Scholarlink

Purpose <p>Surgical fixation of traumatic multiple rib fractures is becoming more common; video-assisted thoracoscopic surgery (VATS) is reportedly useful in such cases. Therefore, we aimed to explore the feasibility and effectiveness of VATS for surgical stabilization of rib fractures (SSRF).</p> Methods <p>We conducted a single-center, medical record-based retrospective cohort study including 52 patients with traumatic multiple rib fractures who underwent SSRF with or without VATS. All patients were admitted to our hospital between January 2017 and March 2024. Patient characteristics and perioperative outcomes were compared between the groups, and the frequencies of relevant VATS outcomes were investigated.</p> Results <p>VATS was performed in 42 patients. The with-VATS group had significantly more isolated thoracic trauma (<i>p</i> =.04) and lower thoracic Abbreviated Injury Scale and Injury Severity Score (<i>p</i> =.015, <i>p</i> =.017) than the without-VATS group, albeit no differences in perioperative outcomes were found. In the VATS group, common intraoperative findings included sharp bone fragments protruding into the thoracic cavity, lung entrapment at fracture site, lung and diaphragm injuries, and intrathoracic hematomas. These injuries were managed through repair, as well as hematoma irrigation and evacuation.</p> Conclusions <p>VATS was feasible in 80% cases and was not associated with adverse outcomes. The addition of VATS to SSRF facilitated missed-injury identification and repair, enhanced intrathoracic visualization during fixation, and enabled hematoma evacuation, potentially reducing perioperative complications.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Feasibility and efficacy of video-assisted thoracoscopic surgery for the surgical stabilization of rib fractures: a single-center retrospective cohort study

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年8月22日

查看全文
  • Hiroyuki Kayata,
  • Akihiro Usui,
  • Koki Terakawa,
  • Koichi Inukai,
  • Yu Hashimoto,
  • Koji Amano,
  • Fumitaka Kato,
  • Naoki Shinyama,
  • Nobutaka Mukai,
  • Yoko Yamamoto,
  • Naoki Ikeda,
  • Masanori Morita

摘要

Purpose

Surgical fixation of traumatic multiple rib fractures is becoming more common; video-assisted thoracoscopic surgery (VATS) is reportedly useful in such cases. Therefore, we aimed to explore the feasibility and effectiveness of VATS for surgical stabilization of rib fractures (SSRF).

Methods

We conducted a single-center, medical record-based retrospective cohort study including 52 patients with traumatic multiple rib fractures who underwent SSRF with or without VATS. All patients were admitted to our hospital between January 2017 and March 2024. Patient characteristics and perioperative outcomes were compared between the groups, and the frequencies of relevant VATS outcomes were investigated.

Results

VATS was performed in 42 patients. The with-VATS group had significantly more isolated thoracic trauma (p =.04) and lower thoracic Abbreviated Injury Scale and Injury Severity Score (p =.015, p =.017) than the without-VATS group, albeit no differences in perioperative outcomes were found. In the VATS group, common intraoperative findings included sharp bone fragments protruding into the thoracic cavity, lung entrapment at fracture site, lung and diaphragm injuries, and intrathoracic hematomas. These injuries were managed through repair, as well as hematoma irrigation and evacuation.

Conclusions

VATS was feasible in 80% cases and was not associated with adverse outcomes. The addition of VATS to SSRF facilitated missed-injury identification and repair, enhanced intrathoracic visualization during fixation, and enabled hematoma evacuation, potentially reducing perioperative complications.