Videothoracoscopy: An effective method for evaluating and managing thoracic trauma patients

Michael S Wong, E. K M Tsoi, V. J. Henderson, E. R. Hirvela, C. T. Forest, R. S. Smith, W. R. Fry, C. H. Organ

Research output: Contribution to journalArticle

24 Citations (Scopus)

Abstract

Background: The objective of this study was to assess the diagnostic and therapeutic effectiveness of videothoracoscopy in thoracic trauma patients. Methods: The design was a retrospective review. The setting was a major trauma center at an urban county hospital. Forty-one hemodynamically stable patients sustaining thoracic trauma were reviewed (34 penetrating and 7 blunt injuries). In the acute setting (<24 h), videothoracoscopy was used for continued bleeding (6) and suspected diaphragmatic injury (17). Thoracoscopy was used in delayed settings (>24 h) for treatment of thoracic trauma complications (18) including clotted hemothorax (14), persistent air leak (1), widened mediastinum (1), and suspected diaphragmatic injury (2). Results: The average Injury Severity Score (ISS) of these patients was 18.9 ± 10.0. Three of 6 patients (50%) with continued bleeding were successfully treated thoracoscopically. Nine of 10 (90%) diaphragmatic injuries were confirmed by thoracoscopy, and 7 of these 9 patients (77%) were repaired thoracoscopically. Thirteen of 14 patients (93%) with clotted hemothoraces and one with a persistent air leak were treated successfully using thoracoscopy. An aortic injury was ruled out in one patient. Conclusions: Videothoracoscopy is a safe, accurate, minimally invasive, and potentially cost-effective method for the diagnosis and therapeutic management of thoracic trauma patients.

Original languageEnglish (US)
Pages (from-to)118-121
Number of pages4
JournalSurgical Endoscopy
Volume10
Issue number2
StatePublished - Feb 1996

Fingerprint

Thorax
Wounds and Injuries
Hemothorax
Thoracoscopy
Air
County Hospitals
Nonpenetrating Wounds
Injury Severity Score
Trauma Centers
Urban Hospitals
Mediastinum
Therapeutics
Hemorrhage
Costs and Cost Analysis

Keywords

  • Diaphragmatic injury
  • Thoracic trauma
  • Videothoracoscopy

ASJC Scopus subject areas

  • Surgery

Cite this

Wong, M. S., Tsoi, E. K. M., Henderson, V. J., Hirvela, E. R., Forest, C. T., Smith, R. S., ... Organ, C. H. (1996). Videothoracoscopy: An effective method for evaluating and managing thoracic trauma patients. Surgical Endoscopy, 10(2), 118-121.

Videothoracoscopy : An effective method for evaluating and managing thoracic trauma patients. / Wong, Michael S; Tsoi, E. K M; Henderson, V. J.; Hirvela, E. R.; Forest, C. T.; Smith, R. S.; Fry, W. R.; Organ, C. H.

In: Surgical Endoscopy, Vol. 10, No. 2, 02.1996, p. 118-121.

Research output: Contribution to journalArticle

Wong, MS, Tsoi, EKM, Henderson, VJ, Hirvela, ER, Forest, CT, Smith, RS, Fry, WR & Organ, CH 1996, 'Videothoracoscopy: An effective method for evaluating and managing thoracic trauma patients', Surgical Endoscopy, vol. 10, no. 2, pp. 118-121.
Wong MS, Tsoi EKM, Henderson VJ, Hirvela ER, Forest CT, Smith RS et al. Videothoracoscopy: An effective method for evaluating and managing thoracic trauma patients. Surgical Endoscopy. 1996 Feb;10(2):118-121.
Wong, Michael S ; Tsoi, E. K M ; Henderson, V. J. ; Hirvela, E. R. ; Forest, C. T. ; Smith, R. S. ; Fry, W. R. ; Organ, C. H. / Videothoracoscopy : An effective method for evaluating and managing thoracic trauma patients. In: Surgical Endoscopy. 1996 ; Vol. 10, No. 2. pp. 118-121.
@article{8eb13441eaa1431380806cd1edf8267f,
title = "Videothoracoscopy: An effective method for evaluating and managing thoracic trauma patients",
abstract = "Background: The objective of this study was to assess the diagnostic and therapeutic effectiveness of videothoracoscopy in thoracic trauma patients. Methods: The design was a retrospective review. The setting was a major trauma center at an urban county hospital. Forty-one hemodynamically stable patients sustaining thoracic trauma were reviewed (34 penetrating and 7 blunt injuries). In the acute setting (<24 h), videothoracoscopy was used for continued bleeding (6) and suspected diaphragmatic injury (17). Thoracoscopy was used in delayed settings (>24 h) for treatment of thoracic trauma complications (18) including clotted hemothorax (14), persistent air leak (1), widened mediastinum (1), and suspected diaphragmatic injury (2). Results: The average Injury Severity Score (ISS) of these patients was 18.9 ± 10.0. Three of 6 patients (50{\%}) with continued bleeding were successfully treated thoracoscopically. Nine of 10 (90{\%}) diaphragmatic injuries were confirmed by thoracoscopy, and 7 of these 9 patients (77{\%}) were repaired thoracoscopically. Thirteen of 14 patients (93{\%}) with clotted hemothoraces and one with a persistent air leak were treated successfully using thoracoscopy. An aortic injury was ruled out in one patient. Conclusions: Videothoracoscopy is a safe, accurate, minimally invasive, and potentially cost-effective method for the diagnosis and therapeutic management of thoracic trauma patients.",
keywords = "Diaphragmatic injury, Thoracic trauma, Videothoracoscopy",
author = "Wong, {Michael S} and Tsoi, {E. K M} and Henderson, {V. J.} and Hirvela, {E. R.} and Forest, {C. T.} and Smith, {R. S.} and Fry, {W. R.} and Organ, {C. H.}",
year = "1996",
month = "2",
language = "English (US)",
volume = "10",
pages = "118--121",
journal = "Surgical Endoscopy and Other Interventional Techniques",
issn = "0930-2794",
publisher = "Springer New York",
number = "2",

