Video-Assisted Thoracoscopic Surgery for Patent Ductus Arteriosus
Korean Circulation Journal
;
: 978-982, 2004.
Article
Dans Coréen
| WPRIM
| ID: wpr-225769
ABSTRACT
BACKGROUND AND OBJECTIVES:
Video-Assisted Thoracoscopic surgery for Patent Ductus Arteriosus is an efficient method to reduce the risk of postoperative residual shunt as well as various complications that can be caused by a thoracotomy. The aim of this study was to analyze the safety and efficacy of ductus arteriosus clipping, using videothoracoscopy in sixty-five patients, and the results and prognosis of the operations. SUBJECTS ANDMETHODS:
After general anesthesia of the sixty-five Patent Ductus Arteriosus (PDA) patients, double skin incisions of 7 and 5 mm were made and a thoracoscope inserted at the point of the 5 mm skin incision, with clipping of ductus arteriosus using the 7 mm skin incision were conducted. During the procedure, the tidal volume was kept at the minimum level to maintain O2 saturation, without insertion of a chest tube.RESULTS:
There have been reported complications in fourteenth cases, with four of these caused by injury to the recurrent laryngeal nerve; however, they recovered after two weeks, with the other ten receiving a remnant residual shunt. Nine of ten residual shunt cases cured naturally after about six months, with no special treatments.CONCLUSION:
Surgery using Video-Assisted thoracoscopic surgery for the PDA patients can decrease the complications due to a thoracotomy, and is therefore, a much safer and more effective method than other existing solutions.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Pronostic
/
Nerf laryngé récurrent
/
Peau
/
Instruments chirurgicaux
/
Thoracotomie
/
Drains thoraciques
/
Volume courant
/
Chirurgie thoracique vidéoassistée
/
Thoracoscopes
/
Ligament artériel
Type d'étude:
Étude pronostique
Limites du sujet:
Humains
langue:
Coréen
Texte intégral:
Korean Circulation Journal
Année:
2004
Type:
Article
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