Article citationsMore>>

R. K. Freeman, G. Al-Dossari, K. A. Hutcheson, L. Huber, M. E. Jessen, D. M. Meyer, M. A. Wait and J. M. DiMaio, “Indications for Using Video-Assisted Thoracoscopic Surgery to Diagnose Diaphragmatic Injuries after Penetrating Chest Trauma,” Annals of Thoracic Surgery, Vol. 72, No. 2, 2001, pp. 342-347. doi:10.1016/S0003-4975(01)02803-X

has been cited by the following article:

• TITLE: Video-Assisted Thoracic Surgery as a Less-Invasive Management for Acute Hemothorax in Blunt Trauma

  AUTHORS: Yoshihiko Kurimoto, Atsushi Watanabe, Tetsuya Koyanagi, Toshiro Ito, Tetsuya Higami, Kunihiko Maekawa, Katsutoshi Tanno, Yasufumi Asai

  KEYWORDS: Hemothorax; Trauma; Video-Assisted Thoracic Surgery; Emergency Surgery; Critical Care

  JOURNAL NAME: Surgical Science, Vol.3 No.3, March 23, 2012

  ABSTRACT: Purpose: We report our experience of Video-assisted thoracic surgery (VATS) to treat acute blunt traumatic hemothorax using mini-thoracotomy. Methods: We designed a prospective study to determine if VATS with mini-thoracotomy benefits for patients with blunt traumatic hemothorax compared with conventional repair through full thoracotomy. Twenty-five patients underwent emergency operation for acute hemothorax from 2000. Five patients with less than 5% probability of survival (PS) were excluded, leaving 20 as the subjects. Results: Ten patients underwent conventional thoracotomy (conventional group) and the other 10 patients underwent VATS with mini-thoracotomy (VATS group). There was no difference between conventional group and VATS group in injury severity score (29.1 and 27.0) or PS (81.2% and 80.7%). Hospital mortality rates were 10% in conventional group and 0% in VATS group (N.S). Total amounts of intra-operative bleeding and post-operative transfusion until day 7 were 735 ml and 19.3 units in conventional group and 303 ml and 9.2 units in VATS group respectively (N.S). The length of ICU stay was 9.7 days in conventional group and 5.9 days in VATS group (N.S). Conclusion: VATS with mini-thoracotomy can be alternative for patients with blunt traumatic hemothorax in most emergency operations.