Thoracoscopy versus thoracotomy in hemodynamically stable patients with closed thoracic trauma

Fouly, Mohamed Abd El-Hafez; Zahra, Ashraf; Ghalwash, Mahmoud

doi:10.1016/j.jescts.2017.11.005

Cited by 4 publications

(2 citation statements)

References 6 publications

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“…Under a similar severity of emergency situation, the thoracoscopic group obtained certain hemostasis effect without another massive bleeding after reoperations compared with open group. Our study has also indicated significantly less complications (22.6% vs 40.4%, P = 0.039) and shorter length of chest drainage and hospital stay in thoracoscopic reoperation group, which was consistent with the above literatures [ 17 ].…”

Section: Discussionsupporting

confidence: 92%

Is VATS approach suitable in re-operations for postoperative hemothorax after pulmonary resection? Data analysis in a big volume thoracic center

Gao

et al. 2022

J Cardiothorac Surg

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Objective This study explored the safety and of feasibility of video-assisted thoracoscopy (VATS) in re-operations for post-operative hemothorax. Methods The clinical data of patients underwent re-operations due to post-operative hemothorax after pulmonary resection in Shanghai Pulmonary Hospital from 2006 to 2018 were retrospectively analysed. The incidence of re-operations were analyzed. The mortality and morbidity were compared between thoracotomy and thoracoscopic procedure for re-exploration. Results A total of 114 patients were included. The annual incidence rate ranged from 0.21 to 0.54%; the perioperative mortality was 2.6%; there were 114 cases of re-operations for hemothorax after 2012, including 62 cases in thoracoscopy group and 52 cases in open group. The durations of chest-tube drainage (7.2 ± 3.9 days vs 10.9 ± 12.0 days, P = 0.001) and length of stay in hospital (13.7 ± 6.7 days vs 18.9 ± 10.6 days, P = 0.002) in the thoracoscopic group were shorter than those in the open group. The thoracoscopic group had fewer post-operative complications as well (P = 0.023). Meanwhile, post-operative complications in the delayed group were significantly higher than those in the non-delayed group, with a longer length of hospital stay and higher hospitalization costs. Conclusion Complete VATS is safe and feasible for re-operation due to post-operative hemothorax and can be an alternative to thoracotomy. Delayed re-operations are associated with more post-operative complications and higher costs.

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Section: Discussionsupporting

confidence: 92%

Is VATS approach suitable in re-operations for postoperative hemothorax after pulmonary resection? Data analysis in a big volume thoracic center

Gao

et al. 2022

J Cardiothorac Surg

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“…A study conducted at Al-Makassed Charitable Hospital (9) concluded that managing pulmonary hydatid cysts with Uniportal VATS resulted in less surgical trauma, air leak, post-operative drain, and post-operative pain consistent with the published literature (10). The clinical significance of this study further confirms that Palestinian thoracic surgeons' experience in this disease is high, specifically when it comes to using Uniportal VATS as the treatment instead of open thoracotomy, with emphasis on hydatid cyst being more On the other hand, late presentation of patients with malignancies, complex referrals between governmental and private hospitals, a limited number of thoracic surgeons, and high cost of operations in patients with no insurance are considered the weaknesses of thoracic surgery in Palestine.…”

Section: Clinical Practice: Highlights and Challengesmentioning

confidence: 57%