Thoracoscopic treatment of primary spontaneous pneumothorax without a drainage tube in male patients.
J Int Med Res
; 51(2): 3000605231154394, 2023 Feb.
Article
in En
| MEDLINE
| ID: mdl-36803200
ABSTRACT
OBJECTIVE:
To propose a treatment approach for primary spontaneous pneumothorax (PSP) in male patients with a smaller incision and less pain.METHODS:
We retrospectively studied 29 patients with PSP who underwent areola-port video-assisted thoracoscopic surgery (VATS) and 21 patients who underwent single-port VATS. The areola-port VATS technique was performed as follows. First, an arc incision was made along the lower edge of the areola, and a 5-mm-diameter thoracoscope was placed. The bullae were completely removed, and the absence of air leaks and other bullae was confirmed. A drainage tube was placed in the chest with negative pressure and then quickly pulled out, and the reserved suture line was knotted.RESULTS:
All patients were male, and their mean age was 19.07 ± 2.43 years. The mean intraoperative hemorrhage volume and postoperative pain score were significantly lower in the areola-port than single-port group. The mean operative time and mean postoperative hospital stay were also shorter in the areola-port group, but without statistical significance. The incidence of complications and the 1-year postoperative recurrence rate were 0% in both groups.CONCLUSION:
Our method is clinically feasible and inexpensive, has a traceless effect, and is especially suitable for adolescents.Key words
Full text:
1
Database:
MEDLINE
Main subject:
Pneumothorax
/
Lung Diseases
Type of study:
Observational_studies
/
Risk_factors_studies
Limits:
Adolescent
/
Adult
/
Female
/
Humans
/
Male
Language:
En
Year:
2023
Type:
Article