THORACIC (CHEST) SURGICAL PROCEDURES

(Assoc. Prof. Erkan YILDIRIM, MD, PhD, f.e.t.c.s. / Thoracic & Lung Transplant Surgeon / Istanbul –TURKEY)

VIDEO-Assisted MINIMAL INVASIVE CHEST SURGERY

Chemical Pleurodesis for MPE (Malignant Pleural Effusion – Lung Fluid) and/or Chylothorax

• ICU Stay: No
• HOSPITAL Stay: 3-4 days
• TOTAL Stay in TURKEY (range in DAYS*; unless any other complications!): 5 Days

GENERAL INFO

Before Surgery

• Consultations – (Preop – *(Only Anesthesia and Chest Diseases are preoperatively included in the total charges!): If needed!
• Blood Tests: Yes (Hemogram, Serology, Biochemistry, Blood type)
• Chest X-Ray: Yes
• Abdominal X-Ray: No
• PFT (Pulmonary Function Test): No
• V/Q Scan (Lung Ventilation / Perfusion Scan): No
• Chest and/or Abdominal CT Scan – *(If the patient have the CT scans already done, then no need to take additional CT scans preop): Yes – Preop evaluation (* Not included in the total charges)!
• PET / CT Scan (Positron Emisson Tomography): No
• MRI (Chest, Abdomen and/or Brain) –  *(If the patient have the MRI already done, then no need to take additional MRI preop): No
• Bone Scan: No
• USG / Ultrasonography (Chest, Abdomen, and/or others) – (*Not included in the total charges!): Yes (For to find the right place to insert the pleurocan catheter on the chest)*

During- Surgery

• General Anesthesia: No
• Local/Regional Anesthesia: Yes – (*After premedication)
• Local Anesthesia + Sedation: If needed!
• Spinal / Epidural Anesthesia: No
• PCA (Patient Controlled Analgesia; Epidural or IV route! – *(Not included in the total charges!): If needed!

After  Surgery

• HOSPITAL STAY after the ICU period, if ever:
• STAY AT HOTEL after being discharged from Hospital –  *’Wound Dressing’ Everyday till the Control Day!
• First CONTROL Day! – *Get the Stitches removed, If ever!
• Discharged to HOME – *Take your prescription – DO NOT FORGET! – Patient generally could have “a safe flight to home” after the FIRST CONTROL!
• After – Surgery ( 3rd to 4th Weeks) – Needs CONSULTATIONS by “Medical AND Radiation Oncology Clinics”!
• Late – CONTROLS (1st -3rd – 6th – 12th -24th months in concordance with “the Medical & Radiation Oncology Departments Follow-ups”)!

IMPORTANT NOTES*:

INCLUDED (If needed!)* in the total CHARGES; – Blood (if necessary, up to 2 bags), First Chest X-Ray, – Frozen / Section and Pathology, – Prolene Mesh and Methylmetacrylate, – Clips, – First pectus bar, – First day of the ICU (if mentioned above!)

NOT-INCLUDED (If needed!)* in the total CHARGES are; – Preop/Postop Computerized Tomography, MRI, PET-CT, – Tracheal Stents, -Thoracoscopic staplers & Fireing Apparatus + Alexis retractor, – Tissue glue (Tissell, Fibrin etc.), – Pectus Bars (2nd and 3rd one, if needed!)*, – 2nd and the rest of consultations of the other clinics, if needed!, – PFT (Pulmonary Function Tests), USG (Ultrasonography), Bone Scan, if needed!, – V/Q Scan (Lung Ventilation/Perfusion Scan), if needed!, – 2nd & the rest of the ICU Days AND Accommodation and transfers are not included!