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Scholars Journal of Applied Medical Sciences | Volume-7 | Issue 07
Comparative study of Video Assisted Thoracoscopic Surgeries and open Thoracotomy in management of pulmonary diseases
Dr. A.P.Jain, Dr. Anurag Rai, Dr. S.S.Rajput, Dr. Suresh Kumar
Published: July 30, 2019 | 54 66
DOI: 10.36347/sjams.2019.v07i07.029
Pages: 2421-2424
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Abstract
Traditionally lung resections were done through an open thoracotomy that involved an extensive incision. Now a day Video Assisted Thoracoscopic Surgeries has been preferred alternative for many thoracic surgical procedures. Use of VATS as a definitive therapeutic tool in pulmonary diseases is still under scrutiny. So this study was conducted to evaluate safety and efficacy of video assisted thoracoscopic surgery. So this cross sectional study was done to compare postoperative pulmonary function test, hospital stay and analgesic requirement in VATS operated patients with age, weight and gender matched patients subjected to open Thoracotomy. Out of total 43 study patients, 20 patients treated by VATS were included in Group-A and 23 patients treated by open Thoracotomy were included in Group- B. The vital capacity was significantly higher in VATS operated patients than in open thoracotomy patients. The forced expiratory volume, forced vital capacity and peak expiratory flow in VATS operated patients were significantly higher than open thoracotomy patients. Postoperative pain was significantly less in VATS operated patients than open thoracotomy patients. We conclude that video assisted thoracoscopy has been shown to be superior to open thoracotomy for the treatment of various pulmonary diseases.