TY - JOUR
T1 - Prospective evaluation of thoracoscopy for diagnosing diaphragmatic injury in thoracoabdominal trauma
T2 - A preliminary report
AU - Ochsner, M. Gage
AU - Rozycki, Grace S.
AU - Lucente, Frank
AU - Wherry, David C.
AU - Champion, Howard R.
PY - 1993/5
Y1 - 1993/5
N2 - Diagnosis of diaphragmatic injury (Dl) can be difficult in patients with penetrating trauma because physical examination, computed tomographic scan, chest x-ray films, and diagnostic peritoneal lavage may miss these injuries. Mandatory exploration has been recommended because of the increased mortality associated with missed Dl. Thoracoscopy was prospectively evaluated as a less invasive method for diagnosing Dl in patients with penetrating trauma. Over a 14-month period, 14 patients were evaluated by thoracoscopy; video thoracoscopy was used in the last 9. Findings of thoracoscopy were confirmed by laparotomy or laparoscopy. Thoracoscopy correctly identified the presence or absence of Dl in nine and five patients, respectively (all patients). Video thoracoscopy was easier and faster to perform than non-video thoracoscopy. This is the first reported series in which video thoracoscopy has been used for trauma. We found this procedure to be safe, accurate, and less invasive than laparotomy for diagnosing Dl.
AB - Diagnosis of diaphragmatic injury (Dl) can be difficult in patients with penetrating trauma because physical examination, computed tomographic scan, chest x-ray films, and diagnostic peritoneal lavage may miss these injuries. Mandatory exploration has been recommended because of the increased mortality associated with missed Dl. Thoracoscopy was prospectively evaluated as a less invasive method for diagnosing Dl in patients with penetrating trauma. Over a 14-month period, 14 patients were evaluated by thoracoscopy; video thoracoscopy was used in the last 9. Findings of thoracoscopy were confirmed by laparotomy or laparoscopy. Thoracoscopy correctly identified the presence or absence of Dl in nine and five patients, respectively (all patients). Video thoracoscopy was easier and faster to perform than non-video thoracoscopy. This is the first reported series in which video thoracoscopy has been used for trauma. We found this procedure to be safe, accurate, and less invasive than laparotomy for diagnosing Dl.
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U2 - 10.1097/00005373-199305000-00013
DO - 10.1097/00005373-199305000-00013
M3 - Article
C2 - 8497005
AN - SCOPUS:0027288090
SN - 0022-5282
VL - 34
SP - 704
EP - 710
JO - Journal of Trauma - Injury, Infection and Critical Care
JF - Journal of Trauma - Injury, Infection and Critical Care
IS - 5
ER -