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2008•Chinese Journal of Trauma and Disability MedicineRequires access

Value of Video Thoracic Surgery for Treatmeant of Secondary Spontaneous Pneummothorax

Hong Liu

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Abstract

Object:To assess the role of video—assisted surgery for the treatment of second spontaneous pneumothorax and what time conversion to thoracotomy. Methods: We reviewed 113 patients with the secondary spontaneous pneumothorax, the experiment was divided into two groups: A group(VATS),B group(thoracotomy),A groups was divided into A1(pure VATS)and A2(VATS assisted minimal incision).Postoperative paramenters of these groups, such as duration of drainage, hospitalized days, incidence of complication were compared. Results: The duration of drainage and hospitalized days were no difference between A group and B group(P0.05).The postoperative incidence of complication of these groups were A120.5%,A216.7%,B24% respectively. The short—term recurrence rates of the three groups were 15.4%,12.5%,18% respectively. Conclusion: Personal VATS should be the first choice for the secondary spontaneous pneumothorax.

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What this paper is about

Object:To assess the role of video—assisted surgery for the treatment of second spontaneous pneumothorax and what time conversion to thoracotomy. Methods: We reviewed 113 patients with the secondary spontaneous pneumothorax, the experiment was divided into two groups: A group(VATS),B group(thoracotomy),A groups was divided into A1(pure VATS)and A2(VATS assisted minimal incision).Postoperative paramenters of these groups, such as duration of drainage, hospitalized days, incidence of complication were compared. Results: The duration of drainage and hospitalized days were no difference between A group and B group(P0.05).The postoperative incidence of complication of these groups were A120.5%,A216.7%,B24% respectively. The short—term recurrence rates of the three groups were 15.4%,12.5%,18% respectively. Conclusion: Personal VATS should be the first choice for the secondary spontaneous pneumothorax.

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Available abstract

Object:To assess the role of video—assisted surgery for the treatment of second spontaneous pneumothorax and what time conversion to thoracotomy. Methods: We reviewed 113 patients with the secondary spontaneous pneumothorax, the experiment was divided into two groups: A group(VATS),B group(thoracotomy),A groups was divided into A1(pure VATS)and A2(VATS assisted minimal incision).Postoperative paramenters of these groups, such as duration of drainage, hospitalized days, incidence of complication were compared. Results: The duration of drainage and hospitalized days were no difference between A group and B group(P0.05).The postoperative incidence of complication of these groups were A120.5%,A216.7%,B24% respectively. The short—term recurrence rates of the three groups were 15.4%,12.5%,18% respectively. Conclusion: Personal VATS should be the first choice for the secondary spontaneous pneumothorax.

Key concepts: Medicine, Pneumothorax, Thoracotomy, Surgery, Complication, Video-assisted thoracoscopic surgery, Incidence (geometry), Cardiothoracic surgery

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