Since thoracoscopy was originally described by Jacobaeus in 1992, video-assisted thoracic surgery has been used to treat many thoracic diseases. From June 1994 to July 1995, 35 patients with spontaneous pneumothorax underwent video-assisted
thoracic
sugery as experimental group, and same number of patients with bleb resection through mid-axillary thoracotomy as control group in our hospital.
@ES The authors compated the clinical results between each group.
@EN 1. The sex distributions were 28 males, 7 females in experimental group and 30 males, 5 females in control group. The mean age of experimental group was 28.5±12.6 years of age and that of control group was 23.9±6.3 years of age.
2. The operative times were 98.8±39.3 minutes in experimental group and 103.6±32.6minutes in control group.
3. The duration of chest tube indwelling at postoperative period was 2.60±0.98 days in experimental group, 4.80±2.08 days in control group(p<0.01). The periods of postoperative hospitalization were 17±1.22 days in experimental group and
6.69±2.52
days in control group. The durations of post-operative chest tube indwelling and hospital stay in experimental group were shorter than in control group(p<0.01).
4. The injection of analgesics at postoperative period was less in experimental group than control group. At the operative day and postoperative lst and 2nd day, the number of iniections were respectively 1.57±0.74, 1.97±0.70 and 1.00±0.68
times/person in experimental group, 2.23±0.60, 2.60±0.67 and 2.17±0.76 times/person in control group(p<0.01 respectively). The mean duration and dose of postoperative analgesic injection were 2.48±1.01 days/person and 4.88±3.70
ampules/person
in
experimetal group, 3.70±1.40 days/person and 8.94±4.21 ampules/person respectively(p<0.01, p<0.01).
Authors noted that the post-operative recovery after bleb resection was more tolerble and faster in patients with video-assisted thoracic sjurgery than in patients with mid-axillary thoracotomy.
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