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Single-incision thoracoscopic surgery for primary spontaneous pneumothorax.

Chen PR, Chen CK, Lin YS, Huang HC, Tsai JS, Chen CY, Fang HY - J Cardiothorac Surg (2011)

Bottom Line: There was no significant difference in the operative time and blood loss between the two groups.However, the VAS pain scores were significantly better in the SITS group in first 24 hours after surgery.Patient satisfaction scores in the SITS group were also significantly better in the first 24 and 48 hours after operation.

View Article: PubMed Central - HTML - PubMed

Affiliation: Division of Thoracic Surgery, Department of Surgery, China Medical University Hospital, China Medical University, Taichung, Taiwan.

ABSTRACT

Objective: Single-incision laparoscopic surgery had been proven effective for appendectomy, cholecystectomy, and inguinal hernia repair. However, single-incision thoracoscopic surgery (SITS) in primary spontaneous pneumothorax (PSP) has not been reported.

Methods: We prospectively enrolled 30 PSP patients who received thoracoscopic surgery in the division of Thoracic Surgery of China Medical University Hospital. Ten patients received SITS and 20 patients received traditional three-port thoracoscopic surgery. The operative time, blood loss, wound size, visual analog scale (VAS) pain score, and patient satisfaction score were compared.

Results: There was no significant difference in the operative time and blood loss between the two groups. However, the VAS pain scores were significantly better in the SITS group in first 24 hours after surgery. Patient satisfaction scores in the SITS group were also significantly better in the first 24 and 48 hours after operation.

Conclusion: Although three-port thoracoscopic surgery for PSP is well established, SITS results in better patient satisfaction and decreased postoperative pain in the treatment of PSP.

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Related in: MedlinePlus

Surgical approach for primary spontaneous pneumothorax (PSP) in single incision thoracoscopic surgery (SITS).
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Figure 1: Surgical approach for primary spontaneous pneumothorax (PSP) in single incision thoracoscopic surgery (SITS).

Mentions: SITS was performed with the patient under general anesthesia using one-lung ventilation. The patient was placed in a lateral position. A skin incision was made 2.5 cm in length through the previous chest thoracostomy wound (4th, 5th, or 6th intercostal space) for insertion of a video-thoracoscope through an 11-mm thoracoport. With the lung deflated, the other two 5-mm thoracoports were inserted next to the 11-mm thoracoport (Figure 1). The visceral blebs and bullae were excised using a Endo GIA 60 stapler (Autosuture, United States Surgical Corporation). The subsequent mechanical pleurodesis was performed with a scouring pad on the tip of a forceps. After checking for air leaks and bleeding, one pig-tail drainage tube was inserted through the incision and connected to an underwater sealing drain with a suction of 15 cm H2O.


Single-incision thoracoscopic surgery for primary spontaneous pneumothorax.

Chen PR, Chen CK, Lin YS, Huang HC, Tsai JS, Chen CY, Fang HY - J Cardiothorac Surg (2011)

Surgical approach for primary spontaneous pneumothorax (PSP) in single incision thoracoscopic surgery (SITS).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3094379&req=5

Figure 1: Surgical approach for primary spontaneous pneumothorax (PSP) in single incision thoracoscopic surgery (SITS).
Mentions: SITS was performed with the patient under general anesthesia using one-lung ventilation. The patient was placed in a lateral position. A skin incision was made 2.5 cm in length through the previous chest thoracostomy wound (4th, 5th, or 6th intercostal space) for insertion of a video-thoracoscope through an 11-mm thoracoport. With the lung deflated, the other two 5-mm thoracoports were inserted next to the 11-mm thoracoport (Figure 1). The visceral blebs and bullae were excised using a Endo GIA 60 stapler (Autosuture, United States Surgical Corporation). The subsequent mechanical pleurodesis was performed with a scouring pad on the tip of a forceps. After checking for air leaks and bleeding, one pig-tail drainage tube was inserted through the incision and connected to an underwater sealing drain with a suction of 15 cm H2O.

Bottom Line: There was no significant difference in the operative time and blood loss between the two groups.However, the VAS pain scores were significantly better in the SITS group in first 24 hours after surgery.Patient satisfaction scores in the SITS group were also significantly better in the first 24 and 48 hours after operation.

View Article: PubMed Central - HTML - PubMed

Affiliation: Division of Thoracic Surgery, Department of Surgery, China Medical University Hospital, China Medical University, Taichung, Taiwan.

ABSTRACT

Objective: Single-incision laparoscopic surgery had been proven effective for appendectomy, cholecystectomy, and inguinal hernia repair. However, single-incision thoracoscopic surgery (SITS) in primary spontaneous pneumothorax (PSP) has not been reported.

Methods: We prospectively enrolled 30 PSP patients who received thoracoscopic surgery in the division of Thoracic Surgery of China Medical University Hospital. Ten patients received SITS and 20 patients received traditional three-port thoracoscopic surgery. The operative time, blood loss, wound size, visual analog scale (VAS) pain score, and patient satisfaction score were compared.

Results: There was no significant difference in the operative time and blood loss between the two groups. However, the VAS pain scores were significantly better in the SITS group in first 24 hours after surgery. Patient satisfaction scores in the SITS group were also significantly better in the first 24 and 48 hours after operation.

Conclusion: Although three-port thoracoscopic surgery for PSP is well established, SITS results in better patient satisfaction and decreased postoperative pain in the treatment of PSP.

Show MeSH
Related in: MedlinePlus