OBJECTIVE:The purpose of this study is to answer the question whether the treatment of these patients leads to control of respiratory failure by relieving and eliminating dyspnea and preserving the patients' ability to care for themselves, as well as achieving reduction of the number of hospitalizations of patients with unsuccessful pleurodesis and effusion persistence. MATHERIAL AND METHODS: 165 patients with malignant pleural effusions were treated in the Clinic of Thoracic Surgery for the period 01 January 2013 -31 May 2016. 70 patients underwent surgeries with single-port VATS, 66 patients were operated on with conventional VATS, while 29 patients were treated with thoracocentesis and drainage. RESULTS: Of all 165 alone 5 patients, constituting 3.03% of the total number of patients, had to be admitted to the hospital for a second time due to reaccumulation of pleural effusion within the next 30 days. Satisfactory dyspnea control was established, allowing the patients to take care of themselves. CONCLUSION:The surgical procedures -single-port and conventional VATS surgeries, thoracocentesis, drainage and placement of long-term pleural catheter with, or without, pleurodesis constitute part of the procedures achieving control over dyspnea in patients with MPE.
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.
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