Single-incision thoracoscopic surgery for primary spontaneous pneumothorax.

Single-incision thoracoscopic surgery for primary spontaneous pneumothorax.
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DOI:
10.1186/1749-8090-6-58
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发表时间:
2011-04-21
影响因子:
1.6
通讯作者:
Fang HY
Fang HY
中科院分区:
医学4区
文献类型:
--
作者:
Chen PR;Chen CK;Lin YS;Huang HC;Tsai JS;Chen CY;Fang HY

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单切口腹腔镜手术已被证明对阑尾切除术、胆囊切除术和腹股沟疝修补术有效。然而,单切口胸腔镜手术(SITS)治疗原发性自发性气胸(PSP)尚未见报道。我们前瞻性纳入了中国医科大学附属医院胸外科接受胸腔镜手术的 30 名 PSP 患者。 10 名患者接受了 SITS,20 名患者接受了传统的三孔胸腔镜手术。比较手术时间、失血量、伤口大小、视觉模拟评分(VAS)疼痛评分和患者满意度评分。两组手术时间和失血量无显着差异。然而,SITS 组在术后 24 小时内的 VAS 疼痛评分明显更好。 SITS 组的患者满意度评分在术后 24 小时和 48 小时内也明显更好。尽管三孔胸腔镜手术治疗 PSP 已很成熟,但 SITS 在 PSP 治疗中可以提高患者满意度并减少术后疼痛。
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. 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. 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. 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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