Can single-incision thoracoscopic surgery using a wound protector be used as a first-line approach for the surgical treatment of primary spontaneous pneumothorax? A comparison with three-port video-assisted thoracoscopic surgery
- Abstract
- OBJECTIVE: In this study, we compared single-incision thoracoscopic surgery (SITS) using a wound protector, with three-port video-assisted thoracoscopic surgery (VATS) to investigate whether it can be used as a first-line approach for primary spontaneous pneumothorax (PSP). METHODS: We retrospectively reviewed and analyzed the medical records of patients who were diagnosed with PSP in our hospital between March 2013 and January 2014 who underwent SITS (n = 37) or three-port VATS (n = 23). RESULTS: There was no significant difference between the patients who underwent SITS and those who underwent three-port VATS in terms of their age, gender, number of episodes, pneumothorax laterality, operation time, number of wedge resection, duration of post-operative hospital stay and post-operative drainage, and complications. The post-operative pain score was significantly lower in the SITS group compared to the three-port group at both 24 and 72 h (3.9 ± 1.2 vs. 5.2 ± 1.3, p = 0.022, 2.5 ± 1.5 vs. 3.9 ± 1.8, p = 0.03). There was no statistically significant difference in the use of additional intramuscular analgesia between the two groups, but it was lower in the SITS group. CONCLUSIONS: We consider that SITS using a wound protector is an appropriate first-line surgical approach for PSP.
- All Author(s)
- I. H. Song
; S. Y. Lee
; S. J. Lee
- Issued Date
- 2015
- Type
- Article
- Keyword
- Primary spontaneous pneumothorax; Single-incision thoracoscopic surgery; VATS; Wound protector
- Publisher
- Nihon Kyōbu Geka Gakkai
- ISSN
- 1863-6705
- Citation Title
- General Thoracic and Cardiovascular Surgery
- Citation Volume
- 63
- Citation Number
- 5
- Citation Start Page
- 284
- Citation End Page
- 289
- Language(ISO)
- eng
- DOI
- 10.1007/s11748-015-0522-2
- URI
- http://schca-ir.schmc.ac.kr/handle/2022.oak/1076
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