초록접수 현황
| 20F-129 | 구연 발표 |
VATS for spontaneous pneumothorax under single-lumen endotracheal intubation without lung isolation
YongJin Chang, DeogGon Cho
Department of Thoracic and Cardiovascular Surgery, St. Vincent’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
Purpose : The purpose of this study was to investigate the feasibility of VATS performed using single-lumen endotracheal tube intubation without lung isolation in patients with spontaneous pneumothorax.
Methods : From January 2016 to December 2019, 344 patients who underwent VATS with spontaneous pneumothorax, whether primary or secondary, were enrolled. The surgery was performed through SLET (Group S) or DLET (Group D) intubation, and lung isolation using Carbon Dioxide insufflation was not used at all. All patient data were collected retrospectively from medical records. In particular, the comparison was made with an emphasis on the time required for anesthesia and surgery.
Results : In the two groups (S versus D), the average anesthesia time was 72.6±17.8 minutes and 89.9±24.3 minutes (p<0.001), the average operating time was 42.1±12.2 minutes and 54.7±23.8 minutes (p<0.001), respectively, and the average time from the onset of anesthesia to the incision was 23.6 ± 7.0 minutes and 27.6 ± 9.5 minutes (p<0.001), respectively. There has never been a case of changing SLET integration to DLET integration during surgery. In both groups, removal of the chest tube took 1.6±1.1 days and 2.3±3.6 days, respectively (p=0.017), and discharged at 2.7±1.2 days and 3.2±2.3 days after surgery, respectively (p=0.009).
Conclusion : The authors are convinced that VATS surgery for pneumothorax can be performed quickly and easily with only SLET intubation without lung isolation.
Methods : From January 2016 to December 2019, 344 patients who underwent VATS with spontaneous pneumothorax, whether primary or secondary, were enrolled. The surgery was performed through SLET (Group S) or DLET (Group D) intubation, and lung isolation using Carbon Dioxide insufflation was not used at all. All patient data were collected retrospectively from medical records. In particular, the comparison was made with an emphasis on the time required for anesthesia and surgery.
Results : In the two groups (S versus D), the average anesthesia time was 72.6±17.8 minutes and 89.9±24.3 minutes (p<0.001), the average operating time was 42.1±12.2 minutes and 54.7±23.8 minutes (p<0.001), respectively, and the average time from the onset of anesthesia to the incision was 23.6 ± 7.0 minutes and 27.6 ± 9.5 minutes (p<0.001), respectively. There has never been a case of changing SLET integration to DLET integration during surgery. In both groups, removal of the chest tube took 1.6±1.1 days and 2.3±3.6 days, respectively (p=0.017), and discharged at 2.7±1.2 days and 3.2±2.3 days after surgery, respectively (p=0.009).
Conclusion : The authors are convinced that VATS surgery for pneumothorax can be performed quickly and easily with only SLET intubation without lung isolation.
책임저자: DeogGon Cho
Department of Thoracic and Cardiovascular Surgery, St. Vincent’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
발표자: YongJin Chang, E-mail : tsmate@hanmail.net