흉강경을 이용한 일차성 자연 기흉의 수술 후 재발된 환자에서 재수술 분석

Abstract

Background: As far as the number of VATS procedures for pneumothorax is increasing, the issue of the recurrences following VATS becomes increasing together. Up to now there is very little if any experience with the surgical management of such recurrences. Material and Method: From January 1999 to December 2008, 525 patients underwent VATS at our center. We studied the age, body-mass index, the number of GIA and the characteristics of recurrence. The divided two groups were as follows: group A, primary spontaneous pneumothorax after VATS; and group B, recurrent pneumothorax which needed redo-surgery. Result: At a mean follow-up of 35.7 months recurrences which needed redo- surgery were seen in 17 patients (3.23%). The relatively significant result is mean age and used GIA number. The mean age of Group A is 30.2 and group B is 26.8 (p=0.10).The mean number of used GIA at Group A is 2.36 and Group B is 2.86 (p=0.08). Otherwise, there was no significant differences between the Group A and Group B. Conclusion: The young age and much more GIA numbers which used in previous VATS bullectomy are relatively risk factors for a recurrent pneumothorax which needed redo-surgery.