Video-Assisted Thoracoscopic Bullectomy under Local Anesthesia

국소마취하에 비디오 흉강경을 이용한 폐기포절제술

  • Published : 1994.02.01

Abstract

Recently we performed video-assisted thoracoscopic[VAT] examination and bullectomy under local anesthesia. Of the 10 patients undergoing VAT examination under local anesthesia with primary spontaneous pneumothorax, 8 patients underwent VAT bullectomy under local anesthesia using endo-GIA; 7 patients discharged within 24 hours after operation; 1 patient had an air leak after operation, so chemical pleurodesis with doxycycline was performed and discharged postoperative day 3. There have been no recurrence to date[60-120 days after operation]. We think spontaneous pneumothorax can be treated on an out-patient basis.

Keywords

References

  1. Gibbon's Surgery of the Chest.(5th ed.) The pleura. DeMeester,T.R.;Lafontaine,E.;Sabiston,D.C.;Spencer,F.C.
  2. Ann Thorac Surg v.5 A talc powder aerosol method for the prevention of recurrent spontaneous pneumothrax Adler,R.H.
  3. Ann Thorac Surg v.28 Intrapleural installation of quinacrine for treatment of recurrent spontaneous pneumothorax Larrieu,A.J.;Tuers,G.F.O.;Williams,E.H.;O'Neil,M.J.;Derrick,J.R.
  4. J Thorac Cardiovasc Surg v.66 Recurrent spontaneous pneumothorax in the high-risk patient : management with intrapleural quinacrine Cattaneo,S.M.;Sirak,H.D.;Klassen,K.P.
  5. Thorax v.44 Spontaneous pneumothorax : comparison of simple drainage, talc pleurodesis, and tetracycline pleurodesis Almind,P.;Large,O.;Visdum,K.
  6. Ann Thorac Surg Transaxillary minithoracotomy : The optimal approach for certain pulmonary and mediastinal lesion Becker,R.N.;Munro,D.D.
  7. Ann Thorac Surg v.30 Transaxillary pleurectomy for treatment of spontaneous pneumothorax Deslauriers,J.;Beaulieu,M.;Despre,J.P.;Lemieux,M.;Leblanc,J.;Desmeules,M.
  8. 대흉외지 v.26 비디오 흉강경을 이용한 흉부수술 김해균;이두연;윤용한;배기만
  9. 대흉외지 v.26 비디오 흉강경을 이용한 자연기흉의 수술치료 백만종;이승렬;선경;김관택;이인성;김형묵
  10. Chest v.102 Thoracoscopic management of spontaneous pneumothorax Melvin,W.S.;Krasna,M.J.;McLaughlin,J.S.
  11. J Thorac Cardiovasc Surg v.105 Thoracoscopic pleurectomy for treatment of complicated spontaneous pneumothorax Inderbitzi,R.G.C.;Furrer,M.;Striffeler,H.;Althaus,U.
  12. Ann Thorac Surg v.54 Video-assisted thoracic surgery : Basic technical concepts and inercostal approach strategies Landreneau,R.J.;Mack,M.J.;Hazelrigg,S.R.;Dowling,R.D.;Acuff,T.E.;Magee,M.J.;Ferson,P.F.
  13. J Thorac Cardiovasc Surg v.105 Thoracic stapled resection for spontaneous pneumothorax Hazelrigg,S.R.;Landreneau,R.J.;Mack,M.(et al.)
  14. Ann Thorac Surg v.53 Thoracoscopy for spontaneous pneumothorax Cannon,W.B.;Vierra,M.A.;Cannon,A.
  15. Ann Thorac Surg v.56 Thoracoscopic treatment of spontaneous pneumothorax Takeno,Y.
  16. Am J Surg v.154 Thoracoscopy under regional anesthesia for the diagnosis and management of pleural disease Rusch,V.W.;Mountain,C.
  17. 대흉외지 v.8 자연기흉에 대한 Thoracoscopy의 임상적 의의 김영태;김근호
  18. 대흉외지 v.26 국소마취하의 흉강경의 임상적 응용 홍순필;박기진;이재필(등)