Thoracoscopy in pleural effusion – two techniques: awake single-access video-assisted thoracic surgery versus 2-ports video-assisted thoracic surgery under general anesthesia. (November 2015)

• Record Type: Journal Article
• Authors: Cajozzo, Massimo; Lo Iacono, Giorgio; Raffaele, Francesco; Anzalone, Antonino Alessio; Fatica, Federica; Geraci, Girolamo; Dioguardi, Salvatore
• Is Part Of: Future oncology. Volume 11(2015)Supplement 24
• Page Start: 39
• Page End: 41
• Publication Date: 2015-11
• Subjects: awake VATS -- pleural effusion -- single port -- VATS; Oncology -- Periodicals; 616.99405
• DOI: 10.2217/fon.15.288
• Languages: English
• ISSNs: 1479-6694

Abstract

Awake single access video-assisted thoracic surgery with local anesthesia improves procedure tolerance, reduces postoperative stay and costs.Materials & methods: Local anesthesia was made with lidocaine and ropivacaine. We realize one 20 mm incision for the 'single-access', and two incisions for the '2-trocars technique'.Results: Mortality rate was 0% in both groups. Postoperative stay: 3dd ± 4 versus 4dd ± 5, mean operative time: 39 min versus 37 min (p < 0.05). Chest tube duration: 2dd ± 5 versus 3dd ± 6. Complications: 11/95 versus 10/79.Conclusion: Awake technique reduce postoperative hospital stay and chest drainage duration, similar complications and recurrence rate. The authors can say that 'awake single-access VATS' is an optimal diagnostic and therapeutic tool for the management of pleural effusions, but above extends surgical indication to high-risk patients.