Elayouty, H., Amr, M., Fesal, H., Samir, R., Hassan, H. (2022). Assisted Thoracoscopic Intervention Versus Conventional Thoracotomy for Management of Trapped Lung Syndrome. Suez Canal University Medical Journal, 25(4), 40-48. doi: 10.21608/scumj.2022.272169
Hamdy D. Elayouty; Mohamed A. Amr; Hany S. Fesal; Ramy M. Samir; Hassan S. Hassan. "Assisted Thoracoscopic Intervention Versus Conventional Thoracotomy for Management of Trapped Lung Syndrome". Suez Canal University Medical Journal, 25, 4, 2022, 40-48. doi: 10.21608/scumj.2022.272169
Elayouty, H., Amr, M., Fesal, H., Samir, R., Hassan, H. (2022). 'Assisted Thoracoscopic Intervention Versus Conventional Thoracotomy for Management of Trapped Lung Syndrome', Suez Canal University Medical Journal, 25(4), pp. 40-48. doi: 10.21608/scumj.2022.272169
Elayouty, H., Amr, M., Fesal, H., Samir, R., Hassan, H. Assisted Thoracoscopic Intervention Versus Conventional Thoracotomy for Management of Trapped Lung Syndrome. Suez Canal University Medical Journal, 2022; 25(4): 40-48. doi: 10.21608/scumj.2022.272169
Assisted Thoracoscopic Intervention Versus Conventional Thoracotomy for Management of Trapped Lung Syndrome
Department of Cardiothoracic Surgery, Faculty of Medicine, Suez Canal University, Egypt
Abstract
Background: Trapped lung syndrome is defined by the inability of the lung to expand and fill the thoracic cavity because of a restricting “peel.” Video-assisted thoracoscopic surgery (VATs) can take part in the management of trapped lung syndrome more easily on the behalf of pleurectomy/ decortications Aim: to evaluate the prevalence of postoperative complications of thoracoscopic management of trapped lung syndrome. Patients and Methods: This study was held at Suez Canal university hospitals and as a randomized control clinical trial. It included all patients who presented with trapped lung syndrome. Patients were divided into 2 equal groups (conventional thoracotomy group and VATs group). Results: the total mean age was 52.45±13.6 yrs. (range 19-80 yrs.). 64% of the patients were males. The preoperative symptoms were fever in 70% of patients, cough in 30%, chest pain in 24%, and dyspnea in 66%. The mean operative time was 130.31±38.024 min. (Range 50-240 min.). The Mean postoperative air leak days were 4.71±2.802 days (Range 0-11 days). The mean postoperative VAS score for pain was 3.28±3.178, (Range 0-9). The mean Postoperative total hospital stays. Group A (7.06±1.69 days), group B (5.13± 2.45 days) (Multiport VATS 4.95±3.0 days Uniportal VATS 5.33±2.22 days) (p = 0.0001). The mean VAS score for pain at 6 months follow-up was 0.29± 0.72, (Range 0-3). Conclusion: operative time was lesser in VATs group than thoracotomy despite being no statistical significance between 2 groups regarding concomitant techniques which mean that VATs can do the same job in lesser operative time and decrease operative bleeding & risk, also zero conversion rate displays the learning curve and feasibility of both VATs techniques
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