Video-assisted Thoracioscopic Surgery under Epidural Anesthesia in the High-Risk Patients with Secondary Spontaneous Pneumothorax.
- Author:
Yeong Dae KIM
1
;
Jun Ho PARK
;
Seung in YANG
Author Information
1. Department of Thoracic and Cardiovascular Surgery, College of Medicine, Pusan National University, Busan, Korea. domini@pnu.edu
- Publication Type:Original Article
- Keywords:
Pneumothorax;
Epidural anesthesia;
Thoracoscopy
- MeSH:
Anesthesia, Epidural*;
Anesthesia, General;
Humans;
Lung;
One-Lung Ventilation;
Pneumothorax*;
Recurrence;
Thoracic Surgery, Video-Assisted;
Thoracoscopy
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2003;36(9):678-682
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: Video-assisted thoracoscopic surgery is good indication of secondary spontaneous pneumothorax. This method usually required general anesthesia and single-lung ventilation with collapse of other lung. But, risks of general anesthesia and single-lung ventilation must be considered in high-risk patients. MATERIAL AND METHOD: Between September 1999 and August 2001, 15 high-risk patients were treated by vedio-assisted thoracoscopic surgery under epidural anesthesia. RESULT: Video assisted thoracoscopic surgery was successfully performed in 15 patients. Duration of postoperative air-leakage was 4.3days, Significance of complication was none, No recurrence of pneumothorax was encountered. CONCLUSION: Video-assisted thoracoscopic surgery can be performed safely under epidural anesthesia for treatment of secondary spontaneous pneumothorax in high-risk patients.
