Comparison of the efficacy and safety of video-assisted thoracoscopic surgery with the open method for the treatment of primary pneumothorax in adults.
Comparison of the efficacy and safety of video-assisted thoracoscopic surgery with the open method for the treatment of primary pneumothorax in adults.
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DOI：
10.4103/1817-1737.37898
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发表时间：
2008-01
影响因子：
2.3
通讯作者：
Al-Tarshihi MI
中科院分区：
文献类型：
--
作者：
Al-Tarshihi MI
确定电视胸腔镜手术治疗成人原发性自发性气胸是否与传统的经腋窝开胸术一样有效。这项回顾性研究于2002年3月至2007年3月期间在侯赛因国王医疗中心进行。本研究纳入82例患者。患者分为两组：A组，包括接受电视辅助胸腔镜手术的患者; B组，包括通过腋窝开胸术接受开放技术的患者。比较两组的手术有效率、手术时间、术后并发症、住院时间、恢复工作时间和复发情况。有79名男性（96.3%）和3名女性（3.7%），A组患者的平均年龄为23.7 ± 4.2岁，B组患者为24.2 ± 4.6岁（范围16-37岁）。41例（50%）患者接受了电视胸腔镜手术（A组），41例（50%）患者接受了经腋窝开胸的开放手术技术（B组）。开放手术组术后并发症8例（19.3%），胸腔镜手术组术后并发症6例（14.6%）。两组均无围手术期死亡。B组手术时间短，但术后疼痛、出血量、漏气时间及住院时间均短于A组。电视胸腔镜手术是治疗成人原发性气胸的一种有效、安全的方法。
To determine whether video-assisted thoracoscopic surgery is as effective as the traditional open method through axillary thoracotomy for the management of primary spontaneous pneumothorax in adults. This retrospective study was conducted at King Hussein Medical Center in the period between March 2002 and March 2007. Eighty-two patients were included in this study. The patients were divided in two groups: group A, which included patients who underwent video-assisted thoracoscopic surgery; and group B, which included patients who underwent open technique through axillary thoracotomy. Efficiency of the procedure, operative time, postoperative complications, length of hospital stay, time to return to work and recurrence were compared between the two groups. There were 79 males (96.3%) and 3 females (3.7%) with a mean age of 23.7 ± 4.2 years for group A patients and 24.2 ± 4.6 years for group B patients (range 16–37 years). Forty-one patients (50%) underwent video-assisted thoracoscopic surgery (group A), and 41 patients (50%) underwent open surgical technique through axillary thoracotomy (group B). Postoperative complication occurred in 8 patients (19.3%) from among those who underwent open technique and 6 patients (14.6%) from among those who underwent thoracoscopic technique. There was no perioperative mortality in both groups. Postoperative pain, volume of blood loss, period of air leak and hospital stay were less in group A, although the operative time was less in group B. Video-assisted thoracoscopic surgery is an efficient and safe method for the treatment of patients with primary pneumothorax in the adults.
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影响因子：
4.6
作者：
Mack, MJ;Scruggs, GR;Landreneau, RJ
通讯作者：
Landreneau, RJ
影响因子：
4.6
作者：
Passlick, B;Born, C;Thetter, O
通讯作者：
Thetter, O
影响因子：
4.6
作者：
Czerny, M;Salat, A;Mueller, MR
通讯作者：
Mueller, MR
影响因子：
4.6
作者：
Freixinet, JL;Canalís, E;de Castro, FR
通讯作者：
de Castro, FR
影响因子：
4.6
作者：
Cardillo, G;Facciolo, F;Martelli, M
通讯作者：
Martelli, M