RETROSPECTIVE ANALYSIS OF THE UTILITY OF VIDEO-ASSISTED THORACIC-SURGERY IN 100 CONSECUTIVE PROCEDURES

被引：14

作者：

HURLEY, JP

CARTHY, J

WOOD, AE

机构：

[1] Department of Cardiothoracic Surgery, Mater Hospital, Dublin, Eccles Street

来源：

EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY | 1994年 / 8卷 / 11期

关键词：

VIDEO-ASSISTED; THORACIC SURGERY (VAB);

D O I：

10.1016/1010-7940(94)90041-8

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

One hundred consecutive video-assisted thoracic surgery (VATS) procedures, diagnostic (n=54) and therapeutic (n=46), in 90 patients over a 2-year period are reviewed. Hospital mortality was 2%. Conversion to formal thoracotomy was required in 3%, and re-exploration for bleeding in 1%. Seven patients required intensive care unit facilities postoperatively. The technique described was safe and there was minimal postoperative morbidity. Diagnostic VATS was of particular use in cases of indeterminate pulmonary masses (Sensitivity of 96%), anterior mediastinal masses and in immunocompromised patients. Video-assisted thoracic surgery may now be the treatment of choice for recurrent pneumothoraces and it demonstrated potential for development in a variety of other benign thoracic disorders. This method had a limited role in the management of empyaema with a 60% conversion rate to formal thoracotomy. Pulmonary resections were feasible but its role in the treatment of malignancy is questioned.

引用

页码：589 / 592

页数：4

共 24 条

[1]

Allen M.S., Trastek V.F., Daly R.C., Deschamps C., Pairolero P.C., Equipment for thoracoscopy, Ann Thorac Surg, 56, pp. 620-623, (1993)

[2]

Cooper J.D., Perspectives on thoracoscopy in general thoracic surgery, Ann Thorac Surg, 56, pp. 697-700, (1993)

[3]

Ginsberg R.J., Rubenstein L., A randomized comparative trial of lobectomy vs limited resection for patients with Tl-N non-small cell lung cancer. Lung Cancer study group, J Lung Cancer, 83, (1991)

[4]

Hazelrigg S.R., Landreneau R.J., Boley T.M., The effect of muscle-sparing versus standard postoperlateral thoracotomy on pulmonary function, muscle strength, and postoperative pain, J Thorac Cardiovasc Surg, 101, pp. 394-401, (1991)

[5]

Hurley J., Hone R., Dervan P., Neligan M., Wood A., Reducing mortality post cardiac transplantation, Ir J Med Sci, 8, (1992)

[6]

Hurley J., Mc Carthy J., Wood A., Video assisted thoracic surgery for enucleation of oesophageal leiomyoma, Minimally Invasive Therapy, 2, pp. 257-259, (1993)

[7]

Jacobaeus H.C., The cauterization of adhesions in artificial pneumothorax therapy of tuberculosis, Surg Gynecol Ob-Stet, 32, pp. 493-500, (1922)

[8]

Jones J.W., Kitahama A., Webb W.R., Mc Swain B., Emergency thoracoscopy: A logical approach to chest trauma, J Trauma, 21, pp. 280-284, (1981)

[9]

Khouri N.F., Mezisne M.A., Zerhouni E.A., Siegelman S.S., The solitary pulmonary nodule: Assessment, diagnosis and management, Chest, 91, pp. 128-131, (1981)

[10]

Kirby T.J., Rice T.W., Thoracoscopic lobectomy, Ann Thorac Surg, 56, pp. 784-786, (1993)

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