The Effect of Changing of Body Posture on Video-assisted Thoracoscopic Surgery for Pulmonary Bullae_West China Medical Journal

Authors：

 DAIXiao-hui

Department of Thoracic Surgery, Renshou Hospital, Renshou, Shichuan 620500, P. R. China;

Corresponding?author：

Keywords：

Pulmonary bullae; Video-assisted thoracoscopic surgery; Body posture

DOI：

10.7507/1002-0179.20140558

Video：

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Objective To investigate the effect of changing of body posture on video-assisted thoracoscopic surgery for pulmonary bullae. Methods From January 2011 to October 2012, 28 patients with pulmonary bullae including 21 males and 7 females were admitted to our department. The median age of these patients was 18 years old, ranging from 16 to 61. All patients were divided into two groups:video-assisted pulmonary bullae resection with changing of body posture (n=14) and without changing of body posture (n=14). Surgery time, blood loss during operation, drainage, duration of drainage, length of stay in hospital, incidence of complications and recurrence rate were observed and compared between the two groups. Results Surgery time in the non-change group was shorter than that in the change group (P<0.05). Blood loss during operation in the non-change group was less than that in the change group (P<0.05). There were no significant difference in drainage, duration of drainage, length of stay in hospital and recurrence rate between the two groups (P>0.05). No complications occurred. Conclusion For patients with bilateral bullae having tolerated cardiopulmonary function and not-heavy pleural adhesions, non-changing of body posture is safe and effective, not only to avoid a second surgery, but also to avoid turning over and second surgical disinfection, which is more beneficial to the patients.

Citation： DAIXiao-hui. The Effect of Changing of Body Posture on Video-assisted Thoracoscopic Surgery for Pulmonary Bullae. West China Medical Journal, 2014, 29(10): 1833-1836. doi: 10.7507/1002-0179.20140558 Copy

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9.	吳偉彬, 廖洪映, 韋正超, 等. 應用電視胸腔鏡同期治療雙側原發性自發性氣胸[J]. 中山大學學報·醫學科學版, 2009, 30(增刊2):162-164.
10.	Chen YJ, Luh SP, Hsu KY, et al. Video-assisted thoracoscopic surgery (VATS) for bilateral primary spontaneous pneumothorax[J]. J Zhejiang Univ Sci B, 2008, 9(4):335-340.
11.	Lee SC, Cheng YL, Huang CW, et al. Simultaneous bilateral primary spontaneous pneumothorax[J]. Respirology, 2008, 13(1):145-148.
12.	Ayed AK. Bilateral video-assisted thoracoscopic surgery for bilateral spontaneous pneumothorax[J]. Chest, 2002, 122(6):2234-2237.
13.	Maruyama R, Anai H. Video-assisted thoracoscopic surgery for bilateral spontaneous pneumothorax in supine position:the use of a pillow beneath the back for intercostal space widening[J]. Thorac Cardiovasc Surg, 2000, 48(6):370-371.
14.	Watanabe S, Sakasegawa K, Kariatsumari K, et al. Bilateral video-assisted thoracoscopic surgery in the supine position for primary spontaneous pneumothorax[J]. Thorac Cardiovasc Surg, 2004, 52(1):42-44.
15.	Macduff A, Arnold A, Harvey J, et al. Management of spontaneous pneumothorax:British Thoracic Society Pleural Disease Guideline 2010[J]. Thorax, 2010, 65(Suppl 2):ii18-ii31.
16.	Findlay JM, Keogh MJ, Taghavi FJ, et al. Radiological presentation of a giant bulla as a tension pneumothorax[J]. J Emerg Med, 2012, 43(3):e211-e213.
17.	卜梁, 姜冠潮, 王俊. 自發性氣胸行電視胸腔鏡手術后復發的相關因素[J]. 中華胸心血管外科雜志, 2007, 23(6):416.
18.	馮剛, 叢偉, 甘崇志, 等. 83例老年慢性阻塞性肺病并自發性氣胸的外科治療[J]. 四川醫學, 2010, 31(3):303-304.

