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KMID : 0388419990090010135
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Konkuk Journal of Medical Sciences
1999 Volume.9 No. 1 p.135 ~ p.142
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Video-Assisted Thoracoscopic Surgery in Patients with Tuberculous Pleurisy
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Bae Ki-Man
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Abstract
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Tuberculous pleurisy is a common clinical manifestations and the traditional methods of treatment are anti-tuberculous medication add thoracentesis. However, high incidence of complications and prolonged hospital stay occurring with the traditional treatment necessitated new therapeutic modalities. Recently, the VATS (video-assisted thoracoscopic surgery) was introduced and rapid progression of its indications and techniques were made and we evaluated the effectiveness of the VATS in tuberculous pleurisy patients. From Mar.1957 to Feb. 1999, 45 patients with tuberculous pleurisy underwent
video-assisted thoracoscopic pleural biopsy and closed thoracostomy drainage. The mean operative time was 27.3±5.5 minutes and mean duration of chest tube indwelling was 5.5±1.6 days with the mean hospital stay of 8.6±2.6 days. The most frequently occurring complications were dead spae in the pleural cavity and atelectasis although they were not significant. The follow up chest X-ray revealed excellent recovery in 16(35.6%) cases, good recovery in 20(44.4％) cases, fair recovery in 6(13.3％) cases and poor recovery in 3(6.6% ) cases. In this study, video-assisted thoracoscopic pleural biopsy and drainage is relatively easy resulting excellent outcomes and minimal complications, therefore, we think VATS
is effective methods in treating patients with the tuberculous pleurisy.
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KEYWORD
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tuberculous pleurisy, VATS(video-assisted thoracoscopic surgery)
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