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Issue: Vol. 7
Section: Research Article
DOI: 10.47972/vjcts.v7i.248
Date Published: 03/11/2020
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Thi, C. P., Khoi, N. V. ., & Hiep, L. N. T. H. (2020). ĐÁNH GIÁ VAI TRÒ CỦA PHẪU THUẬT NỘI SOI TRONG ĐIỀU TRỊ KÉN KHÍ PHỔI. The Vietnam Journal of Cardiovascular and Thoracic Surgery, 7, 51-56. https://doi.org/10.47972/vjcts.v7i.248

ĐÁNH GIÁ VAI TRÒ CỦA PHẪU THUẬT NỘI SOI TRONG ĐIỀU TRỊ KÉN KHÍ PHỔI

Chau Phu Thi, Nguyen Van Khoi, Le Nu Thi Hoa Hiep

Main Article Content

Abstract

bjective: Bullectomy is the surgical removal of a bulla, which has become the first choice method for treatment of bullous emphysema. Our purpose of study is to evaluate role of Video assisted thoracoscopic surgery (VATS) in bullectomy.
Methods: The prospective cohort study. Diagnosis is based on clinical finding, chest X-ray and CT scan. VATS for bullectomy. The lung was sutured by stapler or running Vicryl suture with conventional instrument.
Results: 3/2012 to 3/2013, at Cho Ray hospital, there were 33 patients in our study, mean age was 39.2 (range, 16 – 72). Operative indications included: 8 patients were diagnosed bullous emphysema by chest CT scan, spontaneous pneumothorax in 25 patients. 6 patients bullectomy and the lung was sutured by Vicryl 4-0, 19 patients bullectomy by stapler, 8 patients bullectomy by stapler and suture blebs by Vycryl 4-0. Postoperative complications: 5 patients with prolong air leaks which required 5 days of chest tube placed in situ, 1 patients with postoperative atalectasis.


Conclusions: Pulmonary bullectomy by Videoassisted thoracoscopic surgery is fiseable and effective.

Keywords

spontaneous pneumothorax, Blebs, Bullae, Video-assisted thoracoscopic surgery (VATS)

Article Details

References

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