VATS Plevra Biopsy Experiences: Analysis of 35 Cases

Dumanli, Ahmet; Öz, Gürhan

doi:10.5152/turkthoracj.2019.195

Cited by 3 publications

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“…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%.…”

Section: Total Totalsupporting

confidence: 54%

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

Hekimoğlu

2022

Middle Black Sea Journal of Health Science

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Objective: Pleural effusion may occur in patients due to benign or malignant processes. This study aimed to evaluate the efficacy and safety of Uniportal Video-Assisted Thoracoscopic Surgery (VATS) operation in the diagnosis processes of patients with pleural effusion.Methods: The data of 50 patients who underwent diagnostic Uniportal VATS pleural biopsy between November 2018 and April 2021 were retrospectively analyzed. The patients' age, gender, postoperative hospital stay, operation-related complications, and pathology results of the pleural tissues were recorded.Results: Thirty-five (70%) cases were male, 15 (30%) were female, mean age was 52.58 ± 20.1, mean operative time was 56.1 ± 16.8 minutes, and mean postoperative hospital stay was 2.64 ± 0.89 days. 48 (96%) of the patients were operated on under general anesthesia and 2 (4%) under sedative anesthesia. All patients were operated on with the Uniportal VATS technique. The postoperative treatment process was carried out with service follow-up without requiring intensive care follow-up. Twenty-eight (56%) patients were operated on from the right and 22 (44%) patients from the left hemithorax. When the pleural biopsy results were examined, malignancy was detected in 18 (36%) patients and tuberculosis in 8 (16%). Malignancies: 6 were adenocancer metastases (2 stomachs, 2 breast, and 2 colon cancers), 5 malignant mesotheliomas, 4 epidermoid cancer metastases (2 ovarian and 1 breast and 1 malignant melanoma), 2 lung adenocarcinoma infiltration, and 1 chondrosarcoma metastasis. No postoperative complications were observed in any of the patients.Conclusion: Uniportal VATS is an easy-to-apply, safe, effective, and rapid method for diagnosing pleural effusion.

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Section: Total Totalsupporting

confidence: 54%

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

Hekimoğlu

2022

Middle Black Sea Journal of Health Science

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“…Lung cancer, breast cancer, and lymphoma constitute approximately 75% of malignant pleural effusions [4,5]. In our study, the most common cause of malignant pleural effusion was lung adenocarcinoma, and the second most common cause was breast invasive ductal carcinoma.…”

Section: Discussionmentioning

confidence: 48%

“…The pleura may be involved with primary and secondary tumors [17]. In malignancy, increased cellular permeability, tumor-associated angiogenesis, increased pleural fluid production, and lymphatic obstruction are the causes of pleural effusion in pleural metastasis [5,6,17]. The local and systemic effects of the tumor, treatment complications, and the direct involvement of the pleura with malignant cells are fluid formation mechanisms [6,17].…”

Section: Discussionmentioning

confidence: 99%

“…Pleural effusion occurs with the accumulation of fluid in the pleural cavity in intrathoracic or systemic diseases [1,4]. Fluid may accumulate in the pleural cavity because of benign or malignant causes [5,6]. Biochemical, microbiological, and cytological examinations are performed in pleural fluids taken by thoracentesis in patients with pleural effusion [7].…”

Section: Introductionmentioning

confidence: 99%

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Seven-year retrospective analysis of pleural effusion cytologies and cytohistopathological correlation

