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Video-assisted thoracoscopic surgery in the management of penetrating and blunt thoracic trauma.

Milanchi S, Makey I, McKenna R, Margulies DR - J Minim Access Surg (2009 Jul-Sep)

Bottom Line: Thoracotomy was avoided in 21 patients.There was no mortality.VATS can be performed safely for the management of thoracic traumas.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Thoracic Surgery and Trauma, Surgical Director, Women's Guild Lung Institute, Program Director, General Thoracic Surgery Fellowship, Cedars-Sinai Medical Center, Los Angeles, California, USA.

ABSTRACT

Background: The role of video-assisted Thoracoscopic Surgery (VATS) is still being defined in the management of thoracic trauma. We report our trauma cases managed by VATS and review the role of VATS in the management of thoracic trauma.

Materials and methods: All the trauma patients who underwent VATS from 2000 to 2007 at Cedars-Sinai Medical Center were retrospectively studied.

Results: Twenty-three trauma patients underwent 25 cases of VATS. The most common indication for VATS was retained haemothorax. Thoracotomy was avoided in 21 patients. VATS failed in two cases. On an average VATS was performed on trauma day seven (range 1-26) and the length of hospital stay was 20 days (range 3-58). There was no mortality. VATS was performed in an emergency (day 1-2), or in the early (day 2-7) or late (after day 7) phases of trauma.

Conclusion: VATS can be performed safely for the management of thoracic traumas. VATS can be performed before or after thoracotomy and at any stage of trauma. The use of VATS in trauma has a trimodal distribution (emergent, early, late), each with different indications.

No MeSH data available.


Related in: MedlinePlus

Number of trauma thoracotomies and video-assisted thoracoscopic surgery performed from 2000 to 2006. Note the decreasing number of thoracotomies and increase in the number of video-assisted thoracoscopic surgery cases
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Figure 0001: Number of trauma thoracotomies and video-assisted thoracoscopic surgery performed from 2000 to 2006. Note the decreasing number of thoracotomies and increase in the number of video-assisted thoracoscopic surgery cases

Mentions: From 2000 to 2007, an average of 1,330 trauma patients was seen annually in our medical centre with a mean ISS of 9.5. Among those, 23 patients underwent a total of 25 VATS procedures. During the same time 112 thoracotomies were performed on trauma patients, including Emergency Room (ER) and Operating Room (OR) thoracotomies [Figure 1].


Video-assisted thoracoscopic surgery in the management of penetrating and blunt thoracic trauma.

Milanchi S, Makey I, McKenna R, Margulies DR - J Minim Access Surg (2009 Jul-Sep)

Number of trauma thoracotomies and video-assisted thoracoscopic surgery performed from 2000 to 2006. Note the decreasing number of thoracotomies and increase in the number of video-assisted thoracoscopic surgery cases
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2822172&req=5

Figure 0001: Number of trauma thoracotomies and video-assisted thoracoscopic surgery performed from 2000 to 2006. Note the decreasing number of thoracotomies and increase in the number of video-assisted thoracoscopic surgery cases
Mentions: From 2000 to 2007, an average of 1,330 trauma patients was seen annually in our medical centre with a mean ISS of 9.5. Among those, 23 patients underwent a total of 25 VATS procedures. During the same time 112 thoracotomies were performed on trauma patients, including Emergency Room (ER) and Operating Room (OR) thoracotomies [Figure 1].

Bottom Line: Thoracotomy was avoided in 21 patients.There was no mortality.VATS can be performed safely for the management of thoracic traumas.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Thoracic Surgery and Trauma, Surgical Director, Women's Guild Lung Institute, Program Director, General Thoracic Surgery Fellowship, Cedars-Sinai Medical Center, Los Angeles, California, USA.

ABSTRACT

Background: The role of video-assisted Thoracoscopic Surgery (VATS) is still being defined in the management of thoracic trauma. We report our trauma cases managed by VATS and review the role of VATS in the management of thoracic trauma.

Materials and methods: All the trauma patients who underwent VATS from 2000 to 2007 at Cedars-Sinai Medical Center were retrospectively studied.

Results: Twenty-three trauma patients underwent 25 cases of VATS. The most common indication for VATS was retained haemothorax. Thoracotomy was avoided in 21 patients. VATS failed in two cases. On an average VATS was performed on trauma day seven (range 1-26) and the length of hospital stay was 20 days (range 3-58). There was no mortality. VATS was performed in an emergency (day 1-2), or in the early (day 2-7) or late (after day 7) phases of trauma.

Conclusion: VATS can be performed safely for the management of thoracic traumas. VATS can be performed before or after thoracotomy and at any stage of trauma. The use of VATS in trauma has a trimodal distribution (emergent, early, late), each with different indications.

No MeSH data available.


Related in: MedlinePlus