A comparison of rigid-v-video thoracoscopy in the management of chest trauma

被引：10

作者：

Karmy-Jones, R ^{[1
]}

Vallieres, E ^{[1
]}

Kralovich, K ^{[1
]}

Gasparri, M ^{[1
]}

Sorensen, VJ ^{[1
]}

Horst, HM ^{[1
]}

Patton, JH ^{[1
]}

Wagner, J ^{[1
]}

Wood, D ^{[1
]}

Brundage, S ^{[1
]}

Obeid, FN ^{[1
]}

机构：

[1] Henry Ford Hosp, Div Trauma, SICU, Detroit, MI 48202 USA

来源：

INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED | 1998年 / 29卷 / 09期

关键词：

D O I：

10.1016/S0020-1383(98)00157-0

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Between December 1, 1994 and April 1, 1998, 44 thoracoscopic procedures were performed in 42 patients following chest injuries. Indications included exploration in 15, retained haemothorax in 10, continued bleeding after chest tube placement in 3, air leak in 5 and empyema in 11. Video thoracoscopy was used in 24 cases and rigid thoracoscopy in 20, including 14 patients in whom video thoracoscopy was contraindicated. There was no difference in the operative times, length of stay or incidence of complications. Two formal and 3 "mini" thoracotomies were used in the video thoracoscopy group. Three "mini" thoracotomies were required in the rigid thoracoscopy group. Rigid thoracoscopy is an effective tool that, in selected cases, increases the utility of thoracoscopy in the management of chest trauma and its complications. (C) 1998 Elsevier Science Ltd. All rights reserved.

引用

页码：655 / 659

页数：5

共 22 条

[1] Thoracoscopy in the trauma patient: What is its role? [J].

Badhwar, V ;

Mulder, DS .

JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1996, 40 (06) :1047-1047

[2]

Carrillo EH, 1997, J AM COLL SURGEONS, V184, P316

[3] THE ROLE OF THORACOSCOPY IN THORACIC TRAUMA [J].

GRAEBER, GM ;

JONES, DR .

ANNALS OF THORACIC SURGERY, 1993, 56 (03) :646-648

[4]

HENNIFORD BT, 1997, ANN THORAC SURG, V63, P940

[5] DOUBLE JEOPARDY - THORACOABDOMINAL INJURIES REQUIRING SURGICAL INTERVENTION IN BOTH CHEST AND ABDOMEN [J].

HIRSHBERG, A ;

WALL, MJ ;

ALLEN, MK ;

MATTOX, KL .

JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1995, 39 (02) :225-231

[6] EMERGENCY THORACOSCOPY - A LOGICAL APPROACH TO CHEST TRAUMA MANAGEMENT [J].

JONES, JW ;

KITAHAMA, A ;

WEBB, WR ;

MCSWAIN, N .

JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1981, 21 (04) :280-284

[7] Rigid thorascopic debridement and continuous pleural irrigation in the management of empyema [J].

KarmyJones, R ;

Sorenson, V ;

Horst, HM ;

Lewis, JW ;

Rubinfeld, I .

CHEST, 1997, 111 (02) :272-274

[8] THORACOSCOPY IN THE SUBACUTE MANAGEMENT OF PATIENTS WITH THORACOABDOMINAL TRAUMA [J].

KERN, JA ;

TRIBBLE, CG ;

SPOTNITZ, WD ;

RODGERS, BM ;

DANIEL, TM .

CHEST, 1993, 104 (03) :942-945

[9]

KIRBY TJ, 1997, ANN THORAC SURG, V63, P1415

[10] PREVALENCE OF CHRONIC PAIN AFTER PULMONARY RESECTION BY THORACOTOMY OR VIDEO-ASSISTED THORACIC-SURGERY [J].

LANDRENEAU, RJ ;

MACK, MJ ;

HAZELRIGG, SR ;

NAUNHEIM, K ;

DOWLING, RD ;

RITTER, P ;

MAGEE, MJ ;

NUNCHUCK, S ;

KEENAN, RJ ;

FERSON, PF .

JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 1994, 107 (04) :1079-1086

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