Medical Evaluation of Mortality and Complications of Thoracoscopic Surgery with the Help of Primary Video in Patients with Thoracic Trauma with Stable Hemodynamics, 2019-2020

In a retrospective multi-center study from August 2019 to Dec 2020, patients with chest trauma and stable hemodynamics who underwent VATS within their first week from traumawere enrolled in hospital. The electronic recordswere collected and reported on demographics, surgical procedure details and postoperative complications. In a sample of 44 participants, the mean age was 31.21±9.21 and 39 participants were male (88.6%). Sixteen people had blunt trauma, and 28 people had penetrating trauma. Accompanying organ damage was reported in 9 patients (20.5%). The mean injury severity score was 20.98±6.74. In the sample, the duration of surgery was 70.52±21.02 minutes, the number of days with a chest tube was 5.95±4.40, duration of ICU staywas 7.77±4.30 days, duration of hospitalizationwas12.36±1.98 days andduration of return to physical activity was 7.56±1.48 days. Among patients, one patient (2.3%) was intubated. Postoperative imaging findings were positive in 11 patients (25%). During postoperative hospitalization, the most common findings were surgical site infection in 4 (9.1%) empyema in 3 (6.8%), pneumothorax in 3 (6.8%), pneumonia in 2 (4.5%), hemothorax in 2 patients (4.5%) and death in 1 (2.2%).VATS is associated with lower complications, as well as higher patient tolerance than other methods; Making it a safe and effective method of controlling acute chest trauma in patients with hemodynamic stability in young adults.