ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2025
Feasibility and efficacy of video-assisted thoracoscopic surgery for the surgical stabilization of rib fractures: a single-center retrospective cohort study.
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- From rib fixation to dynamic chest wall reconstruction: historical lessons for modern surgical stabilization of rib fractures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Review
- Article
- Comparative clinical study of total thoracoscopic surgery and thoracoscopy-assisted small-incision surgery for multiple rib fractures.Scientific reports · 2026Article
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Authors and funding
12 authors.
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Abstract
purposeSurgical fixation of traumatic multiple rib fractures is becoming more common; video-assisted thoracoscopic surgery (VATS) is reportedly useful in such cases. Therefore, we aimed to explore the feasibility and effectiveness of VATS for surgical stabilization of rib fractures (SSRF).
methodsWe conducted a single-center, medical record-based retrospective cohort study including 52 patients with traumatic multiple rib fractures who underwent SSRF with or without VATS. All patients were admitted to our hospital between January 2017 and March 2024. Patient characteristics and perioperative outcomes were compared between the groups, and the frequencies of relevant VATS outcomes were investigated.
resultsVATS was performed in 42 patients. The with-VATS group had significantly more isolated thoracic trauma (p =.04) and lower thoracic Abbreviated Injury Scale and Injury Severity Score (p =.015, p =.017) than the without-VATS group, albeit no differences in perioperative outcomes were found. In the VATS group, common intraoperative findings included sharp bone fragments protruding into the thoracic cavity, lung entrapment at fracture site, lung and diaphragm injuries, and intrathoracic hematomas. These injuries were managed through repair, as well as hematoma irrigation and evacuation.
conclusionsVATS was feasible in 80% cases and was not associated with adverse outcomes. The addition of VATS to SSRF facilitated missed-injury identification and repair, enhanced intrathoracic visualization during fixation, and enabled hematoma evacuation, potentially reducing perioperative complications.
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