Management of malignant pleural effusion – Single-port vats
Autor: | D. Valchev, Zl. Ilinov, E. Obretenov |
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Jazyk: | angličtina |
Rok vydání: | 2017 |
Předmět: | |
Zdroj: | Trakia Journal of Sciences, Vol 15, Iss 3, Pp 203-209 (2017) |
Druh dokumentu: | article |
ISSN: | 1312-1723 1313-3551 |
DOI: | 10.15547/tjs.2017.03.003 |
Popis: | Objective: Comparative analysis with emphasis on the advantages and disadvantages of single access thoracoscopic surgery compared to conventional three port in the treatment and diagnosis of malignant pleural effusions. Materials and Methods: Prospective results were compared in 136 patients with malignant pleural effusions operated method VATS for the period 01.01.2013 - 31.05.2016 in the Clinic of Thoracic Surgery at the University Hospital "Prof. Dr. St.Kirkovich" JSC. Stara Zagora. 70 patients were operated with single access and 66 with a conventional three port thoracoscopic surgery. Results: She stayed postoperative days average single VATS 5.7 days, conventional 7.4. Satisfaction of patients after inclusion in the management of hospitalization single VATS - 4.3 out of six in conventional 2.9. Level of post-operative pain in the incision: Single access 1st day 1.8, 2nd day 0.9, the third day 0.2 after 3rd day 0.1 Conventional access - 1st day 6.4, second day 5.0, the third day 4.0, after the third day 1.0. Operativе time: Conventional access - 39 minutes, Single access -20 minutes. Conclusion: VATS single access contributes to a greater degree to reduce the negative impacts on and without worsening a performance status of patients. |
Databáze: | Directory of Open Access Journals |
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