초록접수 현황
| 16F-267 | 구연 발표 |
Less Invasive Laryngeal Mark Airway Induction in VATS Wedge Resection for Pneumothorax
Jae Hoon Lee, Eui Suk Chung, Sung Joon Park
Department of Thoracic and Cardiovascular Surgery, Inje University Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Korea
Background : In lung surgery, double lumen endotracheal tube is used for one lung ventilation. But, double lumen insertion is invasive and difficult methods. So, we intend to evaluate difference between double lumen or single lumen endotracheal tube and laryngeal mask airway(LMA) in VATS wedge resection for pneumothorax.
Methods : From October 2015 to August 2016, total 75 patients, who underwent VATS wedge resection for pneumothorax were evaluated, retrospectively. Among them, 2 patients were excluded because they underwent operation due to traumatic pneumothorax.
Double lumen endotracheal tube insertion was 30 (41%), single lumen endotracheal tube insertion was 27 (37%) and LMA was 16 (22%) cases.
Results : The median age was 19 years (15 ~ 67 years). Male patients were 67 (92%), and female were 6 (8%). Primary pneumothorax was 71 (97%) and secondary pneumothorax was 2 (3%) cases. Right side pneumothorax was 35 (48%) and left side was 38 (52%) cases.
The operation time was 50 ± 18.05 min, 49.81 ± 23.55 min, 49.06 ± 12.93 min in double lumen, single lumen and LMA group and there was no difference between groups (p > 0.05). The duration of chest tube drainage after operation was 1.83 ± 0.69 days, 2.30 ± 1.10 days, 2.44 ± 0.96 days in double lumen, single lumen and LMA group and there was no difference between groups (p > 0.05).
Also, the hospital days after operation was 2.80 ± 0.76 days, 3.37 ± 1.21 days, 3.38 ± 1.02 days in double lumen, single lumen and LMA group and there was no difference between groups (p > 0.05).
Conclusion : In our study, LMA insertion was not inferior to double lumen or single lumen endotracheal tube, in operation time, duration of chest tube drainage, and hospital days after operation. Less invasive LMA insertion may be useful method in VATS wedge resection for pneumothorax.
Methods : From October 2015 to August 2016, total 75 patients, who underwent VATS wedge resection for pneumothorax were evaluated, retrospectively. Among them, 2 patients were excluded because they underwent operation due to traumatic pneumothorax.
Double lumen endotracheal tube insertion was 30 (41%), single lumen endotracheal tube insertion was 27 (37%) and LMA was 16 (22%) cases.
Results : The median age was 19 years (15 ~ 67 years). Male patients were 67 (92%), and female were 6 (8%). Primary pneumothorax was 71 (97%) and secondary pneumothorax was 2 (3%) cases. Right side pneumothorax was 35 (48%) and left side was 38 (52%) cases.
The operation time was 50 ± 18.05 min, 49.81 ± 23.55 min, 49.06 ± 12.93 min in double lumen, single lumen and LMA group and there was no difference between groups (p > 0.05). The duration of chest tube drainage after operation was 1.83 ± 0.69 days, 2.30 ± 1.10 days, 2.44 ± 0.96 days in double lumen, single lumen and LMA group and there was no difference between groups (p > 0.05).
Also, the hospital days after operation was 2.80 ± 0.76 days, 3.37 ± 1.21 days, 3.38 ± 1.02 days in double lumen, single lumen and LMA group and there was no difference between groups (p > 0.05).
Conclusion : In our study, LMA insertion was not inferior to double lumen or single lumen endotracheal tube, in operation time, duration of chest tube drainage, and hospital days after operation. Less invasive LMA insertion may be useful method in VATS wedge resection for pneumothorax.
책임저자: Sung Joon Park
Department of Thoracic and Cardiovascular Surgery, Inje University Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Korea
발표자: Sung Joon Park, E-mail : psj324@hanmail.net