The review of 68 patients, who were diagnosed as spontaneous pneumothorax during to period from Dec, 1991. To Jul, 1992. Were performed thoracoscopy of 70 cases under local anesthesia with 1% lidocaine at the department of thoracic &
cardiovascular
surgery, Han Yang University Hospital.
Clinical data on distribution of Age & Sex, Location, Frequency of Reccurrence and other aspects of pneumothorax were summerized.
37 cases were treated by thoracoscopic management and closed thoracostomy. As thoracoscopic management, Electrocauterization of bullae or blebs(37 cases), Endo-clip application(2 cases), Removal of foreign body(1 case) were performed.
31 cases were cured by open thoracotomy.
@ES The thoracotomy indications under thoracoscopic finding were followed as:
@EN 1. Severe pulmonary adhesion and destroyed lung parenchyme
2. multiple bullae or blebs on several areas
3. finding of pulmonary tuberculous caseous lesion.
4. persistant air leakage after 7 days from thoracoscopic management
Excision, wedge resection of bullae or blebs was performed in most cases(22 cases), 2 cases by median sternotomy and Segmentectomy of 7 cases were carried out depending on the pathologic change of lung.
There was no operative mortality and Follow-up for all patients were showed good results. (Korean J Thoracic Cardiovas Surg 1994; 27:204-208)
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