Video-assisted Thoracoscopic Surgery Lowers the Incidence of Adhesion to the Chest Wall But Not to the Mediastinal and Interlobar Pleurae

被引:9
作者
Tanaka, Kimitaka [1 ]
Hida, Yasuhiro [1 ]
Kaga, Kichizo [1 ]
Kato, Hiroaki [1 ]
Iizuka, Mikiya [1 ]
Cho, Yasushi [1 ]
Kondo, Satoshi [1 ]
机构
[1] Hokkaido Univ, Grad Sch Med, Dept Surg Oncol, Kita Ku, Sapporo, Hokkaido 0608648, Japan
关键词
video-assisted thoracoscopic surgery; pulmonary resection; intrathoracic adhesion; chest wall; mediastinal adhesion; interlobal adhesion; LAPAROSCOPIC SURGERY; LAPAROTOMY;
D O I
10.1097/SLE.0b013e3181cb57c1
中图分类号
R61 [外科手术学];
学科分类号
摘要
To determine whether video-assisted thoracoscopic surgery (VATS) is associated with a lower incidence of intrathoracic adhesion after pulmonary resection, we assessed the incidence of adhesion for patients who underwent a second pulmonary resection. The site and extent of adhesion were evaluated by reviewing videotapes recorded during surgery. A significantly (P < 0.05) lower rate of mediastinal or interlobar adhesion was observed in patients with pneumothorax (10%) in comparison with lobectomy (57%) or partial resection for tumors (63%), although there were no statistically significant differences in adhesion to the chest wall. There were no significant differences between VATS and thoracotomy for mediastinal or interlobar adhesion. However, a significantly (P < 0.05) lower rate of adhesion to the chest wall was observed for VATS (54%) in comparison with thoracotomy (100%). Although VATS resulted in less adhesion to the chest wall than thoracotomy, there was no difference in mediastinal or interlobar adhesion.
引用
收藏
页码:46 / 48
页数:3
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