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[Partial pericardectomy using videothoracoscopy]

P Bastos1, J Casanova, L Gonçalves

  • 1Centro de Cirurgia Torácica, Hospital de São João, Porto.

Revista Portuguesa De Cardiologia : Orgao Oficial Da Sociedade Portuguesa De Cardiologia = Portuguese Journal of Cardiology : an Official Journal of the Portuguese Society of Cardiology
|April 29, 1998
PubMed
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Video-assisted thoracoscopic surgery is a safe and effective treatment for chronic pericardial effusions, with no reported recurrence in patients undergoing pericardectomy.

Area of Science:

  • Cardiothoracic Surgery
  • Minimally Invasive Procedures
  • Pericardial Diseases

Context:

  • Chronic pericardial effusions can lead to significant morbidity.
  • Surgical intervention is indicated for symptomatic or recurrent effusions.
  • Traditional open surgery carries risks and longer recovery times.

Purpose:

  • To evaluate the efficacy and safety of videothoracoscopy for treating chronic pericardial effusions.
  • To assess the feasibility of video-assisted partial pericardectomy.

Summary:

  • This study included 13 patients (10 female, 3 male; mean age 48 years) with chronic pericardial effusions requiring surgical management.
  • All patients underwent videothoracoscopy with partial pericardectomy.
  • The procedure resulted in no postoperative mortality or morbidity, with short recovery times (average drain duration 1.2 days, hospital stay 2.4 days).

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Impact:

  • Videothoracoscopic pericardectomy is a safe and effective minimally invasive option for chronic pericardial effusions.
  • This technique offers a favorable alternative to open surgery, with excellent outcomes and no recurrence observed in the study cohort.