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Comparative Study
. 2015;21(6):513-6.
doi: 10.5761/atcs.oa.15-00063. Epub 2015 Jun 12.

Initial Experience of Single-Incision Thoracoscopic Surgery for 100 Patients with Primary Spontaneous Pneumothorax

Koji Yamazaki  1 , Naoki Haratake, Yasunori Shikada, Ryo Mori, Hidenori Kouso, Fumihiro Shoji, Sadanori Takeo
Affiliations
Comparative Study

Initial Experience of Single-Incision Thoracoscopic Surgery for 100 Patients with Primary Spontaneous Pneumothorax

Koji Yamazaki et al. Ann Thorac Cardiovasc Surg. 2015.

Abstract

Purpose: The aim of this retrospective study was to evaluate single-incision thoracoscopic surgery (SITS) for primary spontaneous pneumothorax (PSP).

Methods: Among 141 patients who underwent surgery for PSP from July 2009 to December 2013, a total of 100 patients underwent SITS. Their data were examined for clinical characteristics and surgical results.

Results: More patients with younger age, female sex, and who had social indications were treated by SITS than by three-port video-assisted thoracic surgery (VATS). The mean operative time for SITS was 48.8 min. There were no conversions from SITS to three-port VATS or thoracotomy. After SITS, the median duration of chest drainage was 1 day, and the median hospital stay was 2 days. Early complications included one surgical-site infection and one case of air leakage. Four patients (4.0%) had ipsilateral recurrence of PSP.

Conclusion: SITS is feasible when performed for selected patients with PSP. Long-term follow-up and further examinations are required to evaluate patient selection, efficacy, and comparability of SITS with conventional open and three-port VATS approaches.

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Figures

Fig. 1
Fig. 1
Single-incision approach for treating primary spontaneous pneumothorax. (A) A 5-mm flexible fiberscope, a mechanical stapler, and endoscopic grasping forceps are inserted from a single port at the sixth intercostal space. (B) A Bulla is grasped and lifted by the mini loop retractor II. First stapling has been done with a mechanical stapler.
See this image and copyright information in PMC

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