Outcomes of the Tower Crane Technique with a 15-mm Trocar in Primary Spontaneous Pneumothorax.
10.5090/kjtcs.2016.49.2.80
- Author:
Yooyoung CHONG
1
;
Hyun Jin CHO
;
Shin Kwang KANG
;
Myung Hoon NA
;
Jae Hyeon YU
;
Seung Pyung LIM
;
Min Woong KANG
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Chungnam National University School of Medicine, Korea. dreamerkang@hanmail.net
- Publication Type:Original Article
- Keywords:
Pneumothorax;
Video-assisted thoracic surgery
- MeSH:
Chest Tubes;
Chungcheongnam-do;
Drainage;
Follow-Up Studies;
Humans;
Length of Stay;
Male;
Medical Records;
Pneumothorax*;
Recurrence;
Retrospective Studies;
Surgical Instruments*;
Sutures;
Thoracic Surgery, Video-Assisted
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2016;49(2):80-84
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: Video-assisted thoracoscopic surgery (VATS) pulmonary wedge resection has emerged as the standard treatment for primary spontaneous pneumothorax. Recently, single-port VATS has been introduced and is now widely performed. This study aimed to evaluate the outcomes of the Tower crane technique as novel technique using a 15-mm trocar and anchoring suture in primary spontaneous pneumothorax. METHODS: Patients who underwent single-port VATS wedge resection in Chungnam National University Hospital from April 2012 to March 2014 were enrolled. The medical records of the enrolled patients were reviewed retrospectively. RESULTS: A total of 1,251 patients were diagnosed with pneumothorax during this period, 270 of whom underwent VATS wedge resection. Fifty-two of those operations were single-port VATS wedge resections for primary spontaneous pneumothorax performed by a single surgeon. The median age of the patients was 19.3±11.5 years old, and 43 of the patients were male. The median duration of chest tube drainage following the operation was 2.3±1.3 days, and mean postoperative hospital stay was 3.2±1.3 days. Prolonged air leakage for more than three days following the operation was observed in one patient. The mean duration of follow-up was 18.7±6.1 months, with a recurrence rate of 3.8%. CONCLUSION: The tower crane technique with a 15-mm trocar may be a promising treatment modality for patients presenting with primary spontaneous pneumothorax.
