Effect comparison of video-assisted thoracoscopic surgery and traditional thoracotomy in treatment of chest trauma
Peng Xiaole
Li Hongqin
Jin Daqing
Wang Jianyun
Yin Yan
Yang Wei
Abstract：Objective To compare the efficacy of video-assisted thoracoscopic surgery (VATS) and traditional thoracotomy in treatment of chest trauma.Methods One hundred and thirteen patients who suffered from chest trauma complicated with hemopneumothorax from January 2004 to December 2013 were retrospectively reviewed.The patients were divided into VATS group (40 cases) and thoracotomy group (73 cases).The injured site,blood loss,volume of blood transfusion,operation time,use of ventilator,time in the intensive care unit (ICU),hospitalization time,perioperative mortality rate and hospitalization expense were compared between the two groups.Results No statistical differences were found between the two groups regarding injured site,operation time,blood loss,volume of blood transfusion,time in the ICU,use of ventilator and hospitalization expense (all P ＞ 0.05).There was no death in VATS group and 1 case died from postoperative pulmonary embolism in thoracotomy group.VATS group had a shorter hospitalization time compared with thoracotomy group [(15 ± 9) d vs (20 ± 14) d,P ＜0.05].The VATS was converted to thoracotomy during the operation in 4 cases,who had more blood loss compared with VATS group [(2 375 ± 750) ml vs (1 089 ± 519) ml,P ＜ 0.05],that was 40 patients completed the VATS (P ＜ 0.05).Conclusions Compared with thoracotomy,VATS provides shorter operationtime,shorter ICU stay time and quicker recovery in treatment of chest trauma.VATS should be converted to thoracotomy as soon as possible when the bleeding is hard to control.
Keywords：Chest traumaVideo-assisted thoracoscopic surgeryThoracotomy
Publication Date：2015-05-30
Online Publishing Date：2026-09-14(First online date of this platform, not the publication date of the document)
Pages：3( 661-663 )