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Date Published: 27/04/2022
Abstract Views: 438
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DOI: https://doi.org/10.51298/vmj.v513i1.2382
Issue
Vol. 513 No. 1 (2022)
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Hữu Lư, P. ., & Đức Thái, N. . (2022). INDICATIONS OF VIDEO-ASSISTED THORACOSCOPIC SURGERY FOR THE TREATMENT OF PRIMARY SPONTANEOUS PREUMOTHORAX: LITERATURE REVIEW. Vietnam Medical Journal, 513(1). https://doi.org/10.51298/vmj.v513i1.2382

INDICATIONS OF VIDEO-ASSISTED THORACOSCOPIC SURGERY FOR THE TREATMENT OF PRIMARY SPONTANEOUS PREUMOTHORAX: LITERATURE REVIEW

Phạm Hữu Lư1,, Nguyễn Đức Thái2
1 Vietnam-Germany Friendship Hospital
2 Vietnam National Cancer Hospital

Main Article Content

Abstract

Background: Primary spontaneous pneumothorax is a common disease in young people with a recurrence rate. Currently, indications of video-assisted thoracoscopic surgery (VATS) in the routine treatment of primary spontaneous pneumothorax and it is recommended to perform early in the first episode of pneumothorax. Methods: Cross-sectional study; The research results were recorded in the following variables: age, sex; operative indications; operative time... The data were recorded in the research medical record for each patient and processed by the SPSS 20.0. Results: From January 2018 to April 2021 at Cardiovascular and Thoracic Center – Viet Duc University Hospital, 38 patients underwent video-assisted thoracoscopic surgery for primary spontaneous pneumothorax. Indications of VATS: Recurrent preumothorax 44,74%; Prolonged preumothorax 21,05%; bullae 21,05%; preumothorax-hemothorax 10,52%; bilateral spontaneous pneumothorax 2,63%. There were no complications nor death. Follow-up from 1 month to 24 months, no cases of recurrence. Conclusion: Video-assisted thoracoscopic surgery is the first choice in the treatment of primary spontaneous pneumothorax when indicated. It should be performed as early as possible in cases of spontaneous pneumothorax appearing for the first episode in order to bring more benefits. Advantages for patients such as aesthetics, less pain after surgery, short hospital stay.

Article Details

Keywords

Primary spontaneous pneumothorax, VATS, the first episode of pneumothorax

References

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