Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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The Comparison of Transaxillary Minithoracotomy Versus VATS in the Operative Treatments of Spontaneous Pneumothorax

자연성 기흉에서 액와절개술과 비디오 흉강경을 이용한 수술의 비교

  • 정경영 (연세대학교 의과대학 흉부외과학교실 신촌 세브란스병원) ;
  • 김길동 (연세대학교 의과대학 흉부외과학교실 영동 세브란스병원)
  • Published : 1996.08.01
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Abstract

The bullectomy through transaxillary minithoracotomy and video assisted thoracic surgery(VATS) have been widely used in treatment of spontaneous pneumothorax. The study comprised a retrospective review of 1 13 consecutive cases of whom underwent bullectomy through transaxillary minithoracotomy at Shinchon Severance Hospital(group T) and 129 consecutive cases of whom underwent thoracoscopical bullectomy at Youngdong Severance(group V) between January 1992 to Jun 1994. This study compare the clinical and economic resuts of group T and group V There were no significant differences for operation time, indwelling periods of chest tube, hospital stay, complication rate and rate of recurrence in the two groups. The times of parenteral analgesics use and treatment cost were significant less in group T.

액와절개술과 비디오흉강경을통한 폐기보절제술은 널리 알려진 자연성 기흉의 치료방법이다. 1992 년 1월부터 1994년 6월까지 신촌세브란스병원에서 액와절개술을 통한 폐기포 절제술(113예)과 영동세 브란스병원에서 비디오흉강경을 이용한 폐기포 절제술(129예)을후향적으로 비교분석 하였다 두군사 이에 수술시간, 흉관거치기간, 입원기간, 합병증 발생율 및 기층의 재발율에 있어서는 통계적 유의성이 없었으나 비경구용 진통제의 투여횟수 및 경제적 측면에서는 액와 절개술을 통한 폐기포절제술이 우수한 수술방법으로 나타났다.

Keywords

References

  1. Dis Chest v.42 A Study of pathogenesis and management of spontaneous pneumothorax Bernhard,W.F.;Malcolm,J.A.;Berry,R.W.(et al.)
  2. J Thorac Cardiovasc Surg v.55 The managument of spontaneous pneumothorax Clagett,O.T.
  3. 대흉외지 v.27 국소마취하에 비디오 흉강경을 이용한 폐 기포 절제술 박만실;강경훈;이두연;홍기표
  4. J Thorac Cardiovasc Surg v.46 Spontaneous pneumothorax Gobbel,W.G.;Rhea,W.G.;Nelson,I.A.(et al.)
  5. Arch Surg v.75 Spontaneous pneumothorax Lindskog,G.E.;Halasz,N.A.
  6. J Thorac Cardiovasc Surg v.99 The lateral limited thoracotomy incision: standard for pulmonary operation Mitchell,R.L.
  7. Arch Surg v.123 Pleurectomy through the triangle of auscultation for treatment of recurrent pneumothorax in younger patients Nazarian,J.;Down,G.;Lau,O.J.
  8. Ann Thorac Surg v.47 Thoracotomy throught the auscultatory triangle Horowitz,M.D.;Ancalmo,N.;Ochsner,J.L.
  9. Ann Thorac Surg v.22 Vertical axillary thoracotomy: A functional and cosmetically appealing incision Oscar,R.B.;Eric,D.F.
  10. Ann Thorac Surg v.22 no.3 Transaxillary minithoracotomy: The optional approach for certain pulmonary and mediastinal lesions Ronald,M.B.;Darrell,D.M.
  11. 대흉외지 v.28 비디오 흉강경을 이용한 자연성 기흉의 치료 박진상;권영무;최세영;박창권;이광숙;유영선
  12. Chest v.10232 Thoracoscopic management of spontaneous pneumothorax Melvin,W.S.;Krasna,M.J.;McLaughlin,J.S.
  13. Ann Thorac Surg v.52 Videothoracoscopic ligation of bulla and pleurectomy for spontaneous pneumothorax Nathanson,L.K.;Shimi,S.;Wood,R.A.B.;Cuschieri,A.
  14. Ann Thorac Surg v.58 Video-assisted thoracoscopic surgery versus thoracotomy for spontaneous pneumothorax Waller,D.A.;Forty,J.;Morritt,G.N.
  15. Thorax v.38 Surgical experience in the management of spotaneous pneumothorax Weeden,D.;Smith,G.H.
  16. 일흉 v.49 Treatment of pneumothorax Omori,T.;Ohata,M.;Lida,M.