[Postoperative XXXX after Hybrid Video-assisted Thoracic Surgery].

@entity1 @entity2 @entity1337 @entity158 @entity282 @entity3575 @entity1209
BACKGROUND: Hybrid video-assisted thoracic surgery (hybrid VATS), combining television monitoring and direct visualization through mini-thoracotomy, has been established as a secure and minimally invasive operation for @entity2 . This study aimed to determine @entity282 levels after hybrid VATS in which intraoperative internal intercostal nerve block is performed. We also examined whether additional use of postoperative continuous infusion of @entity3575 improves @entity282 control. METHODS: Data from 131 @entity1 undergoing hybrid VATS were retrospectively analyzed. Thoracoscopic, internal intercostal nerve block was performed at the end of the procedure. @entity282 levels after hybrid VATS, and the impact of postoperative continuous infusion of @entity3575 on @entity282 levels and the incidence of @entity1209 ( @entity1209 ) were examined. RESULTS: 46.6% of @entity1 experienced severe @entity282 (numerical rating scale 7-10) after hybrid VATS. Postoperative continuous infusion of @entity3575 was not associated with reduction in @entity282 score, but was independently associated with @entity1209 [odds ratio 3.44 (1.52-8.20); P = 0.0027]. CONCLUSIONS: Intraoperative internal intercostal nerve block did not provide sufficient @entity1337 after hybrid VATS. Additional use of postoperative continuous infusion of @entity3575 did not reduce @entity158 score, but increased the incidence of @entity1209 .
