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R. Karmy-Jones, G. Jurkovich, D. Shatz, S. Brundage, M. Wall, S. Engelhardt, D. Hoyt, J. Holcroft, M. Knudson (2001)
Management of traumatic lung injury: a Western Trauma Association Multicenter review.The Journal of trauma, 51 6
M. Ochsner, G. Rozycki, F. Lucente, D. Wherry, H. Champion (1992)
Prospective evaluation of thoracoscopy for diagnosing diaphragmatic injury in thoracoabdominal trauma: a preliminary report.The Journal of trauma, 34 5
R. Villavicencio, J. Aucar, M. Wall (1999)
Analysis of thoracoscopy in traumaSurgical Endoscopy, 13
Merle Miller (1993)
Prospective evaluation of thoracoscopy for diagnosing diaphragmatic injury in thoracoabdominal trauma: A preliminary reportAnnals of Emergency Medicine, 22
T. Helling, N. Gyles, C. Eisenstein, Charisse Soracco (1989)
Complications following blunt and penetrating injuries in 216 victims of chest trauma requiring tube thoracostomy.The Journal of trauma, 29 10
J. Branco (1946)
Thoracoscopy as a Method of Exploration in Penetrating Injuries of the Thorax (Preliminary Report)Chest, 12
J. BRANCO (1946)
Thoracoscopy as a method of exploration in penetrating injuries of the thorax.Diseases of the chest, 12
F. Pons, L. Lang-Lazdunski, X. Kerangal, O. Chapuis, P. Bonnet, R. Jancovici (2002)
The role of videothoracoscopy in management of precordial thoracic penetrating injuries.European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery, 22 1
Loı̈c MD, Jerôme MD, Francis MD, Gilles MD, Emmanuel MD, Dan MD, Jacques MD, René MD (1997)
Role of videothoracoscopy in chest trauma.The Annals of thoracic surgery, 63 2
J. Asensio, Hector Arroyo, William Veloz, W. Forno, E. Gambaro, G. Roldán, J. Murray, G. Velmahos, D. Demetriades (2002)
Penetrating thoracoabdominal injuries: Ongoing dilemma—Which cavity and when?World Journal of Surgery, 26
J. Sosa, H. Pombo, I. Puente, D. Sleeman, E. Ginzburg, M. Mckinney, L. Martin (1998)
Thoracoscopy in the evaluation and management of thoracic trauma.International surgery, 83 3
R. Freeman, G. Al-Dossari, K. Hutcheson, Lynne Huber, M. Jessen, D. Meyer, M. Wait, J. DiMaio (2001)
Indications for using video-assisted thoracoscopic surgery to diagnose diaphragmatic injuries after penetrating chest trauma.The Annals of thoracic surgery, 72 2
D. Meyer, M. Jessen, M. Wait, A. Estrera (1997)
Early evacuation of traumatic retained hemothoraces using thoracoscopy: a prospective, randomized trial.The Annals of thoracic surgery, 64 5
A. Yim (2000)
Minimal Access Cardiothoracic Surgery
G. Lowdermilk, Keith Naunheim (2000)
Thoracoscopic evaluation and treatment of thoracic trauma.The Surgical clinics of North America, 80 5
C. Schermer, B. Matteson, G. Demarest, R. Albrecht, V. Davis (1999)
A prospective evaluation of video-assisted thoracic surgery for persistent air leak due to traumaAmerican Journal of Surgery, 177
Objective: Thoracic injuries are among the most severe forms of trauma and also a leading cause of morbidity and mortality. Video Assisted Thoracic Surgery (VATS) has recently provided an alternative method to simultaneously diagnose and manage patients sustaining chest injuries. We analyze our experience with VATS in the setting of thoracic trauma detailing indications for exploration, procedures performed and results of surgery. Methods: A 6-year single institution review of patients undergoing VATS due to injuries sustained from both blunt and penetrating chest trauma at a Level I trauma center and university teaching hospital. Comparisons were made between groups of blunt and penetrating trauma as to Injury Severity Score (ISS), presence of extra-thoracic injuries, initial thoracostomy drainage and length of postoperative stay. Results: VATS was successfully performed in 19 consecutive patients without conversion to thoracotomy. Indications for exploration included acute hemorrhage, retained hemothorax, suspected diaphragmatic injuries (DI), suspected cardiac injury, intra-thoracic foreign body, persistent airleak and chronic empyema. Procedures performed consisted of evacuation of retained hemothorax, hemostasis of intra-thoracic bleeders, repair of DI, wedge lung resections and decortication. Mean postoperative length of stay was 5.86 days. There were no morbidities. One patient with severe intra-abdominal injuries expired on the first postoperative day. Conclusion: In hemodynamically stable patients with thoracic injuries, VATS provides an accurate assessment of intra-thoracic organ injury and can be utilized to definitively and effectively manage injuries sustained as a result of blunt or penetrating thoracic trauma. VATS should be used with caution in patients sustaining severe and life threatening intra-abdominal injuries.
European Journal of Cardio-Thoracic Surgery – Oxford University Press
Published: Jun 1, 2004
Keywords: Video assisted thoracic surgery Thoracic Trauma
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