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흉강경을 이용한 일차성 자연 기흉의 수술 후 재발된 환자에서 재수술 분석

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Affiliated Author(s)
김재범금동윤박창권
Alternative Author(s)
Kim, Jae BumKeum, Dong YoonPark, Chang Kwon
Journal Title
Keimyung Medical Journal
Issued Date
2010
Keyword
Recurrence pneumothoraxSpontaneous pneumothoraxVideo-assisted thoracic surgery (VATS)
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.
Alternative Title
Redo-surgery for Recurrences Following VATS for Primary Spontaneous Pneumothorax
Department
Dept. of Thoracic & Cardiovascular Surgery (흉부외과학)
Publisher
Keimyung University School of Medicine
Citation
김재범 et al. (2010). 흉강경을 이용한 일차성 자연 기흉의 수술 후 재발된 환자에서 재수술 분석. Keimyung Medical Journal, 29(2), 98–101.
Type
Article
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/15501
Appears in Collections:
2. Keimyung Medical Journal (계명의대 학술지) > 2010
1. School of Medicine (의과대학) > Dept. of Thoracic & Cardiovascular Surgery (흉부외과학)
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