원발성 자연 기휴에 대한 2mm 비디오 흉강경 검사

2mm Video Thoracoscopic Examination for Primary Spontaneous Peumothorax

  • 이송암 (고려대학교 의과대학 흉부외과학 교실) ;
  • 김광택 (고려대학교 의과대학 흉부외과학 교실) ;
  • 박성민 (고려대학교 의과대학 흉부외과학 교실) ;
  • 정봉규 (고려대학교 의과대학 흉부외과학 교실) ;
  • 선경 (고려대학교 의과대학 흉부외과학 교실) ;
  • 김형묵 (고려대학교 의과대학 흉부외과학 교실) ;
  • 이인성 (고려대학교 의과대학 흉부외과학 교실)
  • Lee, Song-Am (Department of Thoracic and Cardiovascular Surgery, College of medicine, Korea University) ;
  • Kim, Kwang-Taik (Department of Thoracic and Cardiovascular Surgery, College of medicine, Korea University) ;
  • Park, Sung-Min (Department of Thoracic and Cardiovascular Surgery, College of medicine, Korea University) ;
  • Chung, Bong-Kyu (Department of Thoracic and Cardiovascular Surgery, College of medicine, Korea University) ;
  • Sun, Kyung (Department of Thoracic and Cardiovascular Surgery, College of medicine, Korea University) ;
  • Kim, Hyoung-Mook (Department of Thoracic and Cardiovascular Surgery, College of medicine, Korea University) ;
  • Lee, IIn-Sung (Department of Thoracic and Cardiovascular Surgery, College of medicine, Korea University)
  • 발행 : 2000.04.01

초록

Background: The purpose of this study was to evalute the diagnostic value of 2mm video thoracoscopy for primary spontaneous penumothorax. Material and Method: During the period of March to June 1999, we prospectively analyzed 33 consecutive patients suffering from primary spontaneous pneumothorax. 2mm video-assisted thoracoscopy was compared with the operative finding. We observed recurrence during the mean follow-up of 3months. Result: Blebs were present in 24 patient(73%: 24/33). These were treated by 10mm video-assised thoracoscopic stapling. Nine pateints with no bleb were treated with pleural drainage. There were no significant differences in the bleb finding. No recurrence occurred during the follow-up period. Conclusion: A 2mm video thoracoscopic examination for primary spontaneous pnumothorax is a useful alternative in deciding the operative indication.

키워드

참고문헌

  1. J Cardiovasc Surg v.35 Long-term follow-up of different procedures in spontaneous pneumothorax. Elfeldt RJ;Schroder DW
  2. 대흉외지 v.28 재발성기흉의 고찰 조재호;이연재;장진우;박도웅;송원영;유병하
  3. Ann Thorac Surg v.64 Video-assisted thoracic surgery : Has technology found its place Mack MJ;Scruggs GR;Kelly KM;Shennib H;Landreneau RJ.
  4. Ann Thorac Surg v.56 Video-assisted thoracic surgery study group data. Hazelrigg SR;Nunchuck SK;LoCicero Ⅲ J.
  5. Ann Thorac Surg v.56 Van Raemdonck DEM. Thoracoscopic surgery : The belgian experience. Coosemans W;Lerut TE
  6. J Thorac Surg v.13 Roentgenographic demonstration by Diodrast of the pleural walls in open empyema. Gordon J.
  7. Langenbecks Arch Chir v.374 Treatment of spontaneous pneumothorax. Gebhardt CH;Bolcskei P.(et al)
  8. 대흉외지 v.31 기흉에서 흉강조형술의 진단적가치 박영식;한재열;장지원
  9. Chest v.108 Videothoracoscopic appearance of first and recurrent pneumothorax. Janssen JP;Schramel FMNH;Sutedja TG;Cuesta MA;Postmus PE
  10. 대흉외지 v.32 수부 다한증에서 흉부 3번 교감신경 차단 수술의 효과 김광택;김일현;이송암;백만종;선경;김형묵;이인성
  11. 대흉외지 v.32 자연기흉에 대한 비디오 흉강경 수술후 재발에 영향을 미치는 요인들 이송암;김광택;김일현 등