane block with intercostal nerve block for thoracoscopic surgery: A meta-analysis of randomized controlled trials

Massive secretions in paragonimiasis pleural effusion: a new finding concerning clinical recognition and treatment

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