Video-Assisted Thoracoscopic Surgery for Patent Ductus Arteriosus.
10.4070/kcj.2004.34.10.978
- Author:
Keun HER
1
;
Jae Wook LEE
;
Hwa Kyun SHIN
;
Yong Soon WON
Author Information
1. Department of Thoracic and Cardiovascular Surgery, College of Medicine, Soonchunhyang University, Bucheon, Korea. hktree@schbc.ac.kr
- Publication Type:Original Article
- Keywords:
Ductus arteriosus, patent;
Thoracic surgery, video-assisted;
Surgical instruments
- MeSH:
Anesthesia, General;
Chest Tubes;
Ductus Arteriosus;
Ductus Arteriosus, Patent*;
Humans;
Prognosis;
Recurrent Laryngeal Nerve;
Skin;
Surgical Instruments;
Thoracic Surgery, Video-Assisted*;
Thoracoscopes;
Thoracotomy;
Tidal Volume
- From:Korean Circulation Journal
2004;34(10):978-982
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND AND OBJECTIVES: Video-Assisted Thoracoscopic surgery for Patent Ductus Arteriosus is an efficient method to reduce the risk of postoperative residual shunt as well as various complications that can be caused by a thoracotomy. The aim of this study was to analyze the safety and efficacy of ductus arteriosus clipping, using videothoracoscopy in sixty-five patients, and the results and prognosis of the operations. SUBJECTS AND METHODS: After general anesthesia of the sixty-five Patent Ductus Arteriosus (PDA) patients, double skin incisions of 7 and 5 mm were made and a thoracoscope inserted at the point of the 5 mm skin incision, with clipping of ductus arteriosus using the 7 mm skin incision were conducted. During the procedure, the tidal volume was kept at the minimum level to maintain O2 saturation, without insertion of a chest tube. RESULTS: There have been reported complications in fourteenth cases, with four of these caused by injury to the recurrent laryngeal nerve; however, they recovered after two weeks, with the other ten receiving a remnant residual shunt. Nine of ten residual shunt cases cured naturally after about six months, with no special treatments. CONCLUSION: Surgery using Video-Assisted thoracoscopic surgery for the PDA patients can decrease the complications due to a thoracotomy, and is therefore, a much safer and more effective method than other existing solutions.
