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2007, Number 2

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Rev Mex Cir Endoscop 2007; 8 (2)

Thoracoscopy in trauma. Indications, results and institutional protocol of application at the Hospital Central Militar

García-Núñez LM, Núñez CO, Cabello PR, Payró HLE, Magaña SIJ

Language: Spanish
References: 18
Page: 60-66
PDF size: 88.02 Kb.


ABSTRACT

Background data: Technological advances have increased the use of thoracoscopy in trauma.
Material and methods: Retrospective series of trauma patients underwent thoracoscopy at our trauma center during a 5-years span. Statistical analysis: relative occurrence frequency and t test.
Results: Eight patients were included, seven male, one female; mean age: 40.4 ± 14.25 years. Successful thoracoscopy: 75% (6/8). Mechanism of injury: blunt – 62.5% (motor-vehicle accident – 25%, falls – 25%, assault – 12.5%); penetrating – 37.5% (gunshot wound – 25%, stab wound – 12.5%). Indications for thoracoscopy: retained hemothorax (87.5%), diaphragmatic injury (12.5%), pulmonary hematoma (12.5%), persistent pneumothorax (12.5%). Conversion rate to thoracotomy: 25% (2/8). Mean interval admission to surgery: 6.1 ± 4.6 days; 5.5 ± 4.7 days for successful thoracoscopy and 8 ± 5.7 days for cases of conversion (p = 0.645). Mean postoperative stay: 22 ± 18.8 days; for successful thoracoscopy patients 14 ± 7.75 days and for cases of conversion 46 ± 25.5 days (p = 0.319). Complications per patient: 0.25; morbidity rate: 25% (2/8). Mortality rate: 0%.


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