Mid-Term Outcomes of Single-Port versus Conventional Three-Port Video-Assisted Thoracoscopic Surgery for Primary Spontaneous Pneumothorax
Background: The benefits of video-assisted thoracoscopic surgery (VATS) have been demonstrated over the past decades; as a result, VATS has become the gold-standard treatment for primary spontaneous pneumothorax (PSP). Due to improvements in surgical technique and equipment, single-port VATS (s-VA...
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| Format: | Article |
| Language: | English |
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Korean Society for Thoracic and Cardiovascular Surgery
2017-06-01
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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.2017.50.3.184 |
| _version_ | 1818596338733940736 |
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| author | Hanna Jung Tak Hyuk Oh Joon Yong Cho Deok Heon Lee |
| author_facet | Hanna Jung Tak Hyuk Oh Joon Yong Cho Deok Heon Lee |
| author_sort | Hanna Jung |
| collection | DOAJ |
| description | Background: The benefits of video-assisted thoracoscopic surgery (VATS) have been demonstrated over the
past decades; as a result, VATS has become the gold-standard treatment for primary spontaneous pneumothorax
(PSP). Due to improvements in surgical technique and equipment, single-port VATS (s-VATS) is emerging
as an alternative approach to conventional three-port VATS (t-VATS). The aim of this study was to evaluate
s-VATS as a treatment for PSP by comparing operative outcomes and recurrence rates for s-VATS versus
t-VATS. Methods: Between March 2013 and December 2015, VATS for PSP was performed in 146 patients
in Kyungpook National University Hospital. We retrospectively reviewed the medical records of these
patients. Results: The mean follow-up duration was 13.4±6.5 months in the s-VATS group and 28.7±3.9
months in the t-VATS group. Operative time (p＜0.001), the number of staples used for the operation
(p=0.001), duration of drainage (p=0.001), and duration of the postoperative stay (p＜0.001) were significantly
lower in the s-VATS group than in the t-VATS group. There was no difference in the overall recurrence-
free survival rate between the s-VATS and t-VATS groups. Conclusion: No significant differences in
operative outcomes and recurrence rates were found between s-VATS and t-VATS for PSP. Therefore, we
cautiously suggest that s-VATS may be an appropriate alternative to t-VATS in the treatment of PSP. |
| first_indexed | 2024-12-16T11:30:20Z |
| format | Article |
| id | doaj.art-82c099cb3f3547b4a597d3f195e24ef5 |
| institution | Directory Open Access Journal |
| issn | 2233-601X 2093-6516 |
| language | English |
| last_indexed | 2024-12-16T11:30:20Z |
| publishDate | 2017-06-01 |
| publisher | Korean Society for Thoracic and Cardiovascular Surgery |
| record_format | Article |
| series | Korean Journal of Thoracic and Cardiovascular Surgery |
| spelling | doaj.art-82c099cb3f3547b4a597d3f195e24ef52022-12-21T22:33:15