Comparison between Traditional Thoracotomy and Video-assisted Thoracoscopy for Coagulated Hemothorax
- VernacularTitle:传统外科开胸术与电视胸腔镜手术治疗外伤后凝固性血胸的对比研究
- Author:
Yaomin GAN
;
Jianmin WANG
;
Sijun LIU
- Publication Type:Journal Article
- Keywords:
Video-assisted thoracoscopy;
Coagulated hemothorax
- From:Chinese Journal of Minimally Invasive Surgery
2001;0(05):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the value of video-assisted thoracoscopic surgery(VATS)in the treatment of coagulated hemothorax.Methods A prospective randomized controlled study.Between July 2005 and July 2007,62 patients with coagulated hemothorax were enrolled in this study.The patients were randomly divided into VATS and traditional thoracotomy groups(31 in each).The pathophysiological parameters of the two grups were compared.Results No significant difference in the sex,age,property and location of the wound,and rate of complicated injuries was noticed between the two groups.The mean operation time,duration of postoperative drainage,and postoperative hospital stay of the VATS group were significantly shorter than those in the traditional group [(52.1?24.4)min vs(120.2?47.2)min,t=-7.136,P=0.000;(1.7?0.7)d vs(4.8?1.8)d,t=-8.937,P=0.000;and(12.6?2.4)d vs(18.0?8.9)d,t=-3.262,P=0.002;respectively];and the mean intraoperative blood loss and the volume of thoracic drainage of the VATS group were significantly lower than those in the traditional group [(137.1?14.6)ml vs(203.2?53.4)ml,t=-6.648,P=0.000;and(181.3?37.9)ml vs(253.9?64.0)ml,t=-5.435,P=0.000,respectively].No significant difference in the rate of complications existed between the two groups(0 vs 1 case,?2=0.000,P=0.000).Conclusion Video-assisted thoracoscopy is feasible and safe for coagulated hemothorax and is worth being widely used.
