Safety and efficacy of video assisted thoracoscopic surgery for non-malignant pathologies: a prospective observational study

Autor:	Akshay Dhahiya, Raj N. Gajbhiye, Bhupesh Harish Tirpude, Girish Kodape, Deepa Jhahagirdar, Gayatri Deshpande, Hemant Bhanarkar, Vikrant Akulwar
Rok vydání:	2021
Předmět:	Thorax medicine.medical_specialty Hydropneumothorax business.industry medicine.medical_treatment VATS lobectomy Decortication medicine.disease Surgery Dissection Cardiothoracic surgery Video-assisted thoracoscopic surgery medicine Thoracotomy business
Zdroj:	International Surgery Journal. 8:641
ISSN:	2349-2902 2349-3305
DOI:	10.18203/2349-2902.isj20210377
Popis:	Background: Video-assisted thoracic surgery (VATS) had been widely accepted because of its low complication rate, tolerable postoperative pain and early recovery of pulmonary function. Hence the present study was undertaken to assess safety and efficacy of VATS and also analyze the surgical outcomes of VATS procedures for non-malignant thoracic pathologies.Methods: A total of 32 patients with non-malignant pathologies of thorax to undergo VATS lobectomy and thoracotomy conversion cases initially approached by VATS lobectomy were enrolled. Demographic data and surgical information were noted and compare between infection and non-infection group. Primary outcomes were thoracotomy conversion rate, period of thoracic drainage, length of hospital stay, and complications.Results: The majority of patients were in the age group of 36-45 years (28.12%) with female predominance (62.50%). The commonest clinical presentation was hydropneumothorax (28.12%). Most common infective and non-infective aetiology was lung hydatid (28.12%) and benign nodule (18.75%) respectively. The commonest surgical procedures conducted using VATS were lobectomy (34.37%), and decortication (25%). The mean blood loss among the cases was 315.9±36.46 ml. Mean operative time was 157.18±12.37 minutes. Among 6.25% cases thoracotomy was conducted in view of difficult hilar dissection, while among 3.12% cases each of indistinct anatomy and bleeding. Mean duration of thoracic drainage was 6.78±1.69 days and mean hospital stay was 8.2±3.2 days. 6.25% cases had fatal complications while 21.87% cases had milder complications. Only one case recurred while 96.87% cases cured.Conclusions: VATS lobectomy for benign disease is feasible and effective in selected cases, regardless of the presence of infection.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::39f641eee311199b6053f1f3d08ef2cf https://doi.org/10.18203/2349-2902.isj20210377 Zobrazit plný text záznamu