외상후 국소적으로 응고된 혈흉의 비디오흉강경수술

Abstract

Background. Inadequate drainage of traumatic hemothoraces may result in prolonged hospitalization and complication such as empyema, fibrothorax and pleural calcification. This need to be the placement of a tube thorascostomy which is efficacious in more than 80% of cases. Other cases require surgical treatment. Methods. From March 2002 to February 2003, 10 patients underwent early retained clot evacuation with video assisted thoracoscopic sugery. The ratio of male and female was 4:1, and average age was 40.2 ± 11.4 years ( 26 - 60 ). The cause of injury was traffic accidents 8 cases and stab wound 2 cases. Results. Interval from injury and operation was 3.1 ± 2.9 days ( 0 - 7), mean operation time was 69.7 ± 18.9 minutes ( 45 - 90) and duration of tube drainage was 4.6 ± 2.4 days. The coversion to thoratomy, operation-related complication and recurrence of fluid collection within follow up period (17.8 ± 3.8 months ) was none. Conclusions. Video assisted thoracoscopic surgery can be utilized as an effective and safe method for the removal of retained clotted hemothroax within 7 days.