Availability of 2mm Videothoracoscope in Bullectomy of Primary Spontaneous Pneumothorax / 대한흉부외과학회지

BACKGROUND: For many years, 10mm videothoracoscope has been widely used in bullectomy of primary spontaneous pneumothorax. However we used a 2mm videothoracoscope to minimize operative wound. Thus, we compared the clinical results of bullectomy using 2mm videothoracoscope with bullectomy using 10mm videothoracoscope. MATERIAL AND METHOD: We analyzed 118 patients who underwent VATS for primary spontaneous pneumothorax from April, 1998 to December, 2000. 2mm videothoracoscope was used in 53 patients(Group A)and 10mm videothoracoscope was used in 65 patients(Group B). The mean age was 20.2+/-6.9 years old in group A and 20.1+/-6.1 years old in group B. The mean follow up was 10.9+/-3.8 months in group A and 11.4+/-4.3 months in group B. RESULT: The operation time was shorter in group A than group B(55.7+/-22.9 minutes, 71.2+/-21.4 minutes, p0.05), the amount of analgesics(1.38+/-1.0 ampules, 1.7+/-1.4 ampules, p>0.05), postoperative complications(2 cases,7cases,p>0.05) and recurrences(1 case, 1 case, p>0.05) were not statistically different between two groups. Operative wound was smaller in group A than group B. CONCLUSION: There were no adverse results in group A than group B. Furthermore, bullectomy using 2mm videothoracoscope brought us minimized operative wound and good cosmetic results. Thus, we could recommend bullectomy using 2mm videothoracoscope in primary spontaneous pneumothorax.

Clinical Analysis of Primary Varicose Vein: review of 209 cases / 대한흉부외과학회지

BACKGROUND: Varicose vein is a very common vascular disease and has recently become a matter of concern for thoracic and cardiovascular surgens. MATERIAL AND METHOD: We analyzed 209 cases or 269 feet with varicose vein retrospectively, which had been treated in our hospital from April 1999 to December 2000. RESULT: Male: Female ratio was 1:3(Male: 52 cases, Female: 157 cases), mean age was 42.2+/-9.7 years old, mean duration of varicosities was 12.2+/-9.7 years, and mean follow up was 14.8+/-6.1 months from July 2001. Most common symptom was leg pain(122 cases, 58.4%). Long standing job(44 cases), pregnancy(37 cases), and family history related to varicose vein came to 79.9% as the major predisposing or precipitating factors. Anatomic classifications of main lesion were GSV (greater saphenous vein,126 cases),LSV(lesser saphenous vein,18 cases), and reticular veins and telangiectasias(65 cases). Main treatments were stripping of GSV, stab avulsion, ligation of saphenofemoral junction, sclerotherapy, and conservative treatment. Comparing A group (stripping of GSV) with B group(sclerotherapy of GSV), A group had more complications than B group; however, A group had less recurrences than B group(p0.05). Comparing B group(sclerotherapy of GSV) with E group(sclerotherapy of reticular vein and telangiectasia), there were no differences in complication; however, B group had more recurrences than E group. Post-stripping complications were ankle numbness and tingling(2 cases), ankle pain(2 cases),ankle swelling(2 cases), and wound pain(1 case). Postsclerotherapy complications were thrombophlebitis(1 case) and skin ulcer(1 case). CONCLUSION: Sclerotherapy for varicose vein involving GSV had more recurrences than stripping for lesions involving GSV. Sclerotherapy for reticular vein and telangiectasia had less recurrences than sclerotherapy for lesion involving GSV. Sclerotherapy is a very convenient method without operation and admission, thus further research is demanded in case of varicose vein involving GSV.

Bullectomy Using 2 mm Videothoracoscope in Primary Spontaneous Pneumothorax / 대한흉부외과학회지

Video assisted thoracoscopic bullectomy has brought us the relief of postoperative pain and wound infection,cosmetically good results, short hospital admission and early return to society. Especially, we have tried to decrease operative wound minimally for better cosmetic results by using 2 mm videothoracoscope. From November 18, 1999 to April 19, 2000, we have performed 20 cases of video-assisted thoracoscopic bullectomy using 2 mm video-thoracoscope in primary spontaneous pneumothorax surgically indicated without conversion to open thoracotomy. Operative wound was almost similar to that in closed thoracostomy. The lesion of primary spontaneous pneumothorax was localized and pleural adhesion was absent or not severe. Thus, we cauld perform bullectomy using 2 mm videothoracoscope in primary spontaneous pneumothorax and decrease operative wound.