https://scholars.lib.ntu.edu.tw/handle/123456789/561936
標題: | Needlescopic versus conventional video-assisted thoracic surgery for primary spontaneous pneumothorax: A comparative study | 作者: | JIN-SHING CHEN HSAO-HSUN HSU SHUENN-WEN KUO Tsai P.-R. Chen R.J. JANG-MING LEE Lee Y.-C. |
公開日期: | 2003 | 卷: | 75 | 期: | 4 | 起(迄)頁: | 1080-1085 | 來源出版物: | Annals of Thoracic Surgery | 摘要: | Background. Management of primary spontaneous pneumothorax by needlescopic video-assisted thoracic surgery (VATS) has rarely been attempted and no comparison study with conventional VATS is available. In this study, we compared the clinical outcomes of needlescopic VATS with conventional VATS in treating primary spontaneous pneumothorax. The technique and our experience with needlescopic VATS are reported. Methods. Between April 2001 and April 2002, a total of 63 patients with recurrent, persistent, or contralateral primary spontaneous pneumothorax were recruited for this study. Operative procedures included needlescopic VATS in 28 patients and conventional VATS in 35 patients. We used a modified operative technique to improve the poor and narrower vision of the needle-videothoracoscope. Results. There was no mortality or major complications in either of the two groups. Needlescopic and conventional VATS groups had comparable operation times, postoperative pain, requested doses of meperidine hydrochloride, durations of postoperative chest drainage, and length of hospital stay. After a mean follow-up of 8 months, the needlescopic VATS group had less residual neuralgia (p = 0.021) and better wound satisfaction (p = 0.043) than the conventional VATS group. Ipsilateral recurrence of pneumothorax occurred in 1 patient (3.6%) in the needlescopic VATS group but not in any patients in the conventional VATS group. Conclusions. Our experience showed that needlescopic VATS is technically feasible and can be a satisfactory alternative to conventional VATS in treating primary spontaneous pneumothorax. Limited vision of needlescopic VATS can be improved by the modified technique we used. However, conversion to conventional VATS or minithoracotomy is suggested in selected patients to prevent early recurrence. ? 2003 by The Society of Thoracic Surgeons. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-0037385496&doi=10.1016%2fS0003-4975%2802%2904649-0&partnerID=40&md5=8c06952cabf08bab03ad22a66456819e https://scholars.lib.ntu.edu.tw/handle/123456789/561936 |
ISSN: | 0003-4975 | DOI: | 10.1016/S0003-4975(02)04649-0 | SDG/關鍵字: | pethidine; adult; article; controlled study; endoscopic surgery; experience; female; follow up; hospitalization; human; intermethod comparison; length of stay; major clinical study; male; needle; needlescopic video assisted thoracic surgery; neuralgia; operation duration; postoperative complication; postoperative pain; postoperative period; priority journal; recurrent disease; spontaneous pneumothorax; surgical mortality; surgical technique; surgical wound; thorax drainage; thorax surgery; videorecording; Adolescent; Adult; Aged; Aged, 80 and over; Analgesics, Opioid; Female; Health Services Needs and Demand; Humans; Length of Stay; Male; Meperidine; Middle Aged; Pneumothorax; Thoracic Surgery, Video-Assisted |
顯示於: | 醫學系 |
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