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