The role of VATS in the removal of intrathoracic foreign bodies - a systematic review

Fahmi Hussein Kakamad; Razhan Kawa Ali; Bnar Jamal Hama Amin; Shvan Hussein Mohammed; Diyar Adnan Omar; Karukh Khalid Mohammed; Sanaa Othman Karim; Suhaib Hussein Kakamad; Rawezh Qadir Mohammed Salih; Diyar Abubaker Mohammed; Abdulwahid Mohammed Salih; Mohammed Qader Mustafa

doi:10.1007/s12055-022-01445-9

The role of VATS in the removal of intrathoracic foreign bodies - a systematic review

Indian J Thorac Cardiovasc Surg. 2023 Mar;39(2):125-136. doi: 10.1007/s12055-022-01445-9. Epub 2022 Dec 27.

Authors

Fahmi Hussein Kakamad^{1

2

3}, Razhan Kawa Ali⁴, Bnar Jamal Hama Amin^{1

4}, Shvan Hussein Mohammed^{1

2}, Diyar Adnan Omar^{2

5}, Karukh Khalid Mohammed^{1

2}, Sanaa Othman Karim^{1

6}, Suhaib Hussein Kakamad², Rawezh Qadir Mohammed Salih^{1

2}, Diyar Abubaker Mohammed², Abdulwahid Mohammed Salih^{1

3}, Mohammed Qader Mustafa^{2

7}

Affiliations

¹ Smart Health Tower, Madam Mitterrand Street, Sulaimani, Kurdistan Iraq.
² Kscien Organization, Hamdi Str, Azadi Mall, Sulaimani, Kurdistan Iraq.
³ College of Medicine, University of Sulaimani, Madam Mitterrand Street, Sulaimani, Kurdistan Iraq.
⁴ Shar Hospital, Sulaimani, Kurdistan Iraq.
⁵ Medical Laboratory Technology, Shaqlawa Technical College, Erbil Polytechnic University, Erbil, Iraq.
⁶ College of Nursing, University of Sulaimani, Madam Mitterrand Street, Sulaimani, Kurdistan Iraq.
⁷ Department of Medical Analysis, Tishk International University - Erbil, Kurdistan Region, Erbil, Iraq.

Abstract

Introduction: To date, no systematic review or meta-analysis study has been conducted regarding the use of video-assisted thoracoscopic surgery (VATS) in the removal of intrathoracic foreign bodies (FB). This systematic review aims to evaluate the feasibility of VATS in the removal of intrathoracic FBs.

Methods: PubMed/MEDLINE, CINAHL, Web of Science, EMBASE, and Cochrane Library databases were systematically searched to identify reports published up to April 1, 2022.

Results: The initial systematic search revealed a total of 208 papers, of which only 54 studies reporting 71 cases were included in this systematic review. Among the patients, 46 (64.8%) were male, 22 (31%) were female, and 3 (4.2%) were unknown. The mean age was 34.5 ± 24.3 years (1 day to 98 years). The patients were of 3 etiologic groups: iatrogenic (31, 43.7%), traumatic (28, 39.4%), and accidental (9, 12.7%). Most of the patients were emergency cases (27, 38%). The most frequently used imaging modalities to diagnose these foreign bodies were X-ray (46, 64.8%), followed by computed tomography (44, 62%), and ultrasonography (16, 22.5%). About 43% of all the foreign bodies were therapeutic equipment. The pleural cavity had the highest involvement (36.8%), followed by the lung parenchyma (14.6%) and thoracic cavity (13.2%). Regardless of the number of access ports, all the patients had a good clinical outcome.

Conclusion: VATS is a safe and effective method for the removal of intrathoracic FBs from various thoracic sites that are associated with a good clinical outcome - in both elective and emergency cases.

Keywords: Foreign body; Intrathoracic; Removal; Thoracoscopy; Video-assisted thoracoscopic surgery.

© Indian Association of Cardiovascular-Thoracic Surgeons 2022, Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Publication types

Review