Single-port video-assisted thoracic surgery versus three-port video-assisted thoracic surgery for primary spontaneous pneumothorax / 国际外科学杂志

ABSTRACT

Objective To explore the effects of single-port video-assisted thoracic surgery versus three-port videoassisted thoracic surgery for primary spontaneous pneumothorax.Methods Video-assisted thoracic surgery was performed for primary spontaneous pneumothorax in 58 patients from April 2012 to April 2013.We reviewed the medical records of these 58 patients,retrospectively.Thirty patients underwent the three-port video-assisted thoracic surgery (three-port group) and 28 patients underwent the single-port video-assisted thoracic surgery (single-port group).Following the operation,clinical outcomes,complications and overall survival were evaluated.Results There was no difference in patient characteristics between two groups.Compared with three-port videoassisted thoracic surgery,single-port video-assisted thoracic surgery had shorter hospital stay,shorter chest tube drainage,lower visual analog scale score score of 6 h postoperative pain and visual analog scale score score of 24 h postoperative pain.Meanwhile,there were no statistical differences between both groups in intraoperative bleeding,overall survival and progression-free survival.Conclusions Single-port video-assisted thoracic surgery can reduce the postoperative pain and get better clinical outcomes in treatment of primary spontaneous pneumothorax.