The feasibility and safety of thoracoscopic surgery under epidural and/or local anesthesia for spontaneous pneumothorax: a meta-analysis

Wei Chen; Chenlei Zhang; Gebang Wang; Zhengjun Li; Hailong Wang; Hongxu Liu

doi:10.5114/wiitm.2017.68895

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abstract:

Meta-analysis

The feasibility and safety of thoracoscopic surgery under epidural and/or local anesthesia for spontaneous pneumothorax: a meta-analysis

Wei Chen

,

Chenlei Zhang

,

Gebang Wang

,

Zhengjun Li

,

Hailong Wang

,

Hongxu Liu

Videosurgery Miniinv 2017; 12 (3): 216–224

DOI: https://doi.org/10.5114/wiitm.2017.68895

Online publish date: 2017/07/17

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The aim of this study was to compare thoracoscopic surgery for spontaneous pneumothorax under epidural and/or local anesthesia (ELA) with that under general anesthesia and prove the feasibility and safety of thoracoscopic surgery under ELA for spontaneous pneumothorax. Relevant studies were searched in five databases from their date of publication to June 2016. We collected and analyzed the data concerning operative time, hospital stay, complications, air leak, recurrence and perioperative mortality. A forest plot was performed to compare the differences between the two groups. There were no significant differences between the ELA group and the general anesthesia (GA) group in operative time, hospital stay, complications, air leak or recurrence. There were 6 deaths reported in two studies. However, patients in the ELA group had significantly shorter global operating room time. Our study demonstrated that ELA, in comparison with GA, is feasible and safe for thoracoscopic surgery of spontaneous pneumothorax.

keywords:

The feasibility and safety of thoracoscopic surgery under epidural and/or local anesthesia for spontaneous pneumothorax: a meta-analysis

Wei Chen , Chenlei Zhang , Gebang Wang , Zhengjun Li , Hailong Wang , Hongxu Liu

thoracoscopic surgery, spontaneous pneumothorax, epidural anesthesia, local anesthesia, general anesthesia

Wei Chen

,

Chenlei Zhang

,

Gebang Wang

,

Zhengjun Li

,

Hailong Wang

,

Hongxu Liu