Clinical Outcomes of Minimally Invasive Surgical Stabilization of Rib Fractures Using Video-Assisted Thoracoscopic Surgery
Background: Multiple rib fractures are common in blunt chest trauma. Until recently, most surgical rib fixations for multiple rib fractures were performed via open thoracotomy. However, due to the invasive nature of tissue dissection and the resulting large wound, an alternative endoscopic approa...
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| Format: | Article |
| Language: | English |
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Korean Society for Thoracic & Cardiovascular Surgery
2023-03-01
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| Series: | Journal of Chest Surgery |
| Subjects: |
| _version_ | 1811160737737867264 |
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| author | Chae-Min Bae Shin-Ah Son Yong Jik Lee Sang Cjeol Lee |
| author_facet | Chae-Min Bae Shin-Ah Son Yong Jik Lee Sang Cjeol Lee |
| author_sort | Chae-Min Bae |
| collection | DOAJ |
| description | Background: Multiple rib fractures are common in blunt chest trauma. Until recently,
most surgical rib fixations for multiple rib fractures were performed via open thoracotomy.
However, due to the invasive nature of tissue dissection and the resulting large wound, an
alternative endoscopic approach has emerged that minimizes the postoperative complications
caused by the manipulation of injured tissue and lung during an open thoracotomy.
Methods: Our study concentrated on patients with multiple rib fractures who underwent
surgical stabilization of rib fractures (SSRF) between June 2018 and May 2020. We
found 27 patients who underwent SSRF using video-assisted thoracoscopic surgery. The
study design was a retrospective review of the patients’ charts and surgical records.
Results: No intraoperative events or procedure-related deaths occurred. Implant-related
irritation occurred in 4 patients, and 1 death resulted from concomitant trauma. The average
hospital stay was 30.2±20.1 days, and ventilators were used for 12 of the 22 patients
admitted to the intensive care unit. None of the patients experienced major pulmonary
complications such as pneumonia or acute respiratory distress syndrome.
Conclusion: Minimally invasive rib stabilization surgery with the assistance of a thoracoscope
is expected to become more widely used in patients with multiple rib fractures. This
method will also assist patients in a quick recovery. |
| first_indexed | 2024-04-10T06:03:41Z |
| format | Article |
| id | doaj.art-3df3a56d2739409cba66fe0bd2ff94b8 |
| institution | Directory Open Access Journal |
| issn | 2765-1606 2765-1614 |
| language | English |
| last_indexed | 2024-04-10T06:03:41Z |
| publishDate | 2023-03-01 |
| publisher | Korean Society for Thoracic & Cardiovascular Surgery |
| record_format | Article |
| series | Journal of Chest Surgery |
| spelling | doaj.art-3df3a56d2739409cba66fe0bd2ff94b82023-03-03T05:26:20ZengKorean Society for Thoracic & Cardiovascular SurgeryJournal of Chest Surgery2765-16062765-16142023-03-0156212012510.5090/jcs.22.119Clinical Outcomes of Minimally Invasive Surgical Stabilization of Rib Fractures Using Video-Assisted Thoracoscopic SurgeryChae-Min Bae0https://orcid.org/0000-0001-6957-9020Shin-Ah Son1https://orcid.org/0000-0003-3317-6857Yong Jik Lee2https://orcid.org/0000-0002-0837-4336Sang Cjeol Lee3https://orcid.org/0000-0003-0502-1022Kyungpook National UniversityKyungpook National UniversityUniversity of Ulsan College of MedicineKyungpook National UniversityBackground: Multiple rib fractures are common in blunt chest trauma. Until recently, most surgical rib fixations for multiple rib fractures were performed via open thoracotomy. However, due to the invasive nature of tissue dissection and the resulting large wound, an alternative endoscopic approach has emerged that minimizes the postoperative complications caused by the manipulation of injured tissue and lung during an open thoracotomy. Methods: Our study concentrated on patients with multiple rib fractures who underwent surgical stabilization of rib fractures (SSRF) between June 2018 and May 2020. We found 27 patients who underwent SSRF using video-assisted thoracoscopic surgery. The study design was a retrospective review of the patients’ charts and surgical records. Results: No intraoperative events or procedure-related deaths occurred. Implant-related irritation occurred in 4 patients, and 1 death resulted from concomitant trauma. The average hospital stay was 30.2±20.1 days, and ventilators were used for 12 of the 22 patients admitted to the intensive care unit. None of the patients experienced major pulmonary complications such as pneumonia or acute respiratory distress syndrome. Conclusion: Minimally invasive rib stabilization surgery with the assistance of a thoracoscope is expected to become more widely used in patients with multiple rib fractures. This method will also assist patients in a quick recovery.traumarib fracturesflail chestvideo-assisted thoracoscopic surgeryminimally invasive surgical procedures |
| spellingShingle | Chae-Min Bae Shin-Ah Son Yong Jik Lee Sang Cjeol Lee Clinical Outcomes of Minimally Invasive Surgical Stabilization of Rib Fractures Using Video-Assisted Thoracoscopic Surgery Journal of Chest Surgery trauma rib fractures flail chest video-assisted thoracoscopic surgery minimally invasive surgical procedures |
| title | Clinical Outcomes of Minimally Invasive Surgical Stabilization of Rib Fractures Using Video-Assisted Thoracoscopic Surgery |
| title_full | Clinical Outcomes of Minimally Invasive Surgical Stabilization of Rib Fractures Using Video-Assisted Thoracoscopic Surgery |
| title_fullStr | Clinical Outcomes of Minimally Invasive Surgical Stabilization of Rib Fractures Using Video-Assisted Thoracoscopic Surgery |
| title_full_unstemmed | Clinical Outcomes of Minimally Invasive Surgical Stabilization of Rib Fractures Using Video-Assisted Thoracoscopic Surgery |
| title_short | Clinical Outcomes of Minimally Invasive Surgical Stabilization of Rib Fractures Using Video-Assisted Thoracoscopic Surgery |
| title_sort | clinical outcomes of minimally invasive surgical stabilization of rib fractures using video assisted thoracoscopic surgery |
| topic | trauma rib fractures flail chest video-assisted thoracoscopic surgery minimally invasive surgical procedures |
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