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Video-assisted thoracoscopic surgery for acute thoracic trauma
BACKGROUND: Operative intervention for thoracic trauma typically requires thoracotomy. We hypothesized that thoracoscopy may be safely and effectively utilized for the acute management of thoracic injuries. MATERIALS AND METHODS: The Trauma Registry of a Level I trauma center was queried from 1999 t...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3665056/ https://www.ncbi.nlm.nih.gov/pubmed/23723618 http://dx.doi.org/10.4103/0974-2700.110757 |
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author | Goodman, Michael Lewis, Jaime Guitron, Julian Reed, Michael Pritts, Timothy Starnes, Sandra |
author_facet | Goodman, Michael Lewis, Jaime Guitron, Julian Reed, Michael Pritts, Timothy Starnes, Sandra |
author_sort | Goodman, Michael |
collection | PubMed |
description | BACKGROUND: Operative intervention for thoracic trauma typically requires thoracotomy. We hypothesized that thoracoscopy may be safely and effectively utilized for the acute management of thoracic injuries. MATERIALS AND METHODS: The Trauma Registry of a Level I trauma center was queried from 1999 through 2010 for all video-assisted thoracic procedures within 24 h of admission. Data collected included initial vital signs, operative indication, intraoperative course, and postoperative outcome. RESULTS: Twenty-three patients met inclusion criteria: 3 (13%) following blunt injury and 20 (87%) after penetrating trauma. Indications for urgent thoracoscopy included diaphragmatic/esophageal injury, retained hemothorax, ongoing hemorrhage, and open/persistent pneumothorax. No conversions to thoracotomy were required and no patient required re-operation. Mean postoperative chest tube duration was 2.9 days and mean length of stay was 5.6 days. CONCLUSION: Video-assisted thoracoscopic surgery is safe and effective for managing thoracic trauma in hemodynamically stable patients within the first 24 h post-injury. |
format | Online Article Text |
id | pubmed-3665056 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-36650562013-05-30 Video-assisted thoracoscopic surgery for acute thoracic trauma Goodman, Michael Lewis, Jaime Guitron, Julian Reed, Michael Pritts, Timothy Starnes, Sandra J Emerg Trauma Shock Original Article BACKGROUND: Operative intervention for thoracic trauma typically requires thoracotomy. We hypothesized that thoracoscopy may be safely and effectively utilized for the acute management of thoracic injuries. MATERIALS AND METHODS: The Trauma Registry of a Level I trauma center was queried from 1999 through 2010 for all video-assisted thoracic procedures within 24 h of admission. Data collected included initial vital signs, operative indication, intraoperative course, and postoperative outcome. RESULTS: Twenty-three patients met inclusion criteria: 3 (13%) following blunt injury and 20 (87%) after penetrating trauma. Indications for urgent thoracoscopy included diaphragmatic/esophageal injury, retained hemothorax, ongoing hemorrhage, and open/persistent pneumothorax. No conversions to thoracotomy were required and no patient required re-operation. Mean postoperative chest tube duration was 2.9 days and mean length of stay was 5.6 days. CONCLUSION: Video-assisted thoracoscopic surgery is safe and effective for managing thoracic trauma in hemodynamically stable patients within the first 24 h post-injury. Medknow Publications & Media Pvt Ltd 2013 /pmc/articles/PMC3665056/ /pubmed/23723618 http://dx.doi.org/10.4103/0974-2700.110757 Text en Copyright: © Journal of Emergencies, Trauma, and Shock http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Goodman, Michael Lewis, Jaime Guitron, Julian Reed, Michael Pritts, Timothy Starnes, Sandra Video-assisted thoracoscopic surgery for acute thoracic trauma |
title | Video-assisted thoracoscopic surgery for acute thoracic trauma |
title_full | Video-assisted thoracoscopic surgery for acute thoracic trauma |
title_fullStr | Video-assisted thoracoscopic surgery for acute thoracic trauma |
title_full_unstemmed | Video-assisted thoracoscopic surgery for acute thoracic trauma |
title_short | Video-assisted thoracoscopic surgery for acute thoracic trauma |
title_sort | video-assisted thoracoscopic surgery for acute thoracic trauma |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3665056/ https://www.ncbi.nlm.nih.gov/pubmed/23723618 http://dx.doi.org/10.4103/0974-2700.110757 |
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