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2001•Journal of Jiangsu Clinical MedicineRequires access

VIDEO-ASSISTED THORACOSCOPIC SURGERY VERSUS THORACOTOMY FOR SPONTANEOUS PNEUMOTHORAX

Chen Guangmin

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Abstract

Objective:To review our experience with video-assisted thoracoscopic surgery (VATS)and thoracotomy (TH) for the treatment of spontaneous pneumothorax (SP).Methods:Twenty-two patients underwent VATS and another twenty did TH from Jane 1999 to Jan 2000.Results:The operating time and duration of postoperative chest drainage and hospital stay were significantly shorter in group VATS than in group TH.The amount of perioperative bleeding and blood transfusion was dramatically less in group VATS than ingroup TH. There were no complication and recurrence rate and mortality in both groups. There was no conversion to TH in group VATS.Conclusions:VATS has characteristics of minimal invasion,less bleeding, shorter operating time, less affecting cardio-pulmonary function and quick recovery.It is the first choice for primary SP (PSP),especially for recurrent or bilateral PSP.Secondary SP patients are recommended for TH.

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Objective:To review our experience with video-assisted thoracoscopic surgery (VATS)and thoracotomy (TH) for the treatment of spontaneous pneumothorax (SP).Methods:Twenty-two patients underwent VATS and another twenty did TH from Jane 1999 to Jan 2000.Results:The operating time and duration of postoperative chest drainage and hospital stay were significantly shorter in group VATS than in group TH.The amount of perioperative bleeding and blood transfusion was dramatically less in group VATS than ingroup TH. There were no complication and recurrence rate and mortality in both groups. There was no conversion to TH in group VATS.Conclusions:VATS has characteristics of minimal invasion,less bleeding, shorter operating time, less affecting cardio-pulmonary function and quick recovery.It is the first choice for primary SP (PSP),especially for recurrent or bilateral PSP.Secondary SP patients are recommended for TH.

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Available abstract

Objective:To review our experience with video-assisted thoracoscopic surgery (VATS)and thoracotomy (TH) for the treatment of spontaneous pneumothorax (SP).Methods:Twenty-two patients underwent VATS and another twenty did TH from Jane 1999 to Jan 2000.Results:The operating time and duration of postoperative chest drainage and hospital stay were significantly shorter in group VATS than in group TH.The amount of perioperative bleeding and blood transfusion was dramatically less in group VATS than ingroup TH. There were no complication and recurrence rate and mortality in both groups. There was no conversion to TH in group VATS.Conclusions:VATS has characteristics of minimal invasion,less bleeding, shorter operating time, less affecting cardio-pulmonary function and quick recovery.It is the first choice for primary SP (PSP),especially for recurrent or bilateral PSP.Secondary SP patients are recommended for TH.

Key concepts: Medicine, Surgery, Video-assisted thoracoscopic surgery, Pneumothorax, Perioperative, Thoracotomy, Cardiothoracic surgery, Blood transfusion

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