Düzcü¹,

Ozturk²

2023

Curr Thorac Surg

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Background:The cytological examination of pleural effusions is a quick and effective diagnostic method used to elucidate the etiology. The aim of this study is to reveal cytopathological diagnosis distributions by retrospectively examining seven-year pleural cytology and analyze cyto-histopathological correlations in cases with biopsy in this study. Materials and Methods:In this study, 545 pleural fluid aspiration materials that resulted as Bolu Abant İzzet Baysal University İzzet Baysal Training and Research Hospital between 2014 and 2020 were evaluated retrospectively. The evaluation results were divided into four groups as inconclusive, negative for malignancy, suspected malignancy, and malignant cytology. The biopsy diagnoses of 64 cases were grouped as inadequate, benign, and malignant. Sensitivity and specificity values were calculated by looking at the relationship between cytology and biopsy diagnoses.Results: According to the cytology diagnoses, 435 cases (79.8%) were negative for malignancy, 43 cases (7.9%) were malignant, 32 cases (5.9%) were suspected of malignancy, and 35 cases (6.4%) were inconclusive. When the diagnoses of the cases with both cytology and biopsy analyses were compared, the sensitivity of the cytology was 96.7%, the specificity was 91.2%, the positive predictive value was 90.6%, and the negative predictive value was 96.7%. The biopsy and cytology results were found to be compatible (p < 0.05) Conclusions: Pleural effusion develops due to different etiologies, and the cytological examination of pleural fluid is an important diagnostic method for malignancy. In our region, the most common cause of pleural effusion is benign pathologies which are consistent with data in the literature. The correlations between cytology-and biopsy-based diagnosis results were found high.

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“…Dumanlı ve ark. yaptığı çalışmada ise VATS'ın tanı ve tedavide güvenle kullanılabilecek bir yöntem olduğu bildiril-miştir(40). Bizim çalışmamızda ise VATS yapılan tüm olgulardan sonuç alınmış ve bu olguların 56'sına tek port ve 2'sine ise çift port tekniği uygulanmıştı.…”

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Effectiveness of Vats in Pleural Diseases

Tülüce

Sevilgen²

2021

SDÜ Tıp Fakültesi Dergisi

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Plevral hastalıklar klinikte karşımıza plevral kalınlaşma ve plevral efüzyon olarak çıkmaktadır. Plevral efüzyon, plevral boşlukta sıvı birikmesidir. Çalışmamızda, plevral efüzyon veya plevral kalınlaşma nedeni ile kliniğimize yatırdığımız ve Video Yardımlı Torakoskopik Cerrahi (VATS) yaptığımız hastaların klinik özelliklerini ve postoperatif patolojik sonuçlarını literatür bilgileri eşliğinde paylaşmayı amaçladık. Gereç ve Yöntem 2017 Ocak ile 2020 Ekim arasında plevral efüzyon ve plevral kalınlaşma nedeniyle Recep Tayyip Erdoğan Üniversitesi Eğitim Araştırma Hastanesi Göğüs Cerrahisi Kliniği'ne yatırılan ve VATS uygulanan 58 hastanın dosyaları retrospektif olarak incelendi. Hastaların yaş, cinsiyet, hastanede yatış süreleri belirlendi. Plevral sıvıların biyokimyasal testleri, sitolojileri, plevral biyopsi sonuçları ve hastanede yatış süreleri kaydedildi. Plevral biyopsilerin patolojileri malign ve benign olarak ayrılıp karşılaştırmalı olarak incelendi. Bulgular VATS ile biyopsi yapılan 58 hastanın 42'si (%72,4) erkek, 16'sı (%27,6) kadındı. Ortalama yaş 58,4 ±16,2 idi. Erkeklerin yaş ortalaması 58,2, kadınların yaş ortalaması ise 61,2 idi. Hastanede yatış süresi ortalama 4,1±1,4 gün idi. Hastaların 12'sinde (%20 ,6) plevral efüzyona eşlik eden plevral kalınlaşma mevcuttu. Plevral sıvı sitolojilerine bakıldığında 44 (%75,8) hastanın benign, 14 (%24,2) hastanın malign sitoloji olduğu görüldü. Biyopsi sonucu 17 (%29,3) hastada malign iken 41 (%70,7) hasta benign olarak değerlendirildi. Malign olarak sonuçlanan hastaların 11'i (%64,7) adenokarsinom idi. Benign sonuçların ise 29'u (%70,7) kronik aktif inflamasyon olarak sonuçlandı. SonuçAnalizlerimizin sonucunda, VATS'ın plevral hastalıkların tanı ve tedavisinde güvenle kullanılabilecek efektif minimal invaziv bir yöntem olduğunu düşünüyoruz.

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VATS Plevra Biopsy Experiences: Analysis of 35 Cases

Cited by 3 publications

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

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

Seven-year retrospective analysis of pleural effusion cytologies and cytohistopathological correlation

Effectiveness of Vats in Pleural Diseases

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