From September 1994 to October 1995, we are reporting clinical results of 67 patients whom underwent video-assisted thoracic surgery(VATS).
1. They were diagnosed as spontaneous pneumothorax in 35, diffuse interstitial lung disease in 9, empyema in 7, hemothorax in 5, malignant pleural effusion in 3, hyperhidrosis in 3, foreign body in chest cavity in 2, mesothelioma in l, miliary
tuberculosis in l and organizing pneumonia in l.
2. In pneumothorax, bullectomy in 33 and open bellectomy in 2 due to pleural adhesion was done. Hemostasis in 5, irrigation in 7, foreign body removal in 2, talcum powder insufflation in 3, sympathectomy 3 was done. Thoracoscopic biopsy was done
in
12.
3. For pneumothorax, operation was indicated as recurrent pneumothorax in 18, persistent air leak in 12, visible bullae in chest X-ray in 5.
4. Thoracoscopic biopsy was done in 12. They were interstitial pulmonary fibrosis in 9, miliary tuberculosis in l, mesothelioma in l, and organizing pneumonia in 1. Among interstitial pulmonary fibrosis, usual interstitial pneumonia were 2 and
diffuse
interstitial pneumonia were 7.
5. No complication was found in 63 patients among 67 patients. The complication was found in 4 patients(2 persistent air leak, 2 contralateral lung atelectasis).
We concluded that VATS was safe and beneficial in reducing postoperative complication and the role of thoracic surgery will increase markefdly.
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