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The Journal of Cardiovascular Surgery 1998 June;39(3):379-81

Copyright © 2000 EDIZIONI MINERVA MEDICA

lingua: Inglese

Ligation of patent ductus arterious by the method of video-assisted thoracoscopic surgery and our other vats experiences

Oto O., Hazan E., Acikel U., Silistrelli E., Ugurlu B., Catalyurek H., Sariomanoglu N.

From the Department of Thoracic and Cardiovascular Surgery Dokuz Eylül Medical Faculty, Izmir, Turkey


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In April and May 1996, two cas­es of PDA liga­tion ­were per­formed first­ly in Turkey by the meth­od of vid­eo assist­ed tho­rac­os­cop­ic sur­gery (­VATS) in Dokuz Eylül Medical Faculty, Thoracic and Cardiovascular Surgery Department. There was not any com­pli­ca­tion in ­these ­patients in the post­op­er­a­tive peri­od and ­they ­were dis­charged on the sec­ond day in symp­tom-­free con­di­tion by the detec­tion of ­closed duc­tus in ­their echoc­ar­di­o­graph­ic exam­ina­tion. Between February 1993 and October 1996, a ­total of 46 ­patients ­have under­gone inter­ven­tion­al appli­ca­tion by ­VATS. While in six of ­these ­patients the pro­ce­dure ­could not be manip­u­lat­ed ­because of mas­sive pleu­ral fibro­sis, ­there was­ no mor­tal­ity or mor­bid­ity ­among the ­patients, and ­they ­were dis­charged on aver­age on the sec­ond day. The ­ratio of com­pli­ca­tions, ­such as bleed­ing, air ­leak, arrhyth­mia and empye­ma are so low in ­these oper­a­tions, and hosp­i­tal ­stay, ­with ­return to ­work ­time are short­er ­than ­with the ­open tech­nique.

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