ANKMJ
Ankyra Medical Journal

Ankyra Medical Journal (AnkMJ), formerly known as the Journal of Translational and Practical Medicine, regularly publishes international quality issues in the field of Medicine in the light of current information.

eISSN: 3023-655X
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Original Article
Approach to mediastinal masses: a comparison of open surgery and uniportal video-assisted thoracoscopic surgery techniques
Abstract
Aims: This study aimed to compare perioperative and postoperative outcomes in patients who underwent uniportal video-assisted thoracoscopic surgery (U-VATS) and open surgery for mediastinal mass resection.
Methods: A total of 62 patients who underwent mediastinal mass resection in the Thoracic Surgery Clinic were included. The patients were separated into the open surgery group (n=30) and the U-VATS group (n=32). The groups were compared in terms of perioperative and postoperative outcomes including operative time, blood loss, chest tube removal time, drainage volume, pain, and hospital stay.
Results: The distributions of age and gender were similar between the groups. Median operation time (120 vs. 180 minutes, P < 0.001), median intraoperative blood loss (50 vs. 100 mL, P < 0.001), median time of chest drain removal (4 vs. 6 days, P < 0.001) and median postoperative drainage volumes were lower in the U-VATS group than the open surgery group. The U-VATS group exhibited a lower VAS score, return time to daily activity (1 vs. 4 days, P < 0.001) and length of hospital stay (4 vs. 6 days, P < 0.001). A postoperative myasthenic crisis was not observed in all cases. One thymoma patient in the open surgery group had a recurrence, but not in the U-VATS group.
Conclusion: The U-VATS approach had better intraoperative safety and lower postoperative outcomes than open surgery. U-VATS, which has the potential to enhance postoperative recovery and quality of life, may be a safe and effective treatment option for patients with mediastinal mass resection.

Keywords : Mediastinal lesions, minimally invasive surgery, sternotomy, thymoma, video-assisted thoracoscopic surgery

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Article available in :
Volume 3, Issue 1, 2024
Page : 13-18
https://doi.org/10.51271/ANKMJ-0003
Article Information
Received : 02 Oca 2024
Accepted : 30 Oca 2024
Published : 31 Oca 2024
Corresponding Author :

Gönül Gülmez: Department of Thoracic Surgery, Erciyes University Faculty of Medicine, Kayseri, Turkiye

[email protected]
Citation : Gülmez G, Hasdiraz L, Önal Ö. Approach to mediastinal masses: a comparison of open surgery and uniportal video-assisted thoracoscopic surgery techniques. Ank Med J. 2024;3(1):13-18.

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