1. Erne BV, Graff M, Klemm W, et al. Bulla in the lung[J]. Lancet, 2012, 380(9849):1280.
2. Morimoto T, Fukui T, Koyama H, et al. Optimal strategy for the first episode of primary spontaneous pneumothorax in young men. A decision analysis[J]. J Gen Intern Med, 2002, 17(3):193-202.
3. 古衛權, 楊劼, 葉國麟, 等. 單操作孔電視胸腔鏡手術治療自發性氣胸[J]. 中華胸心血管外科雜志, 2012, 28(3):176.
4. 馬國棟, 鄒衛, 許棟生, 等. 全胸腔鏡與胸腔鏡輔助小切口手術治療自發性氣胸78例[J]. 中國胸心血管外科臨床雜志, 2008, 15(2):156-156.
5. Sahn SA, Heffner JE. Spontaneous pneumothorax[J]. N Engl J Med, 2000, 342(12):868-874.
6. Schramel FM, Postmus PE, Vanderschueren RG. Current aspects of spontaneous pneumothorax[J]. Eur Respir J, 1997, 10(6):1372-1379.
7. Kouerinis IA, Hountis PA, Loutsidis AK, et al. Sptaneous pneumothorax:are we missing something?[J]. Interact Cardiovasc Thorac Surg, 2004, 3(2):272-273.
8. Sachithanandan A, Nur Ezrin I, Badmanaban B. Single stage minimally invasive bilateral video assisted thoracoscopic surgery for simultaneous bilateral primary spontaneous pneumothorax[J]. Med J Malaysia, 2012, 67(2):226-227.
9. 吳偉彬, 廖洪映, 韋正超, 等. 應用電視胸腔鏡同期治療雙側原發性自發性氣胸[J]. 中山大學學報·醫學科學版, 2009, 30(增刊2):162-164.
10. Chen YJ, Luh SP, Hsu KY, et al. Video-assisted thoracoscopic surgery (VATS) for bilateral primary spontaneous pneumothorax[J]. J Zhejiang Univ Sci B, 2008, 9(4):335-340.
11. Lee SC, Cheng YL, Huang CW, et al. Simultaneous bilateral primary spontaneous pneumothorax[J]. Respirology, 2008, 13(1):145-148.
12. Ayed AK. Bilateral video-assisted thoracoscopic surgery for bilateral spontaneous pneumothorax[J]. Chest, 2002, 122(6):2234-2237.
13. Maruyama R, Anai H. Video-assisted thoracoscopic surgery for bilateral spontaneous pneumothorax in supine position:the use of a pillow beneath the back for intercostal space widening[J]. Thorac Cardiovasc Surg, 2000, 48(6):370-371.
14. Watanabe S, Sakasegawa K, Kariatsumari K, et al. Bilateral video-assisted thoracoscopic surgery in the supine position for primary spontaneous pneumothorax[J]. Thorac Cardiovasc Surg, 2004, 52(1):42-44.
15. Macduff A, Arnold A, Harvey J, et al. Management of spontaneous pneumothorax:British Thoracic Society Pleural Disease Guideline 2010[J]. Thorax, 2010, 65(Suppl 2):ii18-ii31.
16. Findlay JM, Keogh MJ, Taghavi FJ, et al. Radiological presentation of a giant bulla as a tension pneumothorax[J]. J Emerg Med, 2012, 43(3):e211-e213.
17. 卜梁, 姜冠潮, 王俊. 自發性氣胸行電視胸腔鏡手術后復發的相關因素[J]. 中華胸心血管外科雜志, 2007, 23(6):416.
18. 馮剛, 叢偉, 甘崇志, 等. 83例老年慢性阻塞性肺病并自發性氣胸的外科治療[J]. 四川醫學, 2010, 31(3):303-304.

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West China Medical Journal

The Effect of Changing of Body Posture on Video-assisted Thoracoscopic Surgery for Pulmonary Bullae

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