Evaluation and prognosis of patients with spontaneous pneumothorax patients treated by video-assisted thoracoscopic surgery and thoracoscopic assisted small incision thoracotomy / 中国内镜杂志

ABSTRACT

Objective To compare the clinical efficacy of VATS and suture ligation in the treatment of SP patients under video-assisted thoracoscopic surgery (VATS). Methods From January to December in 2016, 58 cases of spontaneous pneumothorax patients were selected as the research object, randomly divided into observation group (n = 29) and control group (n = 29), the observation group with VATS stapler treatment, the control group with VATS suture treatment. The effect of surgical treatment in the two groups was evaluated comprehensively. Results The operation time and intraoperative blood volume of the observation group were lower than those of the control group (P < 0.05), the operation cost was higher than that of the control group (P < 0.05), and there was no difference in postoperative tube time and hospitalization time (P > 0.05); There was no significant difference in the incidence of postoperative complications between the two groups (P > 0.05); There was no significant difference between the two groups in the postoperative pain score and the duration of the use of the pain killer (P > 0.05); The recurrence rate of the observation group was significantly lower than that of the control group (P < 0.05). Conclusion The two kinds of surgical treatment of pneumothorax were safe and effective, and the prognosis is good, but the VATS suture bleeding volume and operation time is better than that of VATS suture, and lower recurrence rate, and VATS suture surgery is low, in the clinical operation method selection according to the actual condition need.