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- Title
O-108 UNIPORTAL VERSUS TWO-PORT THORACOSCOPIC TECHNIQUE FOR DIAGNOSIS AND TREATMENT OF MALIGNANT PLEURAL EFFUSION.
- Authors
Galetta, Domenico; Borri, A.; Gasparri, R.; Petrella, F.; Spaggiari, L.
- Abstract
Objectives: Patients with malignant pleural effusion (MPE) underwent video-assisted thoracoscopic surgery (VATS) to relieve symptoms and obtain diagnosis. We assessed feasibility of single- versus double-port VATS in the diagnosis and treatment of MPE comparing these two methods.Methods: Between January 2011 and November 2013, 168 patients (95 females; mean age 59 years) with MPE received uniportal VATS (Group 1, 84 patients) or two-port VATS (Group 2, 84 patients). In Group 1, one incision (2 cm long) was placed in the chest in the 6th or 7th intercostal space. A 5-mm thoracoscope was used, and the target areas were approached along a sagittal plane. In Group 2, two incisions (1.5 cm long) were placed at 5th and 7th intercostal space. All patients received talc poudrage (8 g) and a single drain was used in Group 1 and a double drain in Group 2.Results: Histology included breast cancer in 112 patients, non-small-cell lung cancer (NSCLC) in 44, renal cancer in 8 and rectal cancer in 4. Neither morbidity nor mortality was observed. There was no difference between Group 1 and Group 2 in terms of age, number of biopsies, and target areas for biopsy. There was a significant difference in median chest drain duration (Group 1, 3.0 days vs Group 2, 4.8 days, P = 0.01) and hospital stay (Group 1, 3.5 days vs Group 2, 5.5 days, P = 0.01). In terms of postoperative pain, Group 1 had a significant lower median score (3.8 vs 7.3; P = 0.006, Mann-Whitney test). At one month chest X-ray no statistical differences were observed between Group 1 and Group 2 in terms of residual effusion and subjective respiratory relief.Conclusions: Uniportal VATS for MPE appears to be safe, effective, and tolerable in treating MPE allowing the relief of clinical symptoms in the majority of the patients. Postoperative pain and hospital stay is lower than two-port VATS.Disclosure: No significant relationships.
- Publication
Interactive Cardiovascular & Thoracic Surgery, 2014, Vol 18, Issue suppl_1, pS28
- ISSN
1569-9293
- Publication type
Article
- DOI
10.1093/icvts/ivu167.108