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  • Công bố khoa học và công nghệ Việt Nam

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Y học lâm sàng

Nguyễn Thế Vũ, Lê Ngọc Thành, Phạm Vinh Quang, Nguyễn Trường Giang, Vadim Bakalin(1)

Kết quả phẫu thuật nội soi lồng ngực điều trị tràn khí màng phổi tại Bệnh viện Phạm Ngọc Thạch (01/2007 - 06/2013)

The results of thoracoscopic surgery for primary spontaneous pneumothorax in Pham Ngoc Thach hospital (01/2007- 06/2013)

Y học Việt Nam

2015

1

14-18

1859-1868

Tràn khí màng phổi, Bó lá thành màng phổi vùng đỉnh, Nội soi lồng ngực, Điều trị, Đánh giá kết quả

Objective: To review the experience of videoassisted thoracoscopic surgery for the treatment of primary spontaneous pneumothorax. Patients and intervention: One hundred and eighthteen consecutive patients undergoing thoracoscopy for primary spontaneous pneumothorax from January 2007 to July 2013. Results: The mean age of the patients was 28.2 years (range, 16 to 55 years), and 102 were men (86.4 percent). All patients were successfully treated using video-assisted thoracoscopic technique. Recurrent pneumothorax was the most frequent indication for surgery, occurring in 83 patients. The most common method of management was stapling of an identified bleb, which was done in 71 cases. Pleurodesis was achieved by gauze abrasion (n = 79) and apical pleurectomy (n = 39). Postoperative prolonged air leak occurred in five patients (4.2 percent). There were no deaths attributable to the procedure. The mean ( percent SD) postoperative pleural drainage was 3.1 percent 2.8 days. Conclusions: Video-assisted thoracoscopic surgery is a safe procedure in the treatment of primary spontaneous pneumothorax. Pleurodesis was achieved by abrasion is a more safe and effective way of producing apical pleurectomy.

TTKHCNQG, CVv 46

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