Video-Assisted Thoracic Surgery for the Spontaneous Pneumothorax.
- Author:
Kyoung Hoon KIM
1
;
Kyung Hoon KANG
;
Yong HUR
;
Byung Yul KIM
;
Jung Ho LEE
Author Information
1. Department of Thoracic and Cardiovascular Surgery, National Medical Center, Korea.
- Publication Type:Original Article
- Keywords:
Pneumothorax;
Thoracoscopy
- MeSH:
Chest Tubes;
Drainage;
Female;
Follow-Up Studies;
Humans;
Length of Stay;
Male;
Pneumothorax*;
Postoperative Complications;
Recurrence;
Thoracic Surgery;
Thoracic Surgery, Video-Assisted*;
Thoracoscopy;
Thoracotomy;
Wounds and Injuries
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
1997;30(11):1111-1116
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
In a period from Sep 1994 to Sep 1996, 38 patients were treated for spontaneous pneumothorax by video-assisted thoracic surgery(VATS). 31 male and 7 female patients with ages between 17 and 79(mean 30.0 years). No death occured. The postoperative complication rate of VATS was 7.9%(3/38). We noted no recurrence of pneumothorax, 3 wound dehiscence, 3 persistent air leak(>7days) in the patients. We compared theses results with thoracoscopic surgery of spontaneous pneumothorax in 38 cases(Group A), with cases of 21 patients(Group B) performed by the thoracotomy in the same period. There have been no recurrence in groud A, and one recurrence in group B at a median follow-up of 14.37+/-7.48 months and 16.81+/-7.12 months, respectively. There was no significant difference in the duration of operation time including induction time between VATS and thoracotomy, but postoperative hospital stay and chest tube drainage periods were all less for these undergone VATS. Postoperative complication was less in group A(3/38=7.9%, 3 cases with persistent air leak >7days, all developed wound dehiscence, too), than in group B(9/21=42.9%, 8 cases with persistent air leak more than 7days, including 2 wound dehiscence, one recurrence, and the other one case of empyema). In our experience, VATS has the effectiveness of thoracic surgery for treating thoracic problems, has resulted in surgical intervention in spontaneous pneumothorax.
