الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
(VATS) shows great improvement during the last few years due to improvement in lighting technology, instruments and the increased learning curve of surgeons.
The aim of this study is to compare uniport VATS with multiport VATS regarding the easiness of the procedure including the duration of the procedure, intra-operative complications encountered, conversion rate, postoperative hospital stay, and post-operative pain.
This study is a prospective study included 88 patients; all were subjected to VATS in order to diagnose or treat intrathoracic pathology.
The patients were classified into 5 groups, mediastinal lymph adenopathy, pleural effusion, pneumothorax, lung biopsy, and mediastinal cyst.
Sex in different groups is in lymph adenopathy group, males were 16(64%) and females were 9(36%), in lung group were 5(83.3%), one (16.7%) respectively, in pleural effusion group were 16(57.1%), and 12(42.9%) respectively, in pneumothorax group were 15(68.2%), and 7(31.8%) respectively and in mediastinal cyst group were 2(28.6%), and 5(71.4%) respectively. There was statistical significant difference among the patients in different groups regarding sex (P < 0.05).
Symptoms of patients in different groups, dyspnea and cough were higher in all groups with 15(60%), and 14(56%) in lymph node enlargement group. 5(83.3%), and 6(100%) in lung group. 26(92.9%), and 27(96.4%) in pleural effusion group. 18(81.8%), and 20(90.9%) in pneumothorax group and 2(28.6%), and 2(28.6%) in mediastinal cyst group. There was statistical significant difference among the patients in different groups regarding complain (P < 0.05).
Pleural effusion groups presented with either recurrent pleural effusion in 18 patients (64.3%) or loculated pleural effusion in 10 patients (35.7%). Patients presented with recurrent pleural effusion were managed prior to VATS with aspiration in 11 patients and insertion of pigtail catheter ultrasonic guided in 2 patients and inserting of ICT in 5 patients.