{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T18:25:10Z","timestamp":1787509510859,"version":"build-2736575974"},"reference-count":19,"publisher":"SAGE Publications","issue":"6-7","license":[{"start":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T00:00:00Z","timestamp":1753833600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Asian Cardiovasc Thorac Ann"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Malignant pleural effusion is characterized by the presence of malignant cells in the pleural fluid. Malignant cells from pleural lavage performed in patients without a coexistent pleural effusion have been identified as an indicator of micrometastatic disease and are associated with a higher recurrence rate and poorer survival. The aim of this study was to evaluate the efficacy and safety of the short-term postoperative outcomes with patients who underwent awake and intubated video-assisted thoracoscopic surgery (VATS) in the management of recurrent malignant pleural effusion. We hypothesized that nonintubated VATS is as safe and effective as intubated VATS for MPE management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A case series of 315 consecutive patients from January 2021 to November 2023 with malignant pleural effusion. The patients were randomized into two groups as nonintubated video-assisted thoracoscopic Pleurodesis with sedoanalgesia (nonintubated as group A) and video-assisted thoracoscopic pleurodesis with general anesthesia (intubated as group B).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The study included 315 patients who underwent video-assisted thoracoscopic pleurodesis either intubated or not. The mean average age was noted to be 54.58\u2009\u00b1\u20097.93. There were 178 cases of male patients (65.5%). Visual analogue score showed a significant difference after procedure 4\u2005h without any difference after 24\u2005h. There was a nonsignificant difference between both groups according to changes in dyspnea score and grades of chest X-ray findings of pleural effusion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Nonintubated VATS is safe in patients, especially those with comorbidity who couldn\u2019t tolerate general anesthesia. It has also similar reliability compared to VATS performed under general anesthesia.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02184923251363907","type":"journal-article","created":{"date-parts":[[2025,7,31]],"date-time":"2025-07-31T06:59:56Z","timestamp":1753945196000},"page":"234-240","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Short-term outcomes of nonintubated and intubated video-assisted thoracoscopic surgery in management of malignant pleural effusion"],"prefix":"10.1177","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-1728-8440","authenticated-orcid":false,"given":"Mohammed F.","family":"Eltaweel","sequence":"first","affiliation":[{"name":"Cardiothoracic Surgery Department, Faculty of Medicine, Menoufia University, Shebin El-kom, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9651-5671","authenticated-orcid":false,"given":"Ismail N.","family":"Elsokkary","sequence":"additional","affiliation":[{"name":"Cardiothoracic Surgery Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed Wael","family":"Badawi","sequence":"additional","affiliation":[{"name":"Cardiothoracic Surgery Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed Yacoub","family":"Mohamed Adas","sequence":"additional","affiliation":[{"name":"Cardiothoracic Surgery Department, Faculty of Medicine, Beni Seuf University, Beni Seuf, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed","family":"Alherazi","sequence":"additional","affiliation":[{"name":"Cardiothoracic Surgery Department, Faculty of Medicine, Alexandria University, Alexandria, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Faisal M.","family":"Almulhim","sequence":"additional","affiliation":[{"name":"Cardiothoracic Surgery Department, King Fahd Hospital, Hofuf, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gamil K.","family":"Ibrahim","sequence":"additional","affiliation":[{"name":"Cardiothoracic Surgery Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ibrahim Mohamed","family":"Khalil","sequence":"additional","affiliation":[{"name":"Cardiothoracic Surgery Department, Faculty of Medicine, Menoufia University, Shebin El-kom, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,7,30]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejcts.2007.04.029"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2010.02.113"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.3390\/medicina55080490"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.21037\/jtd.2018.06.163"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.mcp.0000129756.87090.55"},{"key":"e_1_3_4_7_2","first-page":"121","article-title":"Pleural effusion_A pictorial essay","volume":"6","author":"Balachandran G","year":"2016","unstructured":"Balachandran G. Pleural effusion_A pictorial essay. Radiol Forum 2016; 6: 121\u2013127.","journal-title":"Radiol Forum"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.93.3.580"},{"key":"e_1_3_4_9_2","first-page":"23","article-title":"Heemken thoracoscopic pulmonary surgery: indications and results","volume":"162","author":"Hau T","year":"1996","unstructured":"Hau T, F\u00f6rster E, Gandawidjaja L. Heemken thoracoscopic pulmonary surgery: indications and results. Eur J Surg 1996; 162: 23\u201328.","journal-title":"Eur J Surg"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.21037\/jtd-22-599"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.1136\/thx.2010.137018"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.13-2113"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2004.05.083"},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13019-021-01461-7"},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.5606\/tgkdc.dergisi.2019.18214"},{"key":"e_1_3_4_16_2","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2021\/9791042","article-title":"CAMPO Precision 128 Max ENERGY spectrum CT combined with multiple parameters to evaluate the benign and malignant pleural effusion","volume":"4","author":"Zhang T","year":"2021","unstructured":"Zhang T, Wu C, Li Z. CAMPO Precision 128 Max ENERGY spectrum CT combined with multiple parameters to evaluate the benign and malignant pleural effusion. 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