The clinical application of tubeless video-assisted thoracoscopic surgery in the treatment of spontaneous pneumothorax
- VernacularTitle:无管化电视辅助胸腔镜手术治疗自发性气胸的临床应用
- Author:
LI Renpeng
1
;
HAN Wenjian
2
;
LI Yan
1
;
HU Wenteng
1
;
HAN Biao
1
Author Information
1. Department of Thoracic Surgery, The First Hospital of Lanzhou University, Lanzhou, 730000, P.R. China
2. The Third Department of Surgery, National Hospital of Enshi Autonomous Prefecture, Enshi, 445000, Hubei, P.R. China
- Publication Type:Journal Article
- Keywords:
Tubeless video-assisted thoracoscopic surgery;
spontaneous pneumothorax;
thoracoscopic surgery
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2020;27(01):57-60
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the safety, feasibility and superiority of tubeless video-assisted thoracoscopic surgery (VATS) in the treatment of spontaneous pneumothorax. Methods We retrospectively analyzed the clinical data of 38 patients with primary spontaneous pneumothorax treated in our hospital from February 2017 to July 2018. Tubeless bullectomy was performed in 18 patients, including 11 males and 7 females, aged 14.3±1.5 years. Twenty patients underwent conventional thoracoscopic bullae resection, including 12 males and 8 females, aged 14.5±1.7 years. The clinical effectiveness was compared. Results All the 38 patients completed the operation successfully under the single-port thoracoscopy, without the transfer of intubation and secondary surgery. Operation time (67.3±13.3 min vs. 81.4±13.4 min, P=0.002), preoperative anesthesia time (14.2±2.6 min vs. 18.5±2.6 min, P=0.000), postoperative anesthesia recovery time (17.1±2.6 min vs. 26.5±5.0 min, P=0.000), visual simulation score of postoperative pain (2.3±0.9 vs. 5.2±1.0, P=0.000), postoperative activity time (1.3±0.4 d vs. 2.9±0.6 d, P=0.000), postoperative hospitalization time (2.9±0.8 d vs. 5.6±1.3 d, P=0.000), hospitalization cost (35.0±6.0 kyuan vs. 59.0±10.0 kyuan, P=0.000) were better in the control group. There was no significant difference in intraoperative blood loss (73.2±4.6 mL vs. 73.9±4.1 mL) and postoperative lung revascularization time (29.3±2.4 h vs. 29.7±2.5 h) between the two groups (P>0.05). Conclusion Compared with traditional thoracoscopic bullectomy, tubeless VATS technique is safe and reliable in the treatment of spontaneous pneumothorax, with mild pain and quick recovery, in line with the concept of fast track surgery and worthy of clinical promotion.
