[APPLICATION OF VIOEOTHORACOSCOPIC PROCEDURES IN A SYNDROME OF INTRATHORACIC LYMPHADENOPATHY OF UNDETERIVIINED...

Area of Science:

• Thoracic Surgery
• Diagnostic Imaging
• Pathology

Context:

• Increasing incidence of intrathoracic lymphadenopathy syndrome (ILS) necessitates advanced diagnostic methods.
• Traditional diagnostic approaches may lack the required sensitivity, specificity, or safety profile.
• Minimally invasive techniques are preferred for improved patient outcomes and reduced morbidity.

Purpose:

• To evaluate the diagnostic efficacy and safety of videothoracoscopic (VTS) biopsy and video-assisted thoracoscopy (VATS) for ILS.
• To compare the sensitivity, specificity, and accuracy of VTS biopsy and VATS.
• To assess the intraoperative and postoperative complication rates, blood loss, operative time, and recovery period associated with these procedures.

Summary:

• VTS biopsy achieved 96.0% sensitivity, 98.1% specificity, and 97.1% accuracy for ILS diagnosis.
• VATS demonstrated 93.8% sensitivity, 93.6% specificity, and 93.5% accuracy.
• Both VTS biopsy and VATS exhibited low complication rates (4.4% intraoperative, 7.7% postoperative), minimal blood loss (29 ml), short operative times (45 min), and rapid recovery (10.6 days).

Impact:

• VTS biopsy and VATS are established as safe and effective minimally invasive procedures for diagnosing ILS.
• These techniques offer significant advantages over less invasive methods, improving diagnostic yield and patient well-being.
• The findings support the routine application of VTS biopsy and VATS in the clinical management of ILS.