The role of Video-Assisted Thoracoscopic Surgery (VATS) is still being defined in the management of thoracic trauma. We reported our isolated blunt chest trauma cases managed by VATS and reviewed the role of VATS in the management of this kind of thoracic trauma.
Keywords: blunt thoracic trauma, haemothorax, Video-Assisted Thoracoscopic Surgery.
All patients with isolated blunt chest trauma who underwent VATS from 2010 to 2016 at Clinic for thoracic surgery, Clinical Centre – University of Sarajevo were retrospectively studied.
Fifteen patients with isolated blunt thoracic trauma underwent to VATS procedures. The most common indication was massive haemothorax. In 14 patients haemothorax have been successfully resolved, and VATS failed in one case. In most patients VATS was performed on trauma day after admission to the clinic and after radiological findings of massive effusion on CT scan, and two patients underwent to VATS procedures after chest drain insertion and prolonged bleeding. Average hospital stay was 8 days (range 6-10). There was no mortality.
VATS procedure can be performed safely in the management of blunt thoracic traumas with massive haemothorax. VATS can be performed before chest tube insertion and before thoracotomy. The use of VATS in this kind of trauma allow visualization of exact point and kind of bleeding after removing all liquid and coagulated blood, which allows the right way of hemostasis and allows early patient dismissing from hospital without complications.
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