[Pericardial window by videothorascopy]
| Autor: | Jesús Loscertales, Rafael Jiménez-Merchán, Ana Triviño, Miguel Congregado, Gregorio Gallardo, Fernando Cozar, Sergio Moreno-Merino |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
Male
medicine.medical_specialty Pleural effusion medicine.medical_treatment Pericardial effusion Pericardial Effusion Breast cancer Internal medicine Medicine Humans Medical diagnosis Retrospective Studies business.industry Thoracic Surgery Video-Assisted General Engineering Mediastinal biopsy Mean age Middle Aged medicine.disease Pericardial Window Techniques Bronchogenic carcinoma Pericardial window Cardiology Female Radiology business |
| Zdroj: | Cirugia espanola. 89(10) |
| ISSN: | 1578-147X |
| Popis: | Introduction Pericardial effusion is a clinical condition requiring multidisciplinary management. There are several surgical techniques for its diagnosis and treatment. In the present study we report our experience in performing a pericardial window (PW) by videothorascopy. Material and methods We performed surgery on 56 patients (20 females and 36 males), with a mean age of 56±1.22 years, and diagnosed with moderate to severe chronic pericardial effusion. The side chosen for the approach depended on whether there was an associated pleural effusion or lung lesion, and if not the left side was chosen. Results The mean duration of the surgery was 37.6±16 min. The definitive diagnoses were malignant processes in 23% of cases, including bronchogenic carcinoma and breast cancer. The intraoperative mortality was 0%. Conclusions Videothorascopic pericardial window is an effective and safe technique for the diagnosis and treatment of chronic pericardial effusion, and which enables it to be drained and perform a pleuropulmonary and/or mediastinal biopsy during the same surgical act. |
| Databáze: | OpenAIRE |
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