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384189

Video-assisted thoracoscopic decortication versus open decortication for a better surgery results.

Article

Last updated: 29 Dec 2024

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Abstract

Background: Comparing video-assisted thoracoscopic decortication with open decortication: advantages and
disadvantages.
Aim: In this study, we aim to compare the outcomes associated with VTASD and OD in terms of less surgical trauma and
improving postoperative pain.
Patients and Methods: We did a prospective comparative study involving 60 patients with thoracic empyema. Patients
were randomly allocated to undergo Video-assisted thoracoscopic surgery (VATS) decortication or open decortication.
The patients were split up into two groups, each with 30 patients: open thoracotomy (OT) and VATS. We contrasted the
frequency of postoperative pain, adjusted length of hospital stay, air leak, incomplete lung inflation, blood transfusion,
wound infection, reoperation, and death following surgery.
Results: Postoperative pain score using the visual analogue scale was compared in the two groups. Regarding postoperative
pain, the median for VATS was 3 with an interquartile range (IQR) of 2–4, and for OT the median was 8 with an IQR of
7–8 with a highly significant statistical difference. This can be the result of the intercostal neuralgia that occurs due to
injury to the intercostal nerves when access is gained to the thoracic cavity by spreading the ribs and dissecting the pleura.
Owing to the procedure's short incision, lack of rib spreading required, and minimum intraoperative manipulation, it has
been suggested and confirmed in the literature thus far that patients having VATS had less postoperative discomfort and
a lower need for analgesics.
In reference to the hospital stay, our analysis showed that the OT group median was 7–9 with an IQR of 7–9 and a high
statistically significant. Whereas the VATS group median was 5 with an IQR of 5–6.
Conclusion: Video assisted thoracoscopic decortication is a safe procedure, and provides less postoperative complications,
less postoperative pain, and less hospital stay which leads to better surgery results.

DOI

10.21608/EJSUR.2024.293633.1090

Keywords

decortication, Empyema, open, Video-assisted thoracoscopic surgery

Authors

First Name

Ahmed

Last Name

Elbasiouny

MiddleName

R.M.R.

Affiliation

Department of Cardiothoracic Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt

Email

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City

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Orcid

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First Name

Ahmed

Last Name

ElNory

MiddleName

A.

Affiliation

Department of Cardiothoracic Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt

Email

-

City

-

Orcid

-

First Name

Ahmed

Last Name

Mostafa

MiddleName

M.

Affiliation

Department of Cardiothoracic Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt

Email

asb1010@gmial.com

City

-

Orcid

-

First Name

Mostafa

Last Name

ElDewer

MiddleName

A.

Affiliation

Department of Cardiothoracic Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt

Email

-

City

-

Orcid

-

Volume

43

Article Issue

4

Related Issue

50769

Issue Date

2024-10-01

Receive Date

2024-10-05

Publish Date

2024-10-01

Page Start

1,463

Page End

1,470

Print ISSN

1110-1121

Online ISSN

1687-7624

Link

https://ejsur.journals.ekb.eg/article_384189.html

Detail API

https://ejsur.journals.ekb.eg/service?article_code=384189

Order

384,189

Type

Original Article

Type Code

3,086

Publication Type

Journal

Publication Title

The Egyptian Journal of Surgery

Publication Link

https://ejsur.journals.ekb.eg/

MainTitle

Video-assisted thoracoscopic decortication versus open decortication for a better surgery results.

Details

Type

Article

Created At

21 Dec 2024