Effect of Artificial Pneumothorax on Operating Time for Video Assisted Thoracoscopic   (VATS) Thymectomy

Muhammad Hassan Shabbir; Farhan Ahmed  Majeed; Adeel  Wyne; Ahmed  Raza; Muhammad Salman  Tahir; Muhammad Arif  Mahmood; Hassaan  Hamzai

doi:10.51253/pafmj.v75i4.12643

Authors

Muhammad Hassan Shabbir Department of Surgery, Combined Military Hospital, Multan/National University of Medical Sciences (NUMS) Pakistan
Farhan Ahmed Majeed Department of Thoracic Surgery, Combined Military Hospital, Rawalpindi/National University of Medical Sciences (NUMS) Pakistan
Adeel Wyne Department of Surgery, Combined Military Hospital, Multan/National University of Medical Sciences (NUMS) Pakistan
Ahmed Raza Department of Thoracic Surgery, Combined Military Hospital, Peshawar/National University of Medical Sciences (NUMS) Pakistan
Muhammad Salman Tahir Combined Military Hospital, Multan/National University of Medical Sciences (NUMS) Pakistan
Muhammad Arif Mahmood Department of Surgery, Combined Military Hospital, Multan/National University of Medical Sciences (NUMS) Pakistan
Hassaan Hamzai Combined Military Hospital, Multan/National University of Medical Sciences (NUMS) Pakistan

DOI:

https://doi.org/10.51253/pafmj.v75i4.12643

Keywords:

Artificial Pneumothorax, Operative Time, One-Lung Ventilation, Thymectomy, VATS

Abstract

Objective: To evaluate the effect of artificial pneumothorax on operating time for Video Assisted Thoracoscopic (VATS) Thymectomy

Study Design: Quasi-experimental study

Duration and Place of Study: Department of Thoracic Surgery, Combined Military Hospital Multan, Pakistan from Mar 2022 to Apr 2024.

Methodology: One hundred and ten patients aged between 18-65 years with different Thymic pathologies were included in this study. Patients were divided randomly into two groups; Group-O and Group-P. Group-O was subjected to one lung ventilation without artificial pneumothorax whereas Group-P was subjected to one lung ventilation with artificial pneumothorax. The operating time was noted from the time of incision till closure of the skin.

. There were 62(56.36%) females and 48 (43.64%) males. The overall mean operating time was 132.34±13.23 minutes. The mean operating time was significantly less 126.04±12.65 minutes in artificial pneumothorax than the group without artificial pneumothorax 138.41±10.78 minutes with very significant p-value (p<0.001).

Conclusion: The use of artificial pneumothorax for VATS thymectomy is associated with a notable decrease in the operating time without an increase in postoperative complications.

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