Postoperative Clinical Outcomes of Thoracoscopic Surgery under Local Anesthesia in Patients with Primary Spontaneous Pneumothorax
| Autor: | Hoseok I, Hyo Yeong Ahn, Eun-Soo Kim, Jeong Su Cho, Yeong Dae Kim, Chi-Seung Lee, Eun-Ji Kim |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Visual analogue scale medicine.medical_treatment Sedation clinical outcome 030204 cardiovascular system & hematology lcsh:Technology lcsh:Chemistry 03 medical and health sciences 0302 clinical medicine medicine Intubation Outpatient clinic General Materials Science Local anesthesia Instrumentation lcsh:QH301-705.5 Fluid Flow and Transfer Processes general anesthesia (GA) business.industry lcsh:T Process Chemistry and Technology General Engineering medicine.disease lcsh:QC1-999 Computer Science Applications Surgery 030228 respiratory system Pneumothorax lcsh:Biology (General) lcsh:QD1-999 Cardiothoracic surgery lcsh:TA1-2040 primary spontaneous pneumothorax (PSP) local anesthesia (LA) medicine.symptom business lcsh:Engineering (General). Civil engineering (General) lcsh:Physics Wedge resection (lung) |
| Zdroj: | Applied Sciences, Vol 11, Iss 1468, p 1468 (2021) Applied Sciences Volume 11 Issue 4 |
| ISSN: | 2076-3417 |
| Popis: | (1) Background: since the technologies of anesthesia and surgery were advanced, video-assisted thoracic surgery (VATS) under local anesthesia (LA) has been widely carried out and is considered a robust surgical technique to prevent the recurrence of pneumothorax in patients with recurrent primary spontaneous pneumothorax (PSP). In this study, postoperative clinical outcomes were compared to evaluate the feasibility and efficacy of VATS under LA compared with general anesthesia (GA) in patients with PSP. (2) Methods: 255 patients underwent wedge resection underwent VATS for PSP in our hospital from January 2014 to June 2019. Of them, 30 patients underwent the operation under LA and the others underwent the operation under GA. Except for the anesthesia method, the same surgical technique was adopted for all patients. All medical records were retrospectively reviewed. (3) Results: the total operation time and total hospital days were relatively shorter, post-chest tube drainage was significantly shorter (0.04), and visual analog scale (VAS) scores in the outpatient clinic were significantly lower in the LA group than in the GA group (p = 0.01). The incidence of postoperative recurrence after discharge in the LA group (3.3%) was also lower than in the GA group (18.67%) (p = 0.001). In the LA group, there were no cases of conversion to intubation. (4) Conclusions: our results showed relatively better clinical outcomes in VATS under LA with sedation than under GA in the treatment of PSP. Hence, LA with sedation can be considered as a robust anesthetic technique for VATS and as applicable in the surgical treatment of PSP. |
| Databáze: | OpenAIRE |
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