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KMID : 0364019920250121502
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Korean Journal of Thoracic and Cardiovascular Surgery
1992 Volume.25 No. 12 p.1502 ~ p.1507
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Videothoracoscopic Bullectomy in Patients with Primary Spontaneous Pneumothorax
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김수현
이동협/이정철/한승세/신동구/김영조/심봉섭
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Abstract
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Between February and July 1992, videothoracoscopic bullectomy was performed in nineteen patients with primary spontaneous pneumothorax. The indications of this surgery are recurrent in 12, persistent airleakage in 4 and previous contralateral
pneumothorax in 3 patients. For the good operative field, we used double lumen endotracheal tube and put the CO2 gas into the thoracic cavity to make the lung collapse. We usually apply the endoGIA or electric cauterization for handling the bleb
or
bullae and there were 9 cases with of endoGIA only, 4 electric cauterization only and 6 both procedures. To evaluate the advantage of the Videothoracoscopic surgery, we compared surgical results with that of the thoracotomy group (19 patients).
There
were significant differences in operative time (93.8±41.9 min and 17.1±53.9 min, p<0.01) and postoperative airleakage duration (35.6±113.3 hours and 117.9±214.4 hours, p<0.05) between the Videothoracoscopy and thoracotomy group. Tube
indwelling
time
was shortened in Videothoracoscopy group (p<0.05). The hospital stay was very short (p<0.01) and the patients needed analgesic injection less frequently in Videthoracoscopic group (p<0.05). In conclusion, we prefer the Videothoracoscopic
procedure
to
the thoracotomy in uncomplicateed patients with pneumothorax because of simple procedure and good results.
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