[DIFFERENTIATED TACTICS OF VIDEOTHORACOSCOPIC DIAGNOSIS OF THE PLEURAL EXUDATE SYNDROME].

Area of Science:

• Thoracic Surgery
• Pulmonology
• Anesthesiology

Background:

• Pleural exudate syndrome requires intervention for hydrothorax elimination and artificial pneumothorax creation.
• Diagnostic videothoracoscopy (VTHS) is a key procedure in managing these conditions.
• Optimizing VTHS tactics and anesthetic support is crucial for patient outcomes.

Purpose of the Study:

• To propose differentiated diagnostic videothoracoscopy tactics for pleural exudate syndrome.
• To establish criteria for planning VTHS operations and selecting anesthetic support.
• To evaluate the impact of these differentiated tactics on patient management and outcomes.

Main Methods:

• Retrospective analysis of 261 VTHS procedures conducted in a Thoracic Surgery department.
• Integration of roentgenological investigations for pre-operative planning.
• Development of specific criteria for operation planning and anesthetic management.

Main Results:

• Differentiated VTHS tactics successfully avoided unnecessary endotracheal narcosis in many patients.
• Reduced pharmacological burden on patients undergoing VTHS.
• Lowered the rate of contraindications for VTHS and decreased overall stationary treatment duration.

Conclusions:

• Differentiated diagnostic videothoracoscopy tactics offer a refined approach to managing pleural exudate syndrome.
• These tactics enhance patient safety by minimizing anesthetic risks and pharmacological load.
• The proposed strategy leads to improved efficiency in thoracic surgery, reducing patient recovery time.