Sub-axillary cosmetic incision versus single-incision thoracoscopic surgery for primary spontaneous pneumothorax
Abstract Background In recent years, single-incision thoracoscopic surgery (SITS) has been increasingly applied as an optimal treatment option for primary spontaneous pneumothorax (PSP). However, most SITS techniques are used in the fourth to sixth intercostal space between the anterior axillary and...
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| Format: | Article |
| Language: | English |
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BMC
2023-07-01
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| Series: | Journal of Cardiothoracic Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13019-023-02319-w |
| _version_ | 1797778675338313728 |
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| author | Yuan-Liang Zheng Ri-Sheng Huang |
| author_facet | Yuan-Liang Zheng Ri-Sheng Huang |
| author_sort | Yuan-Liang Zheng |
| collection | DOAJ |
| description | Abstract Background In recent years, single-incision thoracoscopic surgery (SITS) has been increasingly applied as an optimal treatment option for primary spontaneous pneumothorax (PSP). However, most SITS techniques are used in the fourth to sixth intercostal space between the anterior axillary and mid axillary lines. To find out more concealed incisions, this study performed PSP surgery via the sub-axillary cosmetic incision (SACI) technique. Methods A total of 128 PSP patients were subjected to video-assisted thoracoscopic surgery (VATS) between January 2017 and January 2019 at our institution. These patients were evaluated and assigned into SACI (n = 21) and SITS (n = 57) groups. Propensity score matching (PSM) was performed based on patients’ backgrounds, and the enrolled cohort was divided into 21 pairs. The incision satisfaction was assessed at 2 weeks and 6 months post-surgery. Results The 21 pairs with matching baseline characteristics in the two groups did not exhibit significant differences in their backgrounds and surgical results. However, compared with the SITS group, the operation time was longer in the SACI group (p = 0.013). There were no post-operative complications in both groups. At 2 weeks and 6 months, incision satisfaction scores in the SACI group were significantly lower than those in the SITS group (p = 0.022 and p = 0.039, respectively). There were no recurrences of ipsilateral pneumothorax in both groups. Conclusions SACI is a safe and feasible surgical method for PSP treatment. In addition, incision concealment can be used for patients with incision needs. |
| first_indexed | 2024-03-12T23:20:53Z |
| format | Article |
| id | doaj.art-0143061ea1ad4aa186b0991c2543144f |
| institution | Directory Open Access Journal |
| issn | 1749-8090 |
| language | English |
| last_indexed | 2024-03-12T23:20:53Z |
| publishDate | 2023-07-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Cardiothoracic Surgery |
| spelling | doaj.art-0143061ea1ad4aa186b0991c2543144f2023-07-16T11:27:31ZengBMCJournal of Cardiothoracic Surgery1749-80902023-07-011811710.1186/s13019-023-02319-wSub-axillary cosmetic incision versus single-incision thoracoscopic surgery for primary spontaneous pneumothoraxYuan-Liang Zheng0Ri-Sheng Huang1Department of Thoracic Surgery, Wenzhou Central Hospital, The Dingli Clinical College of Wenzhou Medical University, the Second Affiliated Hospital of Shanghai UniversityDepartment of Thoracic Surgery, Wenzhou Central Hospital, The Dingli Clinical College of Wenzhou Medical University, the Second Affiliated Hospital of Shanghai UniversityAbstract Background In recent years, single-incision thoracoscopic surgery (SITS) has been increasingly applied as an optimal treatment option for primary spontaneous pneumothorax (PSP). However, most SITS techniques are used in the fourth to sixth intercostal space between the anterior axillary and mid axillary lines. To find out more concealed incisions, this study performed PSP surgery via the sub-axillary cosmetic incision (SACI) technique. Methods A total of 128 PSP patients were subjected to video-assisted thoracoscopic surgery (VATS) between January 2017 and January 2019 at our institution. These patients were evaluated and assigned into SACI (n = 21) and SITS (n = 57) groups. Propensity score matching (PSM) was performed based on patients’ backgrounds, and the enrolled cohort was divided into 21 pairs. The incision satisfaction was assessed at 2 weeks and 6 months post-surgery. Results The 21 pairs with matching baseline characteristics in the two groups did not exhibit significant differences in their backgrounds and surgical results. However, compared with the SITS group, the operation time was longer in the SACI group (p = 0.013). There were no post-operative complications in both groups. At 2 weeks and 6 months, incision satisfaction scores in the SACI group were significantly lower than those in the SITS group (p = 0.022 and p = 0.039, respectively). There were no recurrences of ipsilateral pneumothorax in both groups. Conclusions SACI is a safe and feasible surgical method for PSP treatment. In addition, incision concealment can be used for patients with incision needs.https://doi.org/10.1186/s13019-023-02319-wPneumothoraxSingle-incision thoracoscopic surgerySub-axillary cosmetic incisionPropensity score matchingVideo-assisted thoracoscopic surgery |
| spellingShingle | Yuan-Liang Zheng Ri-Sheng Huang Sub-axillary cosmetic incision versus single-incision thoracoscopic surgery for primary spontaneous pneumothorax Journal of Cardiothoracic Surgery Pneumothorax Single-incision thoracoscopic surgery Sub-axillary cosmetic incision Propensity score matching Video-assisted thoracoscopic surgery |
| title | Sub-axillary cosmetic incision versus single-incision thoracoscopic surgery for primary spontaneous pneumothorax |
| title_full | Sub-axillary cosmetic incision versus single-incision thoracoscopic surgery for primary spontaneous pneumothorax |
| title_fullStr | Sub-axillary cosmetic incision versus single-incision thoracoscopic surgery for primary spontaneous pneumothorax |
| title_full_unstemmed | Sub-axillary cosmetic incision versus single-incision thoracoscopic surgery for primary spontaneous pneumothorax |
| title_short | Sub-axillary cosmetic incision versus single-incision thoracoscopic surgery for primary spontaneous pneumothorax |
| title_sort | sub axillary cosmetic incision versus single incision thoracoscopic surgery for primary spontaneous pneumothorax |
| topic | Pneumothorax Single-incision thoracoscopic surgery Sub-axillary cosmetic incision Propensity score matching Video-assisted thoracoscopic surgery |
| url | https://doi.org/10.1186/s13019-023-02319-w |
| work_keys_str_mv | AT yuanliangzheng subaxillarycosmeticincisionversussingleincisionthoracoscopicsurgeryforprimaryspontaneouspneumothorax AT rishenghuang subaxillarycosmeticincisionversussingleincisionthoracoscopicsurgeryforprimaryspontaneouspneumothorax |