Video-assisted mediastinoscopy is safe in patients taking antiplatelet or anticoagulant therapy
Background: The aim of this study was to report our experience with video-assisted mediastinoscopy (VAM) in patients taking antiplatelet (AP) or anticoagulant therapies focusing on perioperative complications (especially haemorrhagic). Patients and Methods: We have done a retrospective study from a...
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Wolters Kluwer Medknow Publications
2020-01-01
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doaj-8a43ced6e29f4530b9f84639afde313d2020-11-24T21:22:25ZengWolters Kluwer Medknow PublicationsJournal of Minimal Access Surgery0972-99411998-39212020-01-01161303410.4103/jmas.JMAS_173_18Video-assisted mediastinoscopy is safe in patients taking antiplatelet or anticoagulant therapyCharlotte CohenDaniel PopOlivier AzeNicolas VenissacJérôme MourouxBackground: The aim of this study was to report our experience with video-assisted mediastinoscopy (VAM) in patients taking antiplatelet (AP) or anticoagulant therapies focusing on perioperative complications (especially haemorrhagic). Patients and Methods: We have done a retrospective study from a prospectively maintained database with diagnostic VAM (01/2008–06/2012). We included 54 patients with AP (41 patients – Group A) and anticoagulant (13 patients – Group B) therapies. The control group was formed by 263 patients (Group C). Data regarding the clinical records of the patients, operative time, per- and post-operative complications, total numbers of biopsies and the results of the pathologic examination were collected. We compared the groups A+B versus C, and then A versus C. Statistical differences were calculated by Chi-square test. Results: In Group A, we had two minor complications: cardiac arrhythmia and peroperative minor haemorrhage. The mean operative time was 29 min and the mean post-operative stay was 1.08 days. In Group B, we had one minor complication: Peroperative minor haemorrhage. The mean operative time was 35 min and the mean post-operative stay was 1.07 days. In Group C, the mean operative time was 28 min. One death occurred (mortality rate of 0.38%) because of cardiac arrest at the induction of anaesthesia. One major complication occurred (severe respiratory insufficiency needing re-intubation) and eight minor complications. Morbidity rate was 2.28%. Mean post-operative stay was 1.14 days. No statistical difference was noted between groups. Conclusion: VAM can be safely performed in patients receiving AP or anticoagulant treatments. There is no increase in peroperative bleeding or post-operative compressive cervico-mediastinal haematoma.http://www.journalofmas.com/article.asp?issn=0972-9941;year=2020;volume=16;issue=1;spage=30;epage=34;aulast=Cohenlung neoplasmminimally invasivesurgery |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Charlotte Cohen Daniel Pop Olivier Aze Nicolas Venissac Jérôme Mouroux |
spellingShingle |
Charlotte Cohen Daniel Pop Olivier Aze Nicolas Venissac Jérôme Mouroux Video-assisted mediastinoscopy is safe in patients taking antiplatelet or anticoagulant therapy Journal of Minimal Access Surgery lung neoplasm minimally invasive surgery |
author_facet |
Charlotte Cohen Daniel Pop Olivier Aze Nicolas Venissac Jérôme Mouroux |
author_sort |
Charlotte Cohen |
title |
Video-assisted mediastinoscopy is safe in patients taking antiplatelet or anticoagulant therapy |
title_short |
Video-assisted mediastinoscopy is safe in patients taking antiplatelet or anticoagulant therapy |
title_full |
Video-assisted mediastinoscopy is safe in patients taking antiplatelet or anticoagulant therapy |
title_fullStr |
Video-assisted mediastinoscopy is safe in patients taking antiplatelet or anticoagulant therapy |
title_full_unstemmed |
Video-assisted mediastinoscopy is safe in patients taking antiplatelet or anticoagulant therapy |
title_sort |
video-assisted mediastinoscopy is safe in patients taking antiplatelet or anticoagulant therapy |
publisher |
Wolters Kluwer Medknow Publications |
series |
Journal of Minimal Access Surgery |
issn |
0972-9941 1998-3921 |
publishDate |
2020-01-01 |
description |
Background: The aim of this study was to report our experience with video-assisted mediastinoscopy (VAM) in patients taking antiplatelet (AP) or anticoagulant therapies focusing on perioperative complications (especially haemorrhagic).
Patients and Methods: We have done a retrospective study from a prospectively maintained database with diagnostic VAM (01/2008–06/2012). We included 54 patients with AP (41 patients – Group A) and anticoagulant (13 patients – Group B) therapies. The control group was formed by 263 patients (Group C). Data regarding the clinical records of the patients, operative time, per- and post-operative complications, total numbers of biopsies and the results of the pathologic examination were collected. We compared the groups A+B versus C, and then A versus C. Statistical differences were calculated by Chi-square test.
Results: In Group A, we had two minor complications: cardiac arrhythmia and peroperative minor haemorrhage. The mean operative time was 29 min and the mean post-operative stay was 1.08 days. In Group B, we had one minor complication: Peroperative minor haemorrhage. The mean operative time was 35 min and the mean post-operative stay was 1.07 days. In Group C, the mean operative time was 28 min. One death occurred (mortality rate of 0.38%) because of cardiac arrest at the induction of anaesthesia. One major complication occurred (severe respiratory insufficiency needing re-intubation) and eight minor complications. Morbidity rate was 2.28%. Mean post-operative stay was 1.14 days. No statistical difference was noted between groups.
Conclusion: VAM can be safely performed in patients receiving AP or anticoagulant treatments. There is no increase in peroperative bleeding or post-operative compressive cervico-mediastinal haematoma. |
topic |
lung neoplasm minimally invasive surgery |
url |
http://www.journalofmas.com/article.asp?issn=0972-9941;year=2020;volume=16;issue=1;spage=30;epage=34;aulast=Cohen |
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