TY - JOUR
T1 - Initial experience of single-incision thoracoscopic surgery for 100 patients with primary spontaneous pneumothorax
AU - Yamazaki, Koji
AU - Haratake, Naoki
AU - Shikada, Yasunori
AU - Mori, Ryo
AU - Kouso, Hidenori
AU - Shoji, Fumihiro
AU - Takeo, Sadanori
N1 - Publisher Copyright:
© 2015 The Editorial Committee of Annals of Thoracic and Cardiovascular Surgery. All rights reserved.
PY - 2015/12/20
Y1 - 2015/12/20
N2 - Purpose: The aim of this retrospective study was to evaluate single-incision thoracoscopic surgery (SITS) for primary spontaneous pneumothorax (PSP). Methods: Among 141 patients who underwent surgery for PSP from July 2009 to December 2013, a total of 100 patients underwent SITS. Their data were examined for clinical characteristics and surgical results. Results: More patients with younger age, female sex, and who had social indications were treated by SITS than by three-port video-assisted thoracic surgery (VATS). The mean operative time for SITS was 48.8 min. There were no conversions from SITS to three-port VATS or thoracotomy. After SITS, the median duration of chest drainage was 1 day, and the median hospital stay was 2 days. Early complications included one surgical-site infection and one case of air leakage. Four patients (4.0%) had ipsilateral recurrence of PSP. Conclusion: SITS is feasible when performed for selected patients with PSP. Long-term follow-up and further examinations are required to evaluate patient selection, efficacy, and comparability of SITS with conventional open and three-port VATS approaches.
AB - Purpose: The aim of this retrospective study was to evaluate single-incision thoracoscopic surgery (SITS) for primary spontaneous pneumothorax (PSP). Methods: Among 141 patients who underwent surgery for PSP from July 2009 to December 2013, a total of 100 patients underwent SITS. Their data were examined for clinical characteristics and surgical results. Results: More patients with younger age, female sex, and who had social indications were treated by SITS than by three-port video-assisted thoracic surgery (VATS). The mean operative time for SITS was 48.8 min. There were no conversions from SITS to three-port VATS or thoracotomy. After SITS, the median duration of chest drainage was 1 day, and the median hospital stay was 2 days. Early complications included one surgical-site infection and one case of air leakage. Four patients (4.0%) had ipsilateral recurrence of PSP. Conclusion: SITS is feasible when performed for selected patients with PSP. Long-term follow-up and further examinations are required to evaluate patient selection, efficacy, and comparability of SITS with conventional open and three-port VATS approaches.
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U2 - 10.5761/atcs.oa.15-00063
DO - 10.5761/atcs.oa.15-00063
M3 - Article
C2 - 26073140
AN - SCOPUS:84950282199
SN - 1341-1098
VL - 21
SP - 513
EP - 516
JO - Annals of Thoracic and Cardiovascular Surgery
JF - Annals of Thoracic and Cardiovascular Surgery
IS - 6
ER -