%0 Journal Article
%T Two-port video-assisted thoracoscopic surgery: experience in Cartagena. Colombia
%A Guti¨¦rrez-Puente Edgard
%A Cantillo-Orozco Efr¨¦n Alfonso
%A Bobadilla-Losada Nair
%A Miranda-Machado Pablo
%J Revista Ciencias Biom¨¦dicas
%D 2012
%I Universidad de Cartagena
%X Introduction: thoracic surgery has evolved, changing from large invasive procedures tominimally invasive techniques. Thoracoscopy has several guidelines for the management of benign and malignant pathologies.Objective: to analyze the clinical characteristics in terms of morbidity and mortality ofthe first patients who underwent video-assisted thoracoscopic surgery (VATS).Methodology: A descriptive, observational case series of 50 patients who underwentvideo-assisted thoracoscopic surgery technique (VATS) for two ports between 2009 and2011. Normality was checked with Shapiro-Wilk test, univariate analysis with Fisher¡¯sexact test, ANOVA and Kruskal-Wallis test for duration of the procedure and a multiplelinear regression model for total hospital stay and in ICU.Results: The mean age was 5 years, 58% male, the most common complication waspostoperative bleeding (6%). The most frequent pathology was pleural effusion (28%),followed by lung cancer (18%). The procedures performed were partial lobectomy(32%), pleurectomy (28%) and total lobectomy (14%). It required conversion to opensurgery in the (14%). Total hospital stay had a mean of 5.2 + / -2.9 days. ICU stay:1.0 + / - 2.0 days. Mortality was 2%.Conclusion: Video-assisted thoracoscopic surgery two ports is a safe approach, witha low rate of morbidity and mortality, applicable to multiple diseases and chest withsimilar results to conventional thoracoscopic approach.RESUMEN:Introducci¨®n: la cirug¨ªa tor¨¢cica ha evolucionado, cambiando desde los grandesprocedimientos invasivos a t¨¦cnicas m¨ªnimamente invasivas. La toracoscopia tiene variasindicaciones para el manejo de patolog¨ªas benignas y malignas.Objetivo: analizar las caracter¨ªsticas cl¨ªnicas en t¨¦rminos de morbilidad y mortalidad,de los primeros pacientes intervenidos con cirug¨ªa toracosc¨®pica video asistida por dospuertos (VATS).Metodolog¨ªa: estudio descriptivo, observacional, tipo serie de casos de 50 pacientesintervenidos con la t¨¦cnica de cirug¨ªa toracosc¨®pica video asistida (VATS) por dos puertosentre 2009 y 2011. Se verific¨® normalidad con test de Shapiro-Wilk, an¨¢lisis univariado contest exacto de Fisher, test de Anova y de Kruskal-Wallis para duraci¨®n del procedimiento yun modelo de regresi¨®n lineal m¨²ltiple para la estancia hospitalaria total y en UCI.Resultados: la media de edad fue de 5 a os, el 58% de g¨¦nero masculino, la complicaci¨®nm¨¢s frecuente fue sangrado postquir¨²rgico (6%). La patolog¨ªa m¨¢s frecuente fue derramepleural (28%), seguida por c¨¢ncer broncog¨¦nico (18%). Los procedimientos realizadosfueron lobectom¨ªa parcial (32%), pleurectom¨ªa
%K Thoracoscopic surgery
%K Lung cancer
%K Pleural effusion
%U http://www.revistacienciasbiomedicas.com/index.php/revciencbiomed/article/view/171/136