Single-port video-assisted thoracic surgery versus three-port video-assisted thoracic surgery for primary spontaneous pneumothorax
10.3760/cma.j.issn.1673-4203.2017.06.010
- VernacularTitle:单孔和三孔电视胸腔镜治疗自发性气胸的对比研究
- Author:
Tao ZHANG
;
Xijun ZHANG
- Keywords:
Thoracoscopes;
Monotremata;
Pneumothorax;
Case-control studies
- From:
International Journal of Surgery
2017;44(6):397-400
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effects of single-port video-assisted thoracic surgery versus three-port videoassisted thoracic surgery for primary spontaneous pneumothorax.Methods Video-assisted thoracic surgery was performed for primary spontaneous pneumothorax in 58 patients from April 2012 to April 2013.We reviewed the medical records of these 58 patients,retrospectively.Thirty patients underwent the three-port video-assisted thoracic surgery (three-port group) and 28 patients underwent the single-port video-assisted thoracic surgery (single-port group).Following the operation,clinical outcomes,complications and overall survival were evaluated.Results There was no difference in patient characteristics between two groups.Compared with three-port videoassisted thoracic surgery,single-port video-assisted thoracic surgery had shorter hospital stay,shorter chest tube drainage,lower visual analog scale score score of 6 h postoperative pain and visual analog scale score score of 24 h postoperative pain.Meanwhile,there were no statistical differences between both groups in intraoperative bleeding,overall survival and progression-free survival.Conclusions Single-port video-assisted thoracic surgery can reduce the postoperative pain and get better clinical outcomes in treatment of primary spontaneous pneumothorax.
