.: ORİJİNAL ARAŞTIRMA
Analysis of Pleural Effusion Cases Diagnosed with Uniportal Video Assisted Thoracoscopic Surgery
Tek Port Video Yardımlı Torakoskopik Cerrahi Uygulanan Plevral Effüzyonlu Olguların Analizi
Turkiye Klinikleri J Cardiovasc Sci. 2019;31(1):36-40
doi: 10.5336/cardiosci.2018-63647
Makale Dili: EN
Tam Metin
ABSTRACT
Objective: The aim of our study is to present and analysis of the pleural effusion (PE) cases diagnosed in the last 5 years by pleural puncture on pleurisy cases arriving at the emergency service, or persistent PE despite being followed up and treated at the pulmonary diseases clinic, or where the character of the fluid cannot be defined and finally treated with uniportal (single port) video assisted thoracoscopic surgery (VATS). Material and Methods: Between April 2012 and December 2017, it was found that a total of 407 patients with PE. Hospital records of 152 exudative PE (EPE) cases treated by VATS were retrospectively evaluated. The cases were subdivided into four groups on the basis of patient ages of 18-28; 29-39; 40-50 and 51 years and over, the diagnoses made for each group were noted along with the demographic characteristics, hospital stay after VATS and time taken for pleural drainage. Results: A total of 152 EPE cases with a mean age of 54.98 years(18-83 yr); consisting of 97 (63.8%) males were included in this study. The mean stay in our clinic was 7.2 (5-12) days; the mean time for tubed drainage took 4.6 (3-7) days. The causes of EPE were nonspecific pleurisy (NSP) (40.8%), malignancie (30.9%), tuberculosis (TB) (27.0%) and sarcoidosis (1.3%). Conclusion: In the aetiologies of EPE cases, with TB ranking first in underdeveloped countries and malignancies ranking first in the developed countries. In cases treated with uniportal VATS, incidences of TB, malignant pleurisy and malignant mesothelioma diagnoses are high and the procedure is reliable.
Keywords: Pleural effusion; uniport; VATS
Objective: The aim of our study is to present and analysis of the pleural effusion (PE) cases diagnosed in the last 5 years by pleural puncture on pleurisy cases arriving at the emergency service, or persistent PE despite being followed up and treated at the pulmonary diseases clinic, or where the character of the fluid cannot be defined and finally treated with uniportal (single port) video assisted thoracoscopic surgery (VATS). Material and Methods: Between April 2012 and December 2017, it was found that a total of 407 patients with PE. Hospital records of 152 exudative PE (EPE) cases treated by VATS were retrospectively evaluated. The cases were subdivided into four groups on the basis of patient ages of 18-28; 29-39; 40-50 and 51 years and over, the diagnoses made for each group were noted along with the demographic characteristics, hospital stay after VATS and time taken for pleural drainage. Results: A total of 152 EPE cases with a mean age of 54.98 years(18-83 yr); consisting of 97 (63.8%) males were included in this study. The mean stay in our clinic was 7.2 (5-12) days; the mean time for tubed drainage took 4.6 (3-7) days. The causes of EPE were nonspecific pleurisy (NSP) (40.8%), malignancie (30.9%), tuberculosis (TB) (27.0%) and sarcoidosis (1.3%). Conclusion: In the aetiologies of EPE cases, with TB ranking first in underdeveloped countries and malignancies ranking first in the developed countries. In cases treated with uniportal VATS, incidences of TB, malignant pleurisy and malignant mesothelioma diagnoses are high and the procedure is reliable.
Keywords: Pleural effusion; uniport; VATS
ÖZET
Amaç: Bu çalışmanın amacı, son 5 yılda acil servise başvuran ve plevral effüzyon (PE) tespit edilerek plevral ponksiyon yapılan, göğüs hastalıkları kliniğinde takip ve tedavi için izleme alınan ve sonrasında göğüs cerrahi kliniğinde tanı ve tedavi amaçlı uniportal (tek port) video destekli torakoskopik cerrahi (VATS) uygulanan olguların analiz edilmesidir. Gereç ve Yöntemler: Nisan 2012 ve Aralık 2017 arasında, PE'li toplam 407 hastadan, VATS ile tedavi edilen 152 eksudatif PE (EPE)'lu hastanın kayıtları retrospektif incelendi. Hastalar 18-28;29-39;40-50 ve 51 yaş ve üstü olmak üzere dört gruba ayrıldı. Her bir grubun demografik özellikleri, tanıları, VATS sonrası hastanede kalış süreleri ve plevral drenaj süreleri kaydedildi. Bulgular: Çalışmaya, yaş ortalaması 54,98 (18-83) yıl olan; 97 (%63,8)'si erkek olmak üzere toplam 152 EPE?lu hasta dahil edildi. Ortalama hastanede yatış süresi 7,2 (5-12) gün; ortalama plevral drenaj süresi 4,6 (3-7) gün idi. EPE'nin en sık nedenleri nonspesifik plörezi (NSP) (%40,8), maligniteler (%30,9), tüberküloz (TB) (%27,0) ve sarkoidoz (%1,3) olarak belirlendi. Sonuç: EPE etyolojisinde, gelişmekte olan ülkelerde ilk sırada TB ve gelişmiş ülkelerde malignite yer almaktadır. Uniportal VATS ile tanı konulan EPE'da TB, malign plörezi ve malign mezotelyoma tanı oranları yüksektir ve işlem güvenlidir.
Anahtar Kelimeler: Plevral effüzyon; uniport; VATS
Amaç: Bu çalışmanın amacı, son 5 yılda acil servise başvuran ve plevral effüzyon (PE) tespit edilerek plevral ponksiyon yapılan, göğüs hastalıkları kliniğinde takip ve tedavi için izleme alınan ve sonrasında göğüs cerrahi kliniğinde tanı ve tedavi amaçlı uniportal (tek port) video destekli torakoskopik cerrahi (VATS) uygulanan olguların analiz edilmesidir. Gereç ve Yöntemler: Nisan 2012 ve Aralık 2017 arasında, PE'li toplam 407 hastadan, VATS ile tedavi edilen 152 eksudatif PE (EPE)'lu hastanın kayıtları retrospektif incelendi. Hastalar 18-28;29-39;40-50 ve 51 yaş ve üstü olmak üzere dört gruba ayrıldı. Her bir grubun demografik özellikleri, tanıları, VATS sonrası hastanede kalış süreleri ve plevral drenaj süreleri kaydedildi. Bulgular: Çalışmaya, yaş ortalaması 54,98 (18-83) yıl olan; 97 (%63,8)'si erkek olmak üzere toplam 152 EPE?lu hasta dahil edildi. Ortalama hastanede yatış süresi 7,2 (5-12) gün; ortalama plevral drenaj süresi 4,6 (3-7) gün idi. EPE'nin en sık nedenleri nonspesifik plörezi (NSP) (%40,8), maligniteler (%30,9), tüberküloz (TB) (%27,0) ve sarkoidoz (%1,3) olarak belirlendi. Sonuç: EPE etyolojisinde, gelişmekte olan ülkelerde ilk sırada TB ve gelişmiş ülkelerde malignite yer almaktadır. Uniportal VATS ile tanı konulan EPE'da TB, malign plörezi ve malign mezotelyoma tanı oranları yüksektir ve işlem güvenlidir.
Anahtar Kelimeler: Plevral effüzyon; uniport; VATS
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