| Redo-surgery for Recurrences Following VATS for Primary Spontaneous Pneumothorax |
| 흉강경을 이용한 일차성 자연 기흉의 수술 후 재발된 환자에서 재수술 분석 |
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김재범; 금동윤; 박창권 |
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| Abstract |
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Background: As far as the number of VATS procedures for pneumothorax is increasing; the
issue of the recurrences following VATS becomes increasing together. Up to now there is very
little if any experience with the surgical management of such recurrences.
Material and Method: From January 1999 to December 2008; 525 patients underwent VATS at
our center. We studied the age; body-mass index; the number of GIA and the characteristics of
recurrence. The divided two groups were as follows: group A; primary spontaneous
pneumothorax after VATS; and group B; recurrent pneumothorax which needed redo-surgery.
Result: At a mean follow-up of 35.7 months recurrences which needed redo- surgery were seen
in 17 patients (3.23%). The relatively significant result is mean age and used GIA number. The
mean age of Group A is 30.2 and group B is 26.8 (p=0.10).The mean number of used GIA at
Group A is 2.36 and Group B is 2.86 (p=0.08). Otherwise; there was no significant differences
between the Group A and Group B.
Conclusion: The young age and much more GIA numbers which used in previous VATS
bullectomy are relatively risk factors for a recurrent pneumothorax which needed redo-surgery. |
| Key Words:
Recurrence pneumothorax, Spontaneous pneumothorax, Video-assisted
thoracic surgery (VATS) |
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