Video-Assisted Thoracic Surgery Under Epidural Anesthesia -in High-Risk Group / 대한흉부외과학회지
The Korean Journal of Thoracic and Cardiovascular Surgery
; : 732-738, 1999.
Article
de Ko
| WPRIM
| ID: wpr-150586
Bibliothèque responsable:
WPRO
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 AND METHOD: 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.
Mots clés
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Épanchement pleural
/
Pneumothorax
/
Récidive
/
Respiration
/
Thoracoplastie
/
Thoracoscopie
/
Facteurs de risque
/
Chirurgie thoracique vidéoassistée
/
Diagnostic
/
Empyème
Type d'étude:
Diagnostic_studies
/
Etiology_studies
/
Risk_factors_studies
Limites du sujet:
Humans
langue:
Ko
Texte intégral:
The Korean Journal of Thoracic and Cardiovascular Surgery
Année:
1999
Type:
Article