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272169

Assisted Thoracoscopic Intervention Versus Conventional Thoracotomy for Management of Trapped Lung Syndrome

Article

Last updated: 22 Jan 2023

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Clinical Research (Surgical)

Abstract

Background: Trapped lung syndrome is defined by the inability of the lung to expand and fill the thoracic cavity because of a restricting “peel." Video-assisted thoracoscopic surgery (VATs) can take part in the management of trapped lung syndrome more easily on the behalf of pleurectomy/ decortications Aim: to evaluate the prevalence of postoperative complications of thoracoscopic management of trapped lung syndrome. Patients and Methods: This study was held at Suez Canal university hospitals and as a randomized control clinical trial. It included all patients who presented with trapped lung syndrome. Patients were divided into 2 equal groups (conventional thoracotomy group and VATs group). Results: the total mean age was 52.45±13.6 yrs. (range 19-80 yrs.). 64% of the patients were males. The preoperative symptoms were fever in 70% of patients, cough in 30%, chest pain in 24%, and dyspnea in 66%. The mean operative time was 130.31±38.024 min. (Range 50-240 min.). The Mean postoperative air leak days were 4.71±2.802 days (Range 0-11 days). The mean postoperative VAS score for pain was 3.28±3.178, (Range 0-9). The mean Postoperative total hospital stays. Group A (7.06±1.69 days), group B (5.13± 2.45 days) (Multiport VATS 4.95±3.0 days Uniportal VATS 5.33±2.22 days) (p = 0.0001). The mean VAS score for pain at 6 months follow-up was 0.29± 0.72, (Range 0-3). Conclusion: operative time was lesser in VATs group than thoracotomy despite being no statistical significance between 2 groups regarding concomitant techniques which mean that VATs can do the same job in lesser operative time and decrease operative bleeding & risk, also zero conversion rate displays the learning curve and feasibility of both VATs techniques

DOI

10.21608/scumj.2022.272169

Keywords

Trapped Lung, VATS, Pleurectomy, decortication

Authors

First Name

Hamdy

Last Name

Elayouty

MiddleName

D.

Affiliation

Department of Cardiothoracic Surgery, Faculty of Medicine, Suez Canal University, Egypt

Email

-

City

-

Orcid

-

First Name

Mohamed

Last Name

Amr

MiddleName

A.

Affiliation

Department of Cardiothoracic Surgery, Faculty of Medicine, Suez Canal University, Egypt

Email

-

City

-

Orcid

-

First Name

Hany

Last Name

Fesal

MiddleName

S.

Affiliation

Department of Cardiothoracic Surgery, Faculty of Medicine, Suez Canal University, Egypt

Email

-

City

-

Orcid

-

First Name

Ramy

Last Name

Samir

MiddleName

M.

Affiliation

Department of Cardiothoracic Surgery, Faculty of Medicine, Suez Canal University, Egypt

Email

ramysamircts@gmail.com

City

-

Orcid

-

First Name

Hassan

Last Name

Hassan

MiddleName

S.

Affiliation

Department of Cardiothoracic Surgery, Faculty of Medicine, Suez Canal University, Egypt

Email

-

City

-

Orcid

-

Volume

25

Article Issue

4

Related Issue

37696

Issue Date

2022-12-01

Receive Date

2022-12-03

Publish Date

2022-12-01

Page Start

40

Page End

48

Print ISSN

1110-6999

Online ISSN

2090-2581

Article File

SCUMJ_Volume 25_Issue 4_Pages 40-48.pdf

PDF . 300.5kB

Link

https://scumj.journals.ekb.eg/article_272169.html

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https://scumj.journals.ekb.eg/service?article_code=272169

Order

5

Type

Original Article

Type Code

938

Publication Type

Journal

Publication Title

Suez Canal University Medical Journal

Publication Link

https://scumj.journals.ekb.eg/

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Article

Created At

22 Jan 2023