}

TY - JOUR

T1 - Videothoracoscopy

T2 - An effective method for evaluating and managing thoracic trauma patients

AU - Wong, Michael S

AU - Tsoi, E. K M

AU - Henderson, V. J.

AU - Hirvela, E. R.

AU - Forest, C. T.

AU - Smith, R. S.

AU - Fry, W. R.

AU - Organ, C. H.

PY - 1996/2

Y1 - 1996/2

N2 - Background: The objective of this study was to assess the diagnostic and therapeutic effectiveness of videothoracoscopy in thoracic trauma patients. Methods: The design was a retrospective review. The setting was a major trauma center at an urban county hospital. Forty-one hemodynamically stable patients sustaining thoracic trauma were reviewed (34 penetrating and 7 blunt injuries). In the acute setting (<24 h), videothoracoscopy was used for continued bleeding (6) and suspected diaphragmatic injury (17). Thoracoscopy was used in delayed settings (>24 h) for treatment of thoracic trauma complications (18) including clotted hemothorax (14), persistent air leak (1), widened mediastinum (1), and suspected diaphragmatic injury (2). Results: The average Injury Severity Score (ISS) of these patients was 18.9 ± 10.0. Three of 6 patients (50%) with continued bleeding were successfully treated thoracoscopically. Nine of 10 (90%) diaphragmatic injuries were confirmed by thoracoscopy, and 7 of these 9 patients (77%) were repaired thoracoscopically. Thirteen of 14 patients (93%) with clotted hemothoraces and one with a persistent air leak were treated successfully using thoracoscopy. An aortic injury was ruled out in one patient. Conclusions: Videothoracoscopy is a safe, accurate, minimally invasive, and potentially cost-effective method for the diagnosis and therapeutic management of thoracic trauma patients.

AB - Background: The objective of this study was to assess the diagnostic and therapeutic effectiveness of videothoracoscopy in thoracic trauma patients. Methods: The design was a retrospective review. The setting was a major trauma center at an urban county hospital. Forty-one hemodynamically stable patients sustaining thoracic trauma were reviewed (34 penetrating and 7 blunt injuries). In the acute setting (<24 h), videothoracoscopy was used for continued bleeding (6) and suspected diaphragmatic injury (17). Thoracoscopy was used in delayed settings (>24 h) for treatment of thoracic trauma complications (18) including clotted hemothorax (14), persistent air leak (1), widened mediastinum (1), and suspected diaphragmatic injury (2). Results: The average Injury Severity Score (ISS) of these patients was 18.9 ± 10.0. Three of 6 patients (50%) with continued bleeding were successfully treated thoracoscopically. Nine of 10 (90%) diaphragmatic injuries were confirmed by thoracoscopy, and 7 of these 9 patients (77%) were repaired thoracoscopically. Thirteen of 14 patients (93%) with clotted hemothoraces and one with a persistent air leak were treated successfully using thoracoscopy. An aortic injury was ruled out in one patient. Conclusions: Videothoracoscopy is a safe, accurate, minimally invasive, and potentially cost-effective method for the diagnosis and therapeutic management of thoracic trauma patients.

KW - Diaphragmatic injury

KW - Thoracic trauma

KW - Videothoracoscopy

UR - http://www.scopus.com/inward/record.url?scp=0030072845&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0030072845&partnerID=8YFLogxK

M3 - Article

C2 - 8932611

AN - SCOPUS:0030072845

VL - 10

SP - 118

EP - 121

JO - Surgical Endoscopy and Other Interventional Techniques

JF - Surgical Endoscopy and Other Interventional Techniques

SN - 0930-2794

IS - 2

ER -