RESULTS OF VIDEO-ASSISTED THORACOSCOPIC SURGERY FOR THE TREATMENT OF SPONTANEOUS PRIMARY SPONTANEOUS PREUMOTHORAX AT VIET DUC UNIVERSITY HOSPITAL
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Abstract
Background: Primary spontaneous pneumothorax is a common disease in young people with a recurrence rate. Currently, video-assisted thoracoscopic surgery is used in the routine treatment of primary spontaneous pneumothorax in thoracic surgery centers. Methods: Cross-sectional descriptive study; The research results were recorded in the following variables: age, sex; operative time; rate of pleural adhesions; post-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, 38 patients underwent video-assisted thoracoscopic surgery for primary spontaneous pneumothorax. Bleb ablation and/and blebectomy - suture with Stapler or manual suturing with/without pleural adhesions with apical pleural sanding and active adhesion with the pure Betadin. The average operative time was 63.16 minutes. The average postoperative day was 5.16 days. There were no complications nor death. Follow-up from 1 month to 24 months, no cases of recurrence. Conclusion: Thoracoscopic surgery is an effective surgical method in the treatment of primary spontaneous pneumothorax with the advantages of reducing postoperative pain, reducing hospital stay and reducing the recurrence rate.
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References
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