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Video-assisted Thoracioscopic Surgery under Epidural Anesthesia in the High-Risk Patients with Secondary Spontaneous Pneumothorax  

김영대 (부산대학교 의과대학 흉부외과학교실)
박준호 (부산대학교 의과대학 흉부외과학교실)
양승인 (부산대학교 의과대학 흉부외과학교실)
Publication Information
Journal of Chest Surgery / v.36, no.9, 2003 , pp. 678-682 More about this Journal
Abstract
Video-assisted thoracoscopic surgery is good indication of secondary spontaneous pneumothorax. This method usually required general anesthesia and single-lung ventilation with collapse of other lung. But, risks of general anesthesia and single-lung ventilation must be considered in high-risk patients. Material and Method: Between September f999 and August 2001, 15 high-risk patients were treated by video-assisted thoracoscopic surgery under epidural anesthesia. Result: Video assisted thoracoscopic surgery was successfully performed in 15 patients. Duration of postoperative air-leakage was 4.3days, Significance of complication was none, No recurrence of pneumothorax was encountered. Conclusion: Video-assisted thoracoscopic surgery can be performed safely under epidural anesthesia for treatment of secondary spontaneous pneumothorax in high-risk patients.
Keywords
Pneumothorax; Epidural anesthesia; Thoracoscopy;
Citations & Related Records
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