A comparison of axillary thoracotomy versus video-assisted thoracoscopic surgery in the surgical treatment of primary spontaneous pneumothorax

Doğusoy, Ilgaz; Yildirim, Mehmet; Ustaalioglu, Recep; Demirbağ, Hatice

doi:10.5606/tgkdc.dergisi.2018.15279

Cited by 3 publications

(2 citation statements)

References 35 publications

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“…The study of VATS in children with mediastinal tumor is of great importance and value, and further in-depth research is expected. Of course, not all children with mediastinal tumor are suitable for VATS (27). For example, children with a large tumor area, tumor metastasis and proliferation and children who are too young (the body volume is too small) can only choose thoracotomy or chemotherapy.…”

Section: Discussionmentioning

confidence: 99%

Effect of video‑assisted thoracoscopic surgery on pain stress indicators NO, IL‑1β and IL‑6 in the treatment of mediastinal tumor in children

et al. 2020

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This study aimed to investigate the effect of video-assisted thoracoscopic surgery (VATS) on pain stress indicators nitric oxide (NO), interleukin-1β (IL-1β) and IL-6 in the treatment of mediastinal tumor in children, so as to explore the clinical application value of this surgery. A retrospective analysis was performed on 82 children with mediastinal tumor undergoing operation in Children's Hospital Affiliated to Zhengzhou University from January 2012 to January 2016. Among them, 48 children undergoing VATS were enrolled as an observation group, and 34 children undergoing conventional thoracotomy were enrolled as a control group. Enzyme-linked immunosorbent assay (ELISA) was used to detect the preoperative and postoperative expression levels of NO, IL-1β and IL-6. The intraoperative clinical data, postoperative pain degree and infection rate were observed and recorded in real time, and then compared between the two groups. Before operation (T 0), there were no statistically significant differences between the two groups in serum NO, IL-1β and IL-6 expression levels, which were lower in the observation group than those in the control group at 12 h (T 1) and 24 h (T 2) after operation (P<0.05). The visual analog scale (VAS) score in the observation group was lower than that in the control group at T 1 (P<0.05). Compared with the control group, the largest blade opening, intraoperative blood loss, drainage duration and postoperative pain degree were significantly improved in the observation group. The postoperative infection rate was 4.17% in the observation group, significantly lower than 17.64% in the control group. VATS is effective for postoperative pain stress indicators and infection control in children with mediastinal tumor, which is therefore more suitable for children with the disease and has a higher clinical value.

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Section: Discussionmentioning

confidence: 99%

Effect of video‑assisted thoracoscopic surgery on pain stress indicators NO, IL‑1β and IL‑6 in the treatment of mediastinal tumor in children

et al. 2020

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“…It can be performed with a small incision and, therefore, postoperative pain complaints are less severe and, additionally, surgical trauma is less than open surgeries. [ 1 , 2 ] However, it can be associated with severe acute postoperative pain and the occurrence of chronic pain. [ 3 ] Although thoracic epidural analgesia (TEA) and paravertebral block (PVB) are recommended as the first choice for thoracotomy, it is thought to be an invasive method for VATS[ 4 ] and its necessity is questioned in patients undergoing VATS due to the technical difficulties, requirement of experience, serious side effects, and contraindications.…”

Section: Introductionmentioning

confidence: 99%

The effect of ultrasound-guided serratus anterior plane block in addition to intrathecal morphine on early postoperative period after video-assisted thoracoscopic surgery

Azizoğlu

Yapıcı

Bayülgen

et al. 2021

Turk Gogus Kalp Dama

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Background: The aim of this study was to evaluate the effect of serratus anterior plane block in addition to intrathecal morphine for early postoperative period after video-assisted thoracoscopic surgery on the amount of morphine consumption and the Visual Analog Scale scores. Methods: This single-blind, randomized-controlled study included a total of 64 patients (39 males, 25 females; mean age: 53.6±17.0 years; range, 20 to 89 years) who were scheduled for video-assisted thoracoscopic surgery in a tertiary hospital between September 2019 and March 2020. Postoperative pain control was achieved with intrathecal morphine 0.6 mg addition to serratus anterior plane block (Group ITM+SAPB) or with only intrathecal morphine (Group ITM) after an induction of anesthesia. The serratus anterior plane block was performed with a single injection of 0.4 mL/kg of 0.25% bupivacaine at the level of fifth rib with ultrasound guidance. Morphine consumption, pain scores, and side effects were recorded in the postoperative period. Results: The mean morphine consumption was significantly lower in the ITM+SAPB group at all time points. Compared to the control group, the Visual Analog Scale-resting and coughing scores were significantly lower in the first 12 h after surgery. Pain scores were significantly higher in the ITM+SAPB group in patients where the trocar was inserted at upper level of the fifth rib than the lower level (3-5 vs. 5-8) during the first 6 h after surgery. Conclusion: The use of serratus anterior plane block in addition to intrathecal morphine is a safe and effective way to improve pain control for early postoperative period after video-assisted thoracoscopic surgery. The serratus anterior plane block ensures better analgesia until the peak effect of spinal morphine occurs.

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Current opinion and comparison of surgical procedures for the treatment of primary spontaneous pneumothorax

Tsuboshima

Kurihara

Seyama

2021

Expert Review of Respiratory Medicine

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A comparison of axillary thoracotomy versus video-assisted thoracoscopic surgery in the surgical treatment of primary spontaneous pneumothorax

Abstract: Bu çalışmada primer spontan pnömotoraksın cerrahi tedavisinde video yardımlı torakoskopik cerrahi ile aksiller torakotomi sonuçları karşılaştırıldı.

Cited by 3 publications

References 35 publications

Effect of video‑assisted thoracoscopic surgery on pain stress indicators NO, IL‑1β and IL‑6 in the treatment of mediastinal tumor in children

Effect of video‑assisted thoracoscopic surgery on pain stress indicators NO, IL‑1β and IL‑6 in the treatment of mediastinal tumor in children

The effect of ultrasound-guided serratus anterior plane block in addition to intrathecal morphine on early postoperative period after video-assisted thoracoscopic surgery

Current opinion and comparison of surgical procedures for the treatment of primary spontaneous pneumothorax

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