Outcomes of the Tower Crane Technique with a 15-mm Trocar in Primary Spontaneous Pneumothorax
The Korean Journal of Thoracic and Cardiovascular Surgery
;
: 80-84, 2016.
Article
in English
| WPRIM
| ID: wpr-16386
ABSTRACT
BACKGROUND:
Video-assisted thoracoscopic surgery (VATS) pulmonary wedge resection has emerged as the standard treatment for primary spontaneous pneumothorax. Recently, single-port VATS has been introduced and is now widely performed. This study aimed to evaluate the outcomes of the Tower crane technique as novel technique using a 15-mm trocar and anchoring suture in primary spontaneous pneumothorax.METHODS:
Patients who underwent single-port VATS wedge resection in Chungnam National University Hospital from April 2012 to March 2014 were enrolled. The medical records of the enrolled patients were reviewed retrospectively.RESULTS:
A total of 1,251 patients were diagnosed with pneumothorax during this period, 270 of whom underwent VATS wedge resection. Fifty-two of those operations were single-port VATS wedge resections for primary spontaneous pneumothorax performed by a single surgeon. The median age of the patients was 19.3±11.5 years old, and 43 of the patients were male. The median duration of chest tube drainage following the operation was 2.3±1.3 days, and mean postoperative hospital stay was 3.2±1.3 days. Prolonged air leakage for more than three days following the operation was observed in one patient. The mean duration of follow-up was 18.7±6.1 months, with a recurrence rate of 3.8%.CONCLUSION:
The tower crane technique with a 15-mm trocar may be a promising treatment modality for patients presenting with primary spontaneous pneumothorax.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pneumothorax
/
Recurrence
/
Surgical Instruments
/
Sutures
/
Chest Tubes
/
Drainage
/
Medical Records
/
Retrospective Studies
/
Follow-Up Studies
/
Thoracic Surgery, Video-Assisted
Type of study:
Observational study
/
Prognostic study
Limits:
Humans
/
Male
Language:
English
Journal:
The Korean Journal of Thoracic and Cardiovascular Surgery
Year:
2016
Type:
Article
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