Video assisted thoracoscopic surgery, 31 cases.

Sung, Sook Whan; Kim, Kwhan Mien; Kim, Joo Hyun

doi:1993.40.5.468

Tuberc Respir Dis > Volume 40(5); 1993 > Article

Original Article

Tuberculosis and Respiratory Diseases 1993;40(5):468-473.
DOI: https://doi.org/10.4046/trd.1993.40.5.468 Published online October 1, 1993.

Video assisted thoracoscopic surgery, 31 cases.

Sook Whan Sung, Kwhan Mien Kim, Joo Hyun Kim

Department of Thoracic and Cardiovascular Surgery, Seoul National University College of Medicine, Seoul, Korea

Abstract

Background
Recent advance in video technology, endoscopic equipments, and surgical techniques have expanded the use of thoracoscopy from diagnosis of the pleural diseases to treatment of the various intrathoracic diseases Video Assisted Thoracoscopic Surgery (VATS) is a pretty new and fascinating thoracic surgical modality, and so we present our early VATS results
Methods
Using Video Thoracoscopic techniques in 30 patients for 10 months from July 1992 to Apri11993, we had performed a variety of procedures. These incuded ① bleb resections in 18 patients (19 cases), ② mediastinal tumor excision in 4, ③ lung biopsies for parenchymal pulmonary disease in 3, ④pleural biopasies in 3, ⑤ pleural tumor excision in 1, ⑥ and pleuropericardial window in 1.
Results
There were no mortality associated with the procedures. We had minor 8 complications; prolonged air leak in 3 patients, prolonged serous drainage in 2, recurrence of pneumothorax in 1, Honer’s syndrome in 1, and hoarseness in 1 patient. None of the 30 patients had reverted to the conventional full thoracotomies. Mean postoperative hospital stay of non-complicated pneumothoraces was about 5 days, which was a little shorter than conventional thoracotomy group. ConcIusion: Though we had somewhat higher postoperative complication rate due to lack of experiences in the begining, we were able to convince that V ATS had benifical value for patients; lesser postoperative pain, shorter hospitalization, quicker recovery time, and cosmetically superior scar. The role of VATS can be expanded to the diagnosis and treatment of various thoracic diseases, even to the cardiovascular diseases, with satisfactory outcome and less postoperative morbidity

Key Words: Video Assisted Thoracoscopic Surgery (VATS), Spontaneous pneumothorax, Mediastinal tumor, Lung biopsy, Pleural biopsy

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