The results of videothoracoscopical hemostasis in 419 patients with complicated chest traumas have been evaluated, among which 367 (87.6%) patients had closed chest traumas and 52 (13.4%) had penetrating chest traumas. Monopolar and bipolar electrocoagulation, non-contact laser photocoagulation, mechanical clipping and suturing of bleeding vessels were used for hemostasis. Stable endoscopical hemostasis was obtained in 92% patients. Conversion to wide thoracotomy was carried out in 13 (3.1%) patients. 3 (0.7%) patients died. The death cause was massive polytraumas. Lethality related to the outcomes of videothoracoscopical operations was not reported.
