Postoperative Clinical Outcomes of Thoracoscopic Surgery under Local Anesthesia in Patients with Primary Spontaneous Pneumothorax

Applied Sciences

Eunji Kim¹  Eunsoo Kim²  Hoseok I³  HyoYeong Ahn³  JeongSu Cho³  YeongDae Kim³  Chi-Seung Lee⁴ 

[1] Asan Medical Center, Department of Thoracic and Cardiovascular Surgery, University of Ulsan College of Medicine, Seoul 05505, Korea;Department of Anesthesia and Pain Medicine and Biomedical Research Institute, Pusan National University Hospital, Busan 49241, Korea;Department of Thoracic and Cardiovascular Surgery and Biomedical Research Institute, Pusan National University Hospital, Busan 49241, Korea;Pusan National University Hospital, Department of Convergence Medicine and Biomedical Engineering, School of Medicine, Pusan National University, and Biomedical Research Institute, Busan 49241, Korea;

关键词: primary spontaneous pneumothorax (PSP);    local anesthesia (LA);    general anesthesia (GA);    clinical outcome;   

DOI  :  10.3390/app11041468

来源: DOAJ

【 摘 要 】

(1) Background: since the technologies of anesthesia and surgery were advanced, video-assisted thoracic surgery (VATS) under local anesthesia (LA) has been widely carried out and is considered a robust surgical technique to prevent the recurrence of pneumothorax in patients with recurrent primary spontaneous pneumothorax (PSP). In this study, postoperative clinical outcomes were compared to evaluate the feasibility and efficacy of VATS under LA compared with general anesthesia (GA) in patients with PSP. (2) Methods: 255 patients underwent wedge resection underwent VATS for PSP in our hospital from January 2014 to June 2019. Of them, 30 patients underwent the operation under LA and the others underwent the operation under GA. Except for the anesthesia method, the same surgical technique was adopted for all patients. All medical records were retrospectively reviewed. (3) Results: the total operation time and total hospital days were relatively shorter, post-chest tube drainage was significantly shorter (0.04), and visual analog scale (VAS) scores in the outpatient clinic were significantly lower in the LA group than in the GA group (p = 0.01). The incidence of postoperative recurrence after discharge in the LA group (3.3%) was also lower than in the GA group (18.67%) (p = 0.001). In the LA group, there were no cases of conversion to intubation. (4) Conclusions: our results showed relatively better clinical outcomes in VATS under LA with sedation than under GA in the treatment of PSP. Hence, LA with sedation can be considered as a robust anesthetic technique for VATS and as applicable in the surgical treatment of PSP.

【 授权许可】

Unknown