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Ann Thorac Surg 2007;83:387
© 2007 The Society of Thoracic Surgeons

Original Articles: General Thoracic

Invited commentary

Stephen R. Hazelrigg, MD

Cardiothoracic Surgery, Southern Illinois University School of Medicine, PO Box 19638, 800 N Rutledge, Room D319, Springfield, IL 62794-9638

(Email: shazelrigg{at}siumed.edu).

Although this article [1] suffers from selection bias, is not randomized, and is not prospective, it still provides valuable long-term information. We have seen previous publications that document less early pain and better cosmetics with video-assisted thoracoscopic surgery (VATS). None, however, have added such comprehensive long-term data. The VATS group may have had a slightly lower severity of injury (potential selection bias), but these data seem quite convincing with regard to less morbidity in the VATS group compared with thoracotomy in the areas of pain, cosmetics, and activity.

There are obviously many situations in the trauma patient where a thoracotomy is needed. For hemodynamically stable patients, however, VATS appears to offer acceptable results with less morbidity in most patients. I congratulate the authors for carefully compiling these long-term data and believe that their article is a valuable addition to the literature in this area.


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  1. Ben-Nun A, Orlovsky M, Best LA. Video-assisted thoracoscopic surgery in the treatment of chest trauma: long-term benefit Ann Thorac Surg 2007;83:383-387.[Abstract/Free Full Text]

Related Article

Video-Assisted Thoracoscopic Surgery in the Treatment of Chest Trauma: Long-Term Benefit
Alon Ben-Nun, Michael Orlovsky, and Lael Anson Best
Ann. Thorac. Surg. 2007 83: 383-387. [Abstract] [Full Text] [PDF]




This Article
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