Abstract
Thoracoscopy has numerous applications for both diagnosis and treatment in thoracic trauma. It is excellent for the diagnosis of diaphragmatic injuries, mediastinal evaluation, and the assessment of persistent air-leak. It offers therapeutic intervention for diaphragmatic lacerations, thoracic bleeding in stable patients, evacuation of residual hemothorax, air-leaks, and the prevention and treatment of empyema. Judiciously applied, it is a powerful tool in the armamentarium of the trauma surgeon.
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References
Jacobaeus HC. The practical importance of thoracoscopy in surgery of the chest. Surg Gynecol Obstet 1922;34:289–93.
Branco JMC. Thoracoscopy as a method of exploration in penetrating injuries of the chest. Chest 1946;2:330–5.
Jackson AM, Ferreira AA. Thoracoscopy as an aid to the diagnosis of diaphragmatic injury in penetrating wounds of the left lower chest: a preliminary report. Injury 1976;7:213–7.
Adamthwaite DN. Penetrating injuries of the diaphragm. Injury 1982;14:151–8.
Carrillo EH, Heniford BT, Etoch SW, Polk HC Jr, Miller DL, Miller FB, Richardson JD. Video-assisted thoracic surgery in trauma patients. J Am Coll Surg 1997;184:316–24.
Heniford BT, Carrillo EH, Spain DA, Sosa JL, Fulton RL, Richardson JD. The role of thoracoscopy in the management of retained thoracic collections after trauma. Ann Thorac Surg 1997;63:940–3.
Carrillo EH, Schmacht DC, Gable DR, Spain DA, Richardson JD. Thoracoscopy in the management of posttraumatic persistent pneumothorax. J Am Coll Surg 1998;186:636–40.
Velmahos GC, Demetriades D. Early thoracoscopy for the evacuation of undrained haemothorax. Eur J Surg 1999;165:924–9.
Wong MS, Tsoi EK, Henderson VJ, Hirvela ER, Forest CT, Smith RS, Fry WR, Organ CH Jr. Videothoracoscopy an effective method for evaluating and managing thoracic trauma patients. Surg Endosc 1996;10:118–21.
Lang-Lazdunski L, Mouroux J, Pons F, Grosdidier G, Martinod E, Elkaïm D, Azorin J, Jancovici R. Role of videothoracoscopy in chest trauma. Ann Thorac Surg 1997;63:327–33.
Uribe RA, Pachon CE, Frame SB, Enderson BL, Escobar F, Garcia GA. A prospective evaluation of thoracoscopy for the diagnosis of penetrating thoracoabdominal trauma. J Trauma 1994;37:650–4.
Martinez M, Briz JE, Carillo EH. Video thoracoscopy expedites the diagnosis and treatment of penetrating diaphragmatic injuries. Surg Endosc 2001;15:28–32.
Freeman RK, Al-Dossari G, Hutcheson KA, Huber L, Jessen ME, Meyer DM, Wait MA, DiMaio JM. Indications for using video-assisted thoracoscopic surgery to diagnose diaphragmatic injuries after penetrating chest trauma. Ann Thorac Surg 2001;72:342–7.
Pons F, Lang-Lazdunski L, de Kerangal X, Chapuis O, Bonnet PM, Jancovici R. The role of videothoracoscopy in management of precordial thoracic penetrating injuries. Eur J Cardiothorac Surg 2002;22:7–12.
Morales CH, Salinas CM, Henao CA, Patiño PA, Muñoz CM. Thoracoscopic pericardial window and penetrating cardiac trauma. J Trauma 1997;42:273–5.
Navsaria PH, Nicol AJ. Video-assisted thoracoscopic pericardial window for penetrating cardiac trauma. S Afr J Surg 2006;44:18–20.
Schermer CR, Matteson BD, Demarest GB 3rd, Albrecht RM, Davis VH. A prospective evaluation of video-assisted thoracic surgery for persistent air leak due to trauma. Am J Surg 1999;177:480–4.
Morales Uribe CH, Villegas Lanau MI, Petro Sánchez RD. Best timing for thoracoscopic evacuation of retained post-traumatic hemothorax. Surg Endosc 2008;22:91–5.
Lang-Lazdunski L, Mouroux J, Pons F, Grosdidier G, Martinod E, Elkaïm D, Azorin J, Jancovici R. Role of videothoracoscopy in chest trauma. Ann Thorac Surg 1997;63:327–33.
Villavicencio RT, Aucar JA, Wall MJ Jr. Analysis of thoracoscopy in trauma. Surg Endosc 1999;13:3–9.
Meyer DM, Jessen ME, Wait MA, Estrera AS. Early evacuation of traumatic retained hemothoraces using thoracoscopy: a prospective, randomized trial. Ann Thorac Surg 1997;64:1396–400.
Ben-Nun A, Orlovsky M, Best LA. Video-assisted thoracoscopic surgery in the treatment of chest trauma: long-term benefit. Ann Thorac Surg 2007;83:383–7.
Carrillo EH, Richardson JD. Thoracoscopy for the acutely injured patient. Am J Surg 2005;190:234–8.
Landreneau RJ, Mack MJ, Hazelrigg SR, Dowling RD, Acuff TE, Magee MJ, Ferson PF. Video-assisted thoracic surgery: basic technical concepts and intercostal approach strategies. Ann Thorac Surg 1992;54:800–7.
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Ivatury, R.R. Thoracoscopy for Trauma. Eur J Trauma 36, 15–18 (2010). https://doi.org/10.1007/s00068-010-9214-x
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DOI: https://doi.org/10.1007/s00068-010-9214-x