Clinical values of video assisted thoracoscopic surgery compared with conventional thoracotomy in traumatic hemopneumothorax patients

SONG Wei

doi:10.3969/j.issn.1009-4237.2017.02.003

Abstract：Objective To compare the video -assisted thoracoscopic surgery ( VATS) with conventional thoracotomy for postoperative recovery quality of traumatic hemopneumothorax patients , so as to provide a reference for better methods of pneumothorax .Methods One hundred patients who underwent VATS or conventional thora-cotomy for traumatic hemopneumothorax were collected from Jan .2012 to Oct.2015.The patients were divided into the VATS group and the conventional thoracotomy group according to the random number table .The main indicators included VAS score 24 hours after surgery , postoperative analgesia time , operation time , intraoperative blood loss , postoperative drainage time, drainage volume, complications, hospital stay and mortality, and CRP 24 h, 72 h, 120 h and 168 h postoperatively .Results Compared with the thoracotomy group , the VAS score in the VATS group was significantly lower at 24 hours (5.78 ±2.32 vs.6.74 ±1.71, P=0.02);the analgesic time was significantly shortened[(3.87 ±1.23) vs.(5.76 ±1.76)day , P<0.0001].CRP was significantly decreased at 24 h, 72 h, 120 h and 168 h postoperatively (P<0.0001).The operative time was significantly reduced [(100.5 ±21.19) vs.(142.64 ±25.04) min, P<0.0001].The amount of blood loss during operation was significantly lower [(218.98 ±56.81) vs.(335.71 ±86.48) mL, P <0.0001].The time of drainage was significantly shorter [(3.33 ±0.81) vs.(4.62 ±0.78) days, P<0.0001] and the time of hospitalization was significantly shorter [(11.39 ±2.08) vs.(14.27 ±2.65) days , P <0.0001].Postoperative complications and mortality were not statistically significant ( P>0.05) Conclusion VATS significantly improves the quality of postoperative recovery and reduces the average length of hospital stay in traumatic hemopneumothorax compared with thoracotomy .