Outcomes of the Tower Crane Technique with a 15-mm Trocar in Primary Spontaneous Pneumothorax
Background: Video-assisted thoracoscopic surgery (VATS) pulmonary wedge resection has emerged as the standard treatment for primary spontaneous pneumothorax. Recently, single-port VATS has been introduced and is now widely performed. This study aimed to evaluate the outcomes of the Tower crane tec...
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| Format: | Article |
| Language: | English |
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Korean Society for Thoracic and Cardiovascular Surgery
2016-04-01
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| Series: | Korean Journal of Thoracic and Cardiovascular Surgery |
| Subjects: | |
| Online Access: | http://www.kjtcvs.org/journal/download_pdf.php?doi=10.5090/kjtcs.2016.49.2.80 |
| _version_ | 1811269483632787456 |
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| author | Yooyoung Chong Hyun Jin Cho Shin Kwang Kang Myung Hoon Na Jae Hyeon Yu Seung Pyung Lim Min-Woong Kang |
| author_facet | Yooyoung Chong Hyun Jin Cho Shin Kwang Kang Myung Hoon Na Jae Hyeon Yu Seung Pyung Lim Min-Woong Kang |
| author_sort | Yooyoung Chong |
| collection | DOAJ |
| description | Background: Video-assisted thoracoscopic surgery (VATS) pulmonary wedge resection has emerged as the standard
treatment for primary spontaneous pneumothorax. Recently, single-port VATS has been introduced and is now widely
performed. This study aimed to evaluate the outcomes of the Tower crane technique as novel technique using
a 15-mm trocar and anchoring suture in primary spontaneous pneumothorax. Methods: Patients who underwent single-
port VATS wedge resection in Chungnam National University Hospital from April 2012 to March 2014 were
enrolled. The medical records of the enrolled patients were reviewed retrospectively. Results: A total of 1,251 patients
were diagnosed with pneumothorax during this period, 270 of whom underwent VATS wedge resection.
Fifty-two of those operations were single-port VATS wedge resections for primary spontaneous pneumothorax performed
by a single surgeon. The median age of the patients was 19.3±11.5 years old, and 43 of the patients
were male. The median duration of chest tube drainage following the operation was 2.3±1.3 days, and mean postoperative
hospital stay was 3.2±1.3 days. Prolonged air leakage for more than three days following the operation
was observed in one patient. The mean duration of follow-up was 18.7±6.1 months, with a recurrence rate of
3.8%. Conclusion: The tower crane technique with a 15-mm trocar may be a promising treatment modality for patients
presenting with primary spontaneous pneumothorax. |
| first_indexed | 2024-04-12T21:42:53Z |
| format | Article |
| id | doaj.art-1631c6b30e4f419fbe0c2d54ba3b7a49 |
| institution | Directory Open Access Journal |
| issn | 2233-601X 2093-6516 |
| language | English |
| last_indexed | 2024-04-12T21:42:53Z |
| publishDate | 2016-04-01 |
| publisher | Korean Society for Thoracic and Cardiovascular Surgery |
| record_format | Article |
| series | Korean Journal of Thoracic and Cardiovascular Surgery |
| spelling | doaj.art-1631c6b30e4f419fbe0c2d54ba3b7a492022-12-22T03:15:43ZengKorean Society for Thoracic and Cardiovascular SurgeryKorean Journal of Thoracic and Cardiovascular Surgery2233-601X2093-65162016-04-01492808410.5090/kjtcs.2016.49.2.80Outcomes of the Tower Crane Technique with a 15-mm Trocar in Primary Spontaneous PneumothoraxYooyoung Chong0Hyun Jin Cho1Shin Kwang Kang2Myung Hoon Na3Jae Hyeon Yu4Seung Pyung Lim5Min-Woong Kang6Chungnam National UniversityChungnam National UniversityChungnam National UniversityChungnam National UniversityChungnam National UniversityChungnam National UniversityChungnam National UniversityBackground: Video-assisted thoracoscopic surgery (VATS) pulmonary wedge resection has emerged as the standard treatment for primary spontaneous pneumothorax. Recently, single-port VATS has been introduced and is now widely performed. This study aimed to evaluate the outcomes of the Tower crane technique as novel technique using a 15-mm trocar and anchoring suture in primary spontaneous pneumothorax. Methods: Patients who underwent single- port VATS wedge resection in Chungnam National University Hospital from April 2012 to March 2014 were enrolled. The medical records of the enrolled patients were reviewed retrospectively. Results: A total of 1,251 patients were diagnosed with pneumothorax during this period, 270 of whom underwent VATS wedge resection. Fifty-two of those operations were single-port VATS wedge resections for primary spontaneous pneumothorax performed by a single surgeon. The median age of the patients was 19.3±11.5 years old, and 43 of the patients were male. The median duration of chest tube drainage following the operation was 2.3±1.3 days, and mean postoperative hospital stay was 3.2±1.3 days. Prolonged air leakage for more than three days following the operation was observed in one patient. The mean duration of follow-up was 18.7±6.1 months, with a recurrence rate of 3.8%. Conclusion: The tower crane technique with a 15-mm trocar may be a promising treatment modality for patients presenting with primary spontaneous pneumothorax.http://www.kjtcvs.org/journal/download_pdf.php?doi=10.5090/kjtcs.2016.49.2.80PneumothoraxVideo-assisted thoracic surgery |
| spellingShingle | Yooyoung Chong Hyun Jin Cho Shin Kwang Kang Myung Hoon Na Jae Hyeon Yu Seung Pyung Lim Min-Woong Kang Outcomes of the Tower Crane Technique with a 15-mm Trocar in Primary Spontaneous Pneumothorax Korean Journal of Thoracic and Cardiovascular Surgery Pneumothorax Video-assisted thoracic surgery |
| title | Outcomes of the Tower Crane Technique with a 15-mm Trocar in Primary Spontaneous Pneumothorax |
| title_full | Outcomes of the Tower Crane Technique with a 15-mm Trocar in Primary Spontaneous Pneumothorax |
| title_fullStr | Outcomes of the Tower Crane Technique with a 15-mm Trocar in Primary Spontaneous Pneumothorax |
| title_full_unstemmed | Outcomes of the Tower Crane Technique with a 15-mm Trocar in Primary Spontaneous Pneumothorax |
| title_short | Outcomes of the Tower Crane Technique with a 15-mm Trocar in Primary Spontaneous Pneumothorax |
| title_sort | outcomes of the tower crane technique with a 15 mm trocar in primary spontaneous pneumothorax |
| topic | Pneumothorax Video-assisted thoracic surgery |
| url | http://www.kjtcvs.org/journal/download_pdf.php?doi=10.5090/kjtcs.2016.49.2.80 |
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