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肋骨骨折に対しては,フレイルチェストや大量血胸などの重篤な合併症がなければ保存的加療が選択されていたが,近年はペインコントロール不良に伴う日常生活動作(ADL)低下や在院日数の長期化などの観点から,早期外科手術の有用性が報告されている.観血的整復術に胸腔鏡を併用することで,より安全な手術を行うことが可能である.
Conservative treatment has been the treatment of choice for rib fractures in the absence of serious complications such as flail chest and massive hemothorax, but in recent years, the benefit of early surgery has been reported from the viewpoint of reducing activities of daily living (ADL) and prolonging hospital stay due to poor pain control. Video-assisted thoracic surgery (VATS) in combination with open repair is a safer surgical approach. We experienced two cases of thoracoscopic plate fixation for traumatic rib fractures. In both cases, secure repair and fixation were achieved, but we thought that performing the surgery promptly after the injury will result in a smaller surgical wound and shorter operative time because the inflammatory adhesions around the fracture site will be less severe.
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