Transaxillary mini-thoracotomy vs open thoracotomy and video-assisted thoracoscopy in the surgery for localized pulmonary emphysema

  • E. V. Medovarov Nizhny Novgorod State Medical Academy, Clinical Hospital N. 5, Nizhny Novgorod
  • A. V. Pavlunin Nizhny Novgorod State Medical Academy, Clinical Hospital N. 5, Nizhny Novgorod
  • M. A. Sidorov Clinical Hospital N. 5, Nizhny Novgorod
  • V. A. Fedorovtsev Clinical Hospital N. 5, Nizhny Novgorod
Keywords: organic pulmonary emphysema, surgical treatment, postoperative treatment, video-assisted thoracoscopy, thoracotomy, minithoracotomy

Abstract

The study investigates the short-term outcomes after operations for localized pulmonary emphysema performed via traditional open thoracotomy, transaxillary minithoracotomy (TAMT) and video-assisted thoracoscopy (VATS). It has been shown that TAMT has some major advantages over traditional thoracotomy. The lung resection through TAMT commonly could be performed faster. Minor operative trauma also yielded to significantly decreased need for ICU observation, less intensive pain, reduction of chest drainage and hospital stay duration. TAMT also has shown the almost similar outcomes and even lesser morbidity than VATS. No postoperative morbidity was registered after TAMT, while in VATS group prolonged air leak was the most common complication. The TAMT approach for staple resections was found to be a safe technique superior to traditional thoracotomy and comparably efficient as VATS. The advan-tage of TAMT over VATS is the possibility to refuse usage of expensive endostaplers.

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Published
2007-05-31
How to Cite
Medovarov, E., Pavlunin, A., Sidorov, M., & Fedorovtsev, V. (2007). Transaxillary mini-thoracotomy vs open thoracotomy and video-assisted thoracoscopy in the surgery for localized pulmonary emphysema. Bulletin of the International Scientific Surgical Association, 2(1), 81-83. Retrieved from http://surgjournal.ru/index.php/BISSA/article/view/170
Section
Original Articles