View : 122 Download: 0

Transaxillary minithoracotomy versus video-assisted thoracic surgery for spontaneous pneumothorax

Title
Transaxillary minithoracotomy versus video-assisted thoracic surgery for spontaneous pneumothorax
Authors
Kim K.H.Kim H.K.Han J.Y.Kim J.T.Won Y.S.Choi S.S.
Ewha Authors
최수승김광호
SCOPUS Author ID
최수승scopusscopusscopus; 김광호scopus
Issue Date
1996
Journal Title
Annals of Thoracic Surgery
ISSN
0003-4975JCR Link
Citation
vol. 61, no. 5, pp. 1510 - 1512
Indexed
SCI; SCIE; SCOPUS scopus
Abstract
Background. Although management of spontaneous pneumothorax by video-assisted thoracic surgery (VATS) has generally shown superior clinical results to thoracotomy, management of spontaneous pneumothorax by transaxillary minithoracotomy (TAMT) has also shown good clinical results. The objective of this study was to compare the clinical results of VATS and TAMT in treating spontaneous pneumothorax. Methods. Sixty-six patients, aged 13 to 81 years, with recurrent, persistent or contralateral spontaneous pneumothorax were involved in this study. Thirty-six patients were treated by VATS and 30 by TAMT. The operating time, the amount of analgesics used on the first postoperative day, the duration of the indwelling chest tube, and the number of recurrences after operation were compared. The follow-up periods of both procedures were from 6 to 24 months. Results. Of the 66 patients, 64 were male and 2 were female. The duration of operation, from start of skin incision to insertion of chest tube, was 91.2 ± 36.8 minutes in VATS and 86.3 ± 40.9 minutes in TAMT (p = 0.6061). The amount of analgesics (keptoprofen) used was 1.9 ± 2.3 ampules in VATS and 2.1 ± 2.9 ampules in TAMT (p = 0.0883). The duration of indwelling chest tube was 5.0 ± 4.0 days in VATS and 4.3 ± 2.1 days in TAMT (p = 0.3707). The number of recurrences after operation was 4 in VATS and none in TAMT. Conclusions. There were no advantages of VATS over TAMT for management of recurrent, persistent, or contralateral spontaneous pneumothorax in regard to the operating time, the amount of analgesics used on the first postoperative day, the duration of the indwelling chest tube, and the number of postoperative recurrences in patients with apical bullae.
DOI
10.1016/0003-4975(96)00113-0
Appears in Collections:
의과대학 > 의학과 > Journal papers
Files in This Item:
There are no files associated with this item.
Export
RIS (EndNote)
XLS (Excel)
XML


qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

BROWSE