Journal of Trauma and Injury

The Korean Society of Traumatology (대한외상학회)
권호 표지
DOI QR코드

DOI QR Code

Experiences of Video-assisted Thoracic Surgery in Trauma

  • Noh, Dongsub (Department of Trauma and Surgical Critical Care, Pusan National University Hospital) ;
  • Lee, Chan-kyu (Department of Trauma and Surgical Critical Care, Pusan National University Hospital) ;
  • Hwang, Jung Joo (Department of Trauma and Surgical Critical Care, Pusan National University Hospital) ;
  • Cho, Hyun Min (Department of Trauma and Surgical Critical Care, Pusan National University Hospital)
  • Received : 2017.05.10
  • Accepted : 2017.07.08
  • Published : 2017.09.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: Nowadays, Video-Assisted Thoracic Surgery (VATS) is widely used for its benefits, low post-operative pain, excellent anesthetic result and complete visualization of intrathoracic organs. Despite of these advantages, VATS has not yet been widely used in trauma patients. In this study, we aimed to investigate the usefulness of VATS in the chest trauma area. Methods: From January 2016 to December 2016, 203 patients underwent surgical treatment for chest trauma. Their medical records were analyzed retrospectively. Results: Eleven patients underwent thoracic surgery by VATS. Six patients were unstable vital sign in the emergency room. Two patients underwent emergency surgery and the rest patients underwent planned surgery. The common surgeries were VATS hematoma evacuation and wedge resection. There was no conversion to thoracotomy. The surgery proceeded without any problems for all patients. Conclusions: VATS would be an effective diagnostic and therapeutic modality in chest trauma patients. It can be applied to retained hemothorax, persistent pneumothorax, suspicious diaphragm injury and even coagulation of bleeder.

Keywords

References

  1. Jacobaeus HC. The practical importance of thoracoscopy in surgery of the chest. Surg Gynecol Obstet 1922;34:289-96
  2. Gabal A, Alghorori M. Role of emergency VATS in blunt chest trauma patients. J Cardiothoracic Surg 2013;8(Suppl 1):O73. https://doi.org/10.1186/1749-8090-8-S1-O73
  3. Gonzales-Rivas D, Mendez L, Delgado M, Fieira E, Fernandez R, de la Torre M. Uniportal video-assisted thoracoscopic anatomic segmentectomy. J Thorac Dis 2013;5(Suppl 3):S234-45.
  4. Sabate Rotes A, Burkhart HM, Suri RM, Grogan M, Taggart NW, Li Z, et al. Minimally invasive video-assisted surgical closure of atrial septal defects: a safe approach. World J Pediatr Congenital Heart Surg 2014;5:527-33. https://doi.org/10.1177/2150135114542166
  5. Manlulu AV, Lee TW, Thung KH, Wong R, Yim AP. Current indications and results of VATS in the evaluation and management of hemodynamically stable thoracic injuries. Eur J Cardiothorac Surg 2004;25:1048-53. https://doi.org/10.1016/j.ejcts.2004.02.017
  6. Ben-Nun A, Orlovsky M, Best LA. Video-assisted thoracoscopic surgery in the treatment of chest trauma: long-term benefit. Ann Thorac Surg 2007;83:383-7. https://doi.org/10.1016/j.athoracsur.2006.09.082
  7. Khammash M, El Rabee F. Penetrating chest trauma in North of Jordan: a prospective study. The Internet Journal of Thoracic and Cardiovascular Surgery 2006;8:1.
  8. Taniguchi Y, Nakamura H, Haruki T, Fujioka S, Adachi Y, Miwa K, et al. Video-assisted thoracic surgery (VATS) for stabbing thoracic injury. Yonago Acta Medica 2008;51:73-6.
  9. Mattox KL. Indications for thoracotomy: deciding to operate. Surg Clin North Am 1989;69:47-58. https://doi.org/10.1016/S0039-6109(16)44734-1
  10. Potaris K, Mihos P, Gakidis I. Role of video-assisted thoracic surgery in the evaluation and management of thoracic injuries. Interact Cardiovasc Thorac Surg 2005;4:292-4. https://doi.org/10.1510/icvts.2005.106914
  11. Liu DW, Liu HP, Lin PJ, Chang CH. Video-assisted thoracic surgery in treatment of chest trauma. J Trauma 1997;42:670-4. https://doi.org/10.1097/00005373-199704000-00015
  12. Meyer DM, Jessen ME, Wait MA, Estrera AS. Early evacuation of traumatic retained hemothoraces using thoracoscopy: a prospective, randomized trial. Ann Thorac Surg 1997;64:1396-400. Discussion 1400-1. https://doi.org/10.1016/S0003-4975(97)00899-0