초록접수 현황
| 15F-039 | 구연 발표 |
Thoracoscopic Surgery Under Epidural Anesthesia for Intractable Secondary Spontaneous Pneumothorax
Hyo Yeong Ahn¹, Yeong Dae Kim¹, Hoseok I¹, Jeong Su Cho¹, Jae young Kwon²
Department of Thoracic and Cardiovascular Surgery, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Republic of Korea¹, Department of Anesthesia and Pain Medicine, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Republic of Korea²
Background : The surgical intervention might be required in secondary spontaneous pneumothorax (SSP) with prolonged air leak, however, operation under general anesthesia (GA) could be critical in compromised patients. In this study, we performed video-assisted thoracic surgery (VATS) under epidural anesthesia (EA) in compromised patients with SSP and evaluated the feasibility of it.
Methods : Of 212 patients who underwent VATS for SSP, 179 patients had surgery under GA and 33 under EA from 2006 to 2014. All medical records were retrospectively reviewed for operative time, pre- and postoperative chest tube drainage, postoperative complications and hospital death. To evaluate the efficacy of VATS under EA, these factors were compared between EA and GA group.
Results : The mean operative time and the mean duration of postoperative drainage was 106.2 ± 45.3 minutes and 6.15±10.51 days in GA, and 102.6± 43.1 minutes and 6.10±7.20 days in EA. Of 18 cases with recurrence and 13 cases with complication, only one recurrence and one complication was developed in EA.
Conclusion : In case with patients having intractable SSP with compromised pulmonary function, VATS under EA could be an effective and safe option to approach the appropriate goal of air leak control and less recurrence of pneumothorax.
Methods : Of 212 patients who underwent VATS for SSP, 179 patients had surgery under GA and 33 under EA from 2006 to 2014. All medical records were retrospectively reviewed for operative time, pre- and postoperative chest tube drainage, postoperative complications and hospital death. To evaluate the efficacy of VATS under EA, these factors were compared between EA and GA group.
Results : The mean operative time and the mean duration of postoperative drainage was 106.2 ± 45.3 minutes and 6.15±10.51 days in GA, and 102.6± 43.1 minutes and 6.10±7.20 days in EA. Of 18 cases with recurrence and 13 cases with complication, only one recurrence and one complication was developed in EA.
Conclusion : In case with patients having intractable SSP with compromised pulmonary function, VATS under EA could be an effective and safe option to approach the appropriate goal of air leak control and less recurrence of pneumothorax.
책임저자: Yeong Dae Kim
Department of Thoracic and Cardiovascular Surgery, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Republic of Korea
연락처 : Hyo Yeong Ahn, Tel: 051-240-7267 , E-mail : pretty2124@hanmail.net
