Subject: VATS
Subject: spontaneous pneumothorax
Subject: open thoracotomy
Subject: LOHS
Year: 2021
Type: Article
Title: Evaluation of clinical data in patients that underwent different surgical treatments for spontaneous pneumothorax
Author: Jakupi N.
Author: Yankov G.
Author: Stevic M.
Author: Jovanovski-Srceva M.
Abstract: Introduction: Spontaneous pneumothorax (SPT) is surgically treated with two different techniques: Video Assisted Thoracoscopy (VATS) or open thoracotomy (OT). Despite the different invasiveness of the techniques, literature gives controversial results in correlation of the techniques to the clinical outcomes (like length of hospital stay (LOHS), recurrences of the pneumothorax, duration, collection of the drains and etc). The aim of our study was to analyze perioperative clinical features in patients that underwent SPT treatment surgically. Materialsandmethods: prospectively,weevaluateddataofpatientstreatedforSPTintwo-yearperiodattheUniversityclinicforthoracic surgery in Skopje. Patients were divided into VATS group and OT group, according to the surgical technique used for treatment. In both groups we analyzed demographical, laboratory data, duration of the chest drains presence, early inammatory markers and total LOHS. Patients with recurrent pneumothorax, older than 70 years with severe cardiological impairment were excluded. Results: The study included 42 patients, 23 patients (54.8%) underwent VATS treatment and 19 patients (45.2%) underwent OT. In both groups more patients were male. VATS group of patients showed nonsignicant difference in postoperative laboratory and inammatory ndings, non- signicantly lower presence of the drains in terms of days, signicantly lower drain uid collections for the rst 3 days and signicantly shorter LOHS compared to the OT group. Conclusion: Our study has showed that patients treated for spontaneous pneumothorax with VATS have shorter length of hospital stay, shorter chest drain presence and overall show better outcome.
Publisher: World Wide Journals
Relation: Indian Journal of Applied Research
Identifier: oai:repository.ukim.mk:20.500.12188/9992
Identifier: http://hdl.handle.net/20.500.12188/9992Identifier: 10.36106/ijar
Identifier: https://www.worldwidejournals.com/indian-journal-of-applied-research-(IJAR)/article/evaluation-of-clinical-data-in-patients-that-underwent-different-surgical-treatments-for-spontaneous-pneumothorax/Mjc1Njg=/?is=1&b1=&k=