Video-Assisted Thoracic Surgery Under Epidural Anesthesia -in High-Risk Group / 대한흉부외과학회지
The Korean Journal of Thoracic and Cardiovascular Surgery
;
: 732-738, 1999.
Artículo
en Coreano
| WPRIM
| ID: wpr-150586
ABSTRACT
BACKGROUND:
Video-assisted thoracoscopic surgery has become a standard therapy for several diseases such as pneumothorax, hyperhidrosis, mediastinal mass, and so on. These methods usually required single-lung ventilation with double-lumen endobronchial tube to collapse the lung under general anesthesia. However, risks of general anesthesia itself and single-lung ventilation must be considered in high-risk patients. MATERIAL ANDMETHOD:
Between December 1997 and July 1998, eight high-risk patients (6 empyema, 1 intractable pleural effusion, 1 idiopathic pulmonary fibrosis) with underlying pulmonary disease and poor general condition were treated by video-assisted thoracoscopic surgerys under epidural anesthesia and spontaneous breathing.RESULT:
Video-assisted thoracoscopic surgerys were successfully per formed in 7 patients. Conversion to general anesthesia was required in 1 patient because of decrease in spontaneous breathing. But, conversion to open decortication was not required. In two patients with chronic empyema, one patient required thoracoplasty as a second procedure and one patient required re-video-assisted thoracoscopic procedure due to a recurrence. The mean operative time was 31.8+/-15.2 minutes. No significant postoperative respiratory com plication was encountered.CONCLUSION:
Video-assisted thoracoscopic surgerys can be per formed safely under epidural anesthesia for the treatment of empyema and diagnosis of pulmonary abnormalities in high-risk patients.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Derrame Pleural
/
Neumotórax
/
Recurrencia
/
Respiración
/
Toracoplastia
/
Toracoscopía
/
Factores de Riesgo
/
Cirugía Torácica Asistida por Video
/
Diagnóstico
/
Empiema
Tipo de estudio:
Estudio diagnóstico
/
Estudio de etiología
/
Factores de riesgo
Límite:
Humanos
Idioma:
Coreano
Revista:
The Korean Journal of Thoracic and Cardiovascular Surgery
Año:
1999
Tipo del documento:
Artículo
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