{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T20:18:41Z","timestamp":1780085921589,"version":"3.54.0"},"reference-count":24,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,3,6]],"date-time":"2025-03-06T00:00:00Z","timestamp":1741219200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Multiple rib fractures (MRFs) are common injuries and result in serious morbidity and mortality after trauma. Complete video\u2010assisted thoracoscopic surgery (c\u2010VATS) has been increasingly used in the treatment of MRFs. This study was to compare the clinical effects of c\u2010VATS and conservative treatment for MRFs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>60 patients with MRFs without flail chest were selected. Patients were divided into a c\u2010VATS group (30 cases) and a conservative treatment group (30 cases). In the c\u2010VATS group, patients were operated on with the internal fixation of rib fracture with complete video\u2010assisted thoracoscopic surgery. Patients in the conservative treatment group were given symptomatic treatment measures such as oxygen therapy, fluid replacement, pain relief, rib band fixation, closed chest drainage, and drug anti\u2010infection therapy. These treatment\u2010related indexes were retrospectively analyzed, including abbreviated injury scale (AIS) score, visual analog scale (VAS) of pain score, blood gas analysis, lung function, hospitalization cost, and fracture healing after discharge.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were no significant differences in age, sex, number of fractures, or AIS score between the two groups. Blood gas analysis and pulmonary function indices showed better improvement in the c\u2010VATS group (<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.05). The VAS pain score was 3.42\u00a0\u00b1\u00a00.54 in the c\u2010VATS group and 4.98\u00a0\u00b1\u00a01.01 in the conservative group, indicating better pain control in the c\u2010VATS group (<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.05). Hospitalization time was shorter in the c\u2010VATS group (9.54\u00a0\u00b1\u00a02.61\u00a0days) compared to the conservative group (12.64\u00a0\u00b1\u00a03.54\u00a0days) (<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.05). Three months after discharge, follow\u2010up evaluations revealed that the c\u2010VATS group exhibited significantly better fracture healing (96.67%) compared to the conservative treatment group (80%) (<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.05). The average hospitalization cost in the c\u2010VATS group (35,689\u00a0\u00b1\u00a07361) was significantly higher than that in the conservative treatment group (12,624\u00a0\u00b1\u00a03638) (<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In treating MRFs, c\u2010VATS with internal fixation resulted in significant improvements in lung function, shorter pain duration, and a lower rate of fracture malunion. c\u2010VATS with internal fixation represents a feasible, safe, and minimally invasive surgical approach for the treatment of MRFs, which is worthy of clinical promotion.<\/jats:p><\/jats:sec>","DOI":"10.1002\/wjs.12538","type":"journal-article","created":{"date-parts":[[2025,3,11]],"date-time":"2025-03-11T11:45:15Z","timestamp":1741693515000},"page":"1128-1134","source":"Crossref","is-referenced-by-count":1,"title":["Observational Study of Curative Effects Between Complete Video\u2010Assisted Thoracoscopic Surgery and Conservative Treatment for Multiple Rib Fractures in Non\u2010Frail Chests"],"prefix":"10.1002","volume":"49","author":[{"given":"Minghui","family":"Han","sequence":"first","affiliation":[{"name":"Department of Thoracic Surgery Qingdao Huangdao District Central Hospital  Qingdao China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qingying","family":"Zhang","sequence":"additional","affiliation":[{"name":"Endoscope Center Qingdao Huangdao District Central Hospital  Qingdao China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gang","family":"Xue","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery Qingdao Huangdao District Central Hospital  Qingdao China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jing","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery Qingdao Huangdao District Central Hospital  Qingdao China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tianyuan","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery Qingdao Huangdao District Central Hospital  Qingdao China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuanqing","family":"Gao","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery Qingdao Huangdao District Central Hospital  Qingdao China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hong","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of Orthopedics Qingdao Huangdao District Central Hospital  Qingdao China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-1267-4226","authenticated-orcid":false,"given":"Ronghua","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery The Affiliated Hospital of Qingdao University  Qingdao China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,3,6]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2018.11.005"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00068\u2010018\u20101009\u20105"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00068\u2010021\u201001701\u20104"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00068\u2010010\u20100046\u20105"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00068\u2010016\u20100721\u20102"},{"key":"e_1_2_12_7_1","first-page":"5","article-title":"Operative Versus Non\u2010operative Management of Rib Fractures in Flail Chest After Cardiopulmonary Resuscitation Manoeuvres","author":"Patrick D.","year":"2022","journal-title":"Interactive Cardiovascular and Thoracic Surgery"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13019\u2010019\u20100865\u20103"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2016.11.026"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijscr.2024.109758"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102019\u2010029507"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.21037\/jtd.2019.01.70"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.21037\/jtd.2019.04.109"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.ta.0000060262.76267.ef"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.21037\/atm.2020.01.39"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0000000000003828"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13017\u2010024\u201000559\u20102"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.4103\/jets.jets_72_18"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2022.02.055"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13019\u2010023\u201002203\u20107"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13017\u2010024\u201000540\u2010z"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268\u2010023\u201006973\u2010y"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2021.03.049"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00068\u2010021\u201001676\u20102"},{"key":"e_1_2_12_25_1","first-page":"48","article-title":"Effectiveness of Surgical Fixation for Rib Fractures in Relation to its Timing: A Retrospective Japanese Nationwide Study (vol 77, pg 613, 2020)","author":"Otaka S.","year":"2022","journal-title":"European Journal of Trauma and Emergency Surgery: official publication of the European Trauma Society"}],"container-title":["World Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/wjs.12538","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T01:12:42Z","timestamp":1760058762000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/wjs.12538"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,6]]},"references-count":24,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,4]]}},"alternative-id":["10.1002\/wjs.12538"],"URL":"https:\/\/doi.org\/10.1002\/wjs.12538","archive":["Portico"],"relation":{},"ISSN":["0364-2313","1432-2323"],"issn-type":[{"value":"0364-2313","type":"print"},{"value":"1432-2323","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,3,6]]}}}