Diagnostic and Therapeutic Endoscopy

Diagnostic and Therapeutic Endoscopy / 1998 / Article

Open Access

Volume 4 |Article ID 627547 | https://doi.org/10.1155/DTE.4.177

Hans J. M. Smit, Franz M. N. H. Schramel, Tom G. Sutedja, Luud S. C. ter Laak-Uytenhaak, Marjolein H. Nannes-Pols, Pieter E. Postmus, "Video-Assisted Thoracoscopy is Feasible Under Local Anesthesia", Diagnostic and Therapeutic Endoscopy, vol. 4, Article ID 627547, 6 pages, 1998. https://doi.org/10.1155/DTE.4.177

Video-Assisted Thoracoscopy is Feasible Under Local Anesthesia

Received16 Jul 1997
Revised14 Nov 1997
Accepted01 Dec 1997

Abstract

Video-assisted thoracoscopy (VAT) is usually performed under general anesthesia (GA). We performed an analysis to determine whether multithoracoport VAT under local anesthesia (LA) is feasible.Methods: Forty-five VAT under LA were performed in 34 men and 11 women (mean age 46.8 years) in the endoscopy room.Results: The waiting time for VAT under LA was 0.5–6h on working days. There were no major complications during or after the VAT. In 9 patients, pleural malignancy was diagnosed, and in 7 patients suspected malignancy was excluded. In 5 patients we found bacterial empyema, of whom 4 had diathermic adhesiolysis during VAT. In 4 patients, the clinical diagnosis was tuberculosis by exclusion, and in 2 patients no conclusive diagnosis could be drawn. VAT influenced treatment policy 15 times, and in 17 pneumothorax patients talc poudrage was performed during the procedure.Conclusion: VAT under LA is safe, effective, logistically simple, and requires no long waiting times. No conversion to GA was necessary.

Copyright © 1998 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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