EARLY OUTCOMES OF MEDIASTINAL TUMOR TREATMENT USING UNIPORTAL THORACOSCOPIC SURGERY AT MILITARY HOSPITAL 175
Main Article Content
Abstract
Objective: To evaluate early outcomes of mediastinal tumor treatment using uniportal thoracoscopic surgery at Military Hospital 175.
Subjects and Methods: A prospective descriptive study was conducted on 47 patients diagnosed with mediastinal tumors who underwent uniportal video-assisted thoracoscopic surgery (VATS) at Military Hospital 175 from January 2024 to December 2025.
Results: The mean age was 46.2 ± 14.1 years, with 57.4% male patients. Most patients were symptomatic (66.0%), and anterior mediastinal tumors accounted for 59.6%. The mean tumor size was 4.7 ± 1.8 cm, and 70.2% were benign. The mean operative time was 110.6 ± 27.9 minutes, with a median blood loss of 50 mL. The conversion rate to open surgery and intraoperative complication rate were both 4.3%. Favorable early outcomes were observed, with a chest drainage duration of 2.5 ± 1.0 days and a hospital stay of 5.6 ± 2.1 days. The overall complication rate was 12.8%, predominantly mild complications (Clavien–Dindo grades I–II). No 30-day mortality was recorded. Tumor size ≥5 cm, operative time >120 minutes, and malignant pathology showed a tendency toward higher complication rates, but without statistical significance (p > 0.05).
Conclusion: Uniportal VATS for mediastinal tumors is a safe and feasible approach, associated with low complication rates, no early mortality, and reduced drainage duration and hospital stay.
Keywords
Mediastinal tumor, uniportal thoracoscopic surgery
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References
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