Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Wertheim cung cấp cho các bạn kiến thức về ngành y đề tài: Single-incision thoracoscopic surgery for primary spontaneous pneumothorax. | Chen et al. Journal of Cardiothoracic Surgery 2011 6 58 http content 6 1 58 JCTS JOURNAL OF CARDIOTHORACIC SURGERY RESEARCH ARTICLE Open Access Single-incision thoracoscopic surgery for primary spontaneous pneumothorax Pin-Ru Chen1 Chien-Kuang Chen Yu-Sen Lin Hsu-Chih Huang Jian-Shun Tsai Chih-Yi Chen and Hsin-Yuan Fang Abstract Objective Single-incision laparoscopic surgery had been proven effective for appendectomy cholecystectomy and inguinal hernia repair. However single-incision thoracoscopic surgery SITS in primary spontaneous pneumothorax PSP has not been reported. Methods We prospectively enrolled 30 PSP patients who received thoracoscopic surgery in the division of Thoracic Surgery of China Medical University Hospital. Ten patients received SITS and 20 patients received traditional three-port thoracoscopic surgery. The operative time blood loss wound size visual analog scale VAS pain score and patient satisfaction score were compared. Results There was no significant difference in the operative time and blood loss between the two groups. However the VAS pain scores were significantly better in the SITS group in first 24 hours after surgery. Patient satisfaction scores in the SITS group were also significantly better in the first 24 and 48 hours after operation. Conclusion Although three-port thoracoscopic surgery for PSP is well established SITS results in better patient satisfaction and decreased postoperative pain in the treatment of PSP. Introduction Primary spontaneous pneumothorax PSP is a perplexing disease that usually occurs in young otherwise healthy individuals without clinically apparent lung disease in their late teens or third decade of life 1 . It is defined by the presence of air in the pleural cavity with secondary lung collapse and occurs without a preceding event or obvious precipitating cause 2 . The incidence of PSP is approximately 7 to 18 and 1 to 6 cases per 100 000 individuals per year in males and .
