Single incision awake VATS for Multiloculated effusion / Multiloculated empyema: experience of 152 cases

Syed zahid Ali shah

Ayub Medical College, Abbottabad, Pakistan, Abbottabad, Pakistan

Date, time and location: 2018.05.26 08:30, Congress Hall, 2F–C

Abstract

Institution

Ayub Medical Teaching Institue, Ayub Medical College, Abbottabad, Pakistan

Purpose

To assess the outcome of Single incision awake VATS in Multiloculated effusion / Multiloculated empyema

Methodology

This prospective observational study was conducted from March 2014 to August 2017. All 152 patients who underwent Single incision awake VATS for Multiloculated effusion / Multiloculated empyema were included in study. Demographic, clinical, radiological data, per operative findings, operative procedure and outcome were recorded.

Results

Out of 152 patients, 117 were male and 35 were female. Ages ranged from 1-74 years with a mean age of 27.5 years. Fever, shortness of breath, productive cough and history of malignancy were the symptoms. 9 were having malignant effusion and 141 had inflammatory pathology (parapneumonic or tuberculous). Chest tube stay ranged from 1 week to 27 days. 11 patients needed subsequent procedure. 5 patients complained of significant pain at some point of the procedure. 4 patients had postop wound infection. There was no mortality.

Conclusion

Single incision awake VATS in Multiloculatedeffusion / Multiloculated empyema, without chronic lung entrapment, can be performed safely with good clinical outcome.