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首页> 外文期刊>Surgical Endoscopy >Thoracoscopic surgery for pneumothorax in older patients.
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Thoracoscopic surgery for pneumothorax in older patients.

机译：老年患者胸腔镜手术治疗气胸。

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BACKGROUND: Secondary pneumothorax is more common in older pneumothorax patients. Therefore, we set out to investigate the usefulness of thoracoscopic surgery in this group. METHODS: A total of 59 operations were performed on patients aged > or = 50 years, with the goal of excising only the lesions responsible for air leaks by using the minimum degree of dissection. If the patients were found to have numerous bullae, the lesions responsible were identified by pleurography. The duration of chest tube drainage, hospital stay, and recurrence were assessed. RESULTS: The air leaks stopped and all patients were discharged without drains. Postoperative drainage time was 3.8 +/- 3.0 days. Postoperative hospital stay was 10.8 +/- 9.2 days. Six patients died of other diseases, but there was only one recurrence of pneumothorax. CONCLUSION: We consider video-assisted thoracic surgery (VATS), with the goal of excising only the lesions responsible for air leaks, to be particularly efficacious in older pneumothorax patients.
机译：背景：继发性气胸在老年气胸患者中更为常见。因此，我们着手研究该组胸腔镜手术的有效性。方法：对年龄≥50岁的患者进行了总共59例手术，目的是通过使用最小剥离度仅切除造成漏气的病变。如果发现患者有大量大疱，则通过胸膜造影术确定负责的病变。评估胸管引流，住院时间和复发的持续时间。结果：漏气停止，所有患者均出院，无引流。术后引流时间为3.8 +/- 3.0天。术后住院时间为10.8 +/- 9.2天。 6例患者死于其他疾病，但只有1例气胸复发。结论：我们认为电视胸腔镜手术（VATS）的目的是仅切除造成漏气的病变，对老年气胸患者特别有效。

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