SynthesisEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2020
Timing to perform VATS for traumatic-retained hemothorax (a systematic review and meta-analysis).
Synthesis in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 27 citations in OpenAlex.
- Delayed retained hemopneumothorax secondary to rib fracture with pulmonary perforation treated by video-assisted thoracoscopic surgery: a case report.Journal of surgical case reports · 2026Article
- [S3 guidelines on intensive care medicine following polytrauma : Aspects regarding definitive surgical treatment].Die Anaesthesiologie · 2026Review
- Minimally invasive management of penetrating thoracic and abdominal injuries: a case series.International journal of emergency medicine · 2025Article
- [S3 guidelines on intensive care medicine following polytrauma : Aspects regarding definitive surgical treatment].Unfallchirurgie (Heidelberg, Germany) · 2025Review
- The role of video-assisted thoracoscopy in chest trauma: a retrospective monocentric experience.Updates in surgery · 2025Article
- Timing of video-assisted thoracoscopic surgery in the management of thoracic trauma.BMC surgery · 2025Article
- High-impact technical and patient management tips from the 2024 AAST Continuous Certification Course: preperitoneal pelvic packing, trauma video review, video-assisted thoracic surgery for retained hemothorax, and laparoscopic common bile duct exploration.Trauma surgery & acute care open · 2025Review
- Scoring Tool to Predict Need for Early Video-Assisted Thoracoscopic Surgery (VATS) After Pediatric Trauma.World journal of surgery · 2023Article
- Outcomes of Video-assisted Thoracic Surgery-guided Early Evacuation of Traumatic Hemothorax: A Randomized Pilot Study at Level I Trauma Center.Journal of emergencies, trauma, and shockArticle
Corrections and comments
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Authors and funding
5 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeIn this systematic review, we analyzed the optimal time range to evacuate traumatic-retained hemothorax using video-assisted thoracoscopic surgery (VATS).
methodsWe searched PubMed, EMBASE, the Cochrane Register of Controlled Trials, Google Scholar, and the U.S. National Library of Medicine clinical trials database up to February 2019. Randomized controlled trials (RCTs) and observational studies with relevant data were included. Data were extracted from studies that reported the success, mortality, or length of hospital stay (LOS) after using VATS during at least two out of three of our time-ranges of interest: days 1-3 (group A), days 4-6 (group B), and day 7 or later (group C).
resultsSix cohort studies with 476 total participants were included in the meta-analysis. The patients in group A had a significantly higher success rate than those in group C (RR = 0.42; 95% CI = 0.21-0.84, p = 0.01). The total LOS for patients whose retained hemothorax was evacuated in group A was 4.7 days shorter than that for those in group B (95% CI = - 5.6 to - 3.8, p = 0.006). Likewise, group B patients were discharged 18.1 days earlier than group C patients (95% CI = - 22.3 to - 14, p < 0.001). Short-term mortality was not decreased by early VATS.
conclusionsOur results indicate that VATS should be considered within the first three days of admission if this intervention is the clinician's choice to evacuate a traumatic-retained hemothorax. Protocol registration number in PROSPERO: CRD42017046856.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.