Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Thoracoscopic Bleb Ligation in Patients with Primary Spontaneous Pneumothorax

일차 자연 기흉의 치료를 위한 흉강경하 폐기포 결찰술

  • Mun, Sung-Ho (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Gyeongsang National University) ;
  • Jang, In-Seok (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Gyeongsang National University) ;
  • Lee, Chung-Eun (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Gyeongsang National University) ;
  • Kim, Jong-Woo (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Gyeongsang National University) ;
  • Choi, Jun-Young (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Gyeongsang National University) ;
  • Rhie, Sang-Ho (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Gyeongsang National University)
  • 문성호 (경상대학교 의과대학 흉부외과학교실) ;
  • 장인석 (경상대학교 의과대학 흉부외과학교실) ;
  • 이정은 (경상대학교 의과대학 흉부외과학교실) ;
  • 김종우 (경상대학교 의과대학 흉부외과학교실) ;
  • 최준영 (경상대학교 의과대학 흉부외과학교실) ;
  • 이상호 (경상대학교 의과대학 흉부외과학교실)
  • Received : 2009.09.03
  • Accepted : 2009.11.11
  • Published : 2010.04.05
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Abstract

Background: Video assisted thoracic surgery has been widely accepted for the treatment of primary spontaneous pneumothorax. Material and Method: We retrospectively reviewed the medical records of 89 primary pneumothorax patients who had undergone thoracoscopic bleb ligation from February 2002 to June 2006, and we assessed the patients for recurrence. The mean follow-up period was 65 months. Result: Pneumothorax recurred in 7 patients (8%) during the follow-up period. Conclusion: Thoracoscpic bleb ligation might be an acceptable alternative technique for treating primary spontaneous pneumothorax.

배경: 비디오 흉강경을 이용한 수술법은 자연 기흉의 효과적인 치료 방법으로 받아들여지고 있다. 수술방법은 자동봉합기를 이용한 폐쐐기 절제술, 폐기포 결찰술, 늑막유착술 등을 복합적으로 사용할 수 있다. 대상 및 방법: 2002년 2월부터 2006년 6월까지 일차 자연 기흉으로 흉강경하 폐기포결찰술을 시행한 89명의 의무기록을 후향적으로 분석하였다. 평균 65개월 동안 추적하여 재발 여부를 조사하였다. 결과: 폐기포 결찰술에 의한 일차자연기흉의 치료 후에 추적 기간 중 7명(8%)에서 기흉이 재발하였다. 결론: 일차 자연 기흉의 치료볍으로서 흉강경 폐기포 결찰술은 유용한 수술 방법으로 사료된다.

Keywords

References

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