VIDEOTHORACOSCOPIC INTERVENTIONS FOR CLOSED CHEST TRAUMA

Abstract

(CCT). Material and methods: For the period from 2016 to the present, 292 patients with CCT were hospitalized in the surgical clinic of the TMA. CCT was more common in men – 203 (69,5%). The average age of the victims was 37,8±1,5 years. The most common was transport trauma, noted in 136 (46,6%) patients, followed by domestic trauma - in 115 (39,3%). To evaluate the effectiveness of VTS, we divided the patients into 2 groups: the I group consisted of 145 (49,7%) patients, who were examined and treated without the use of VTS; the II group consisted of 147 patients in whom VTS was used at the stages of diagnosis and treatment. In terms of gender, age composition and severity of injury, these groups were comparable to each other. The examination of patients was comprehensive and included, in addition to a general clinical examination, laboratory, as well as non-invasive (ultrasound and x-ray examination of the chest organs, pulse oximetry) and invasive (puncture and drainage of the pleural cavity) research methods, and in patients of II group also VTS. Based on radiography, hemothorax was detected in 13,1% of patients, pneumothorax in 10,2%, and hemopneumothorax in 39,3%.