{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T11:02:30Z","timestamp":1788433350761,"version":"build-2803163510"},"reference-count":27,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Pericardial drainage can be performed either with pericardiocentesis or pericardial \u201cwindow\u201d in cases with hemodynamic compromise for therapeutic and diagnostic purposes. Awake single-port video-assisted thoracoscopic surgery (VATS) is an alternative to pericardial window (PW) that has been described only in case reports in the literature. We aimed to analyse a series of patients with chronic, recurrent and\/or large pericardial effusions who underwent single-port VATS-PW opening without intubation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods:<\/jats:title>\n                    <jats:p>The PW was opened using awake single-port VATS in 20 of 23 patients referred to our clinic with recurrent, chronic and\/or large pericardial effusion between December 2021 and July 2022. Demographic data, imaging modalities, treatment processes and pathological samples were analysed retrospectively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The median age of 20 patients was 68 years (52\u201381). The mean body mass index was 29.1 \u00b1 6.0 kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      and mean pericardial fluid measurements with pre-operative transthoracic echocardiography (TTE) was 2,8 \u00b1 0,9 cm. The mean operation time was 44 \u00b1 13.0 min and mean peri-operative drainage was 700 \u00b1 307 cc. On the 1\n                      <jats:sup>st<\/jats:sup>\n                      post-operative day, control TTE revealed \u22640.5 cm effusion in 18 (90%) patients and \u22650.5 cm in 2 (10%) patients. The median day of discharge or referral to the clinic where they are followed up was 1 (1\u20132).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Awake single-port VATS could be used safely in all patient groups with pericardial effusion or tamponade as a diagnostic and therapeutic option. This technique has advantages, especially in patients with high surgical risk.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jmas.jmas_337_22","type":"journal-article","created":{"date-parts":[[2023,4,21]],"date-time":"2023-04-21T06:19:02Z","timestamp":1682057942000},"page":"482-488","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":7,"title":["Awake uniportal video-assisted thoracoscopic surgery for the management of pericardial effusion"],"prefix":"10.4103","volume":"19","author":[{"given":"Murat Ersin","family":"\u00c7ardak","sequence":"first","affiliation":[{"name":"Department of Thoracic Surgery, Kartal Kosuyolu Education and Research Hospital, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seyhmus","family":"K\u00fclah\u00e7ioglu","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Kartal Kosuyolu Education and Research Hospital, Istanbul, 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