| A prospective evaluation of video-assisted thoracic surgery for persistent air leak due to trauma. | |
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MedLine Citation:
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PMID: 10414698 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: The time required for air leak resolution after chest trauma is not well described. Based on an institutional review of posttraumatic air leaks our hypothesis was that video-assisted thoracic surgery (VATS) for persistent posttraumatic air leak would decrease chest tube days and length of stay compared with nonoperative management. METHODS: Patients were offered VATS versus nonoperative management when air leaks persisted longer than 3 days and the patients were otherwise ready for discharge. Chest tube days and length of stay were recorded. RESULTS: Of 223 trauma patients requiring chest tubes, 50 had persistent air leaks, 39 of whom were otherwise ready for discharge. Twenty-five chose VATS and 14 nonoperative (NOP) treatment. The mean chest tube days was 8.1 for VATS versus 11.8 for NOP (P = 0.001). Mean length of stay was 9.7 days for VATS and 16.5 days for NOP (P = 0.002). CONCLUSIONS: In patients otherwise ready for discharge VATS reduces chest tube days and length of stay when used to treat persistent posttraumatic air leak. |
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Authors:
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C R Schermer; B D Matteson; G B Demarest; R M Albrecht; V H Davis |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: American journal of surgery Volume: 177 ISSN: 0002-9610 ISO Abbreviation: Am. J. Surg. Publication Date: 1999 Jun |
Date Detail:
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Created Date: 1999-08-09 Completed Date: 1999-08-09 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0370473 Medline TA: Am J Surg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 480-4 Citation Subset: AIM; IM |
Affiliation:
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Department of Surgery, University of New Mexico, Albuquerque, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Chest Tubes Endoscopy / methods* Female Hemothorax / etiology, surgery*, therapy Humans Length of Stay Male Pneumothorax / etiology, surgery*, therapy Prospective Studies Thoracic Injuries / complications* Thoracoscopy Time Factors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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