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Kwang Ho Kim
Yong Han Yoon
Wan Ki Baek
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Asian Cardiovasc Thorac Ann 2001;9:27-30
© 2001 Asia Publishing EXchange Pte Ltd

ORIGINAL CONTRIBUTION

A 2-mm Videothoracoscopic Incision for Primary Spontaneous Pneumothorax

Kim Joung Taek, MD, Kim Kwang Ho, MD, Yoon Yong Han, MD, Baek Wan Ki, MD, Lim Hyun Kyoung, MD,1

Department of Thoracic and Cardiovascular Surgery
1 Department of Anesthesiology Inha University Hospital Inchon, Korea
For reprint information contact: Kim Joung Taek, MD Tel: 82 32 890 2280 Fax: 82 32 890 3099 email: jtkim{at}inha.ac.kr Department of Thoracic and Cardiovascular Surgery, Inha University Hospital, 7-206 Shinheung-Dong 3 Ga, Jung Gu, Inchon 400-103, Korea.
This study was designed to evaluate a recently developed 2-mm video-thoracoscope and instruments for primary spontaneous pneumothorax. Between January 1998 and June 1999, 62 consecutive patients were studied. The 2-mm video-thoracoscope was used in 30 patients (group 1), and a conventional video-thoracoscope was used in 32 (group 2). There was no significant difference in operation time, number of staples, or duration of chest tube drainage between the 2 groups. The need for parenteral analgesic (ketoprofen) postoperatively was less in group 1 (56%) than group 2 (72%), but this was not statistically significant. During a mean follow-up of 15 months, there was 1 readmission for recurrent pneumothorax in each group. It was concluded that the 2-mm video-thoracoscope and instruments can be used successfully to manage primary spontaneous pneumothorax with cosmetically excellent results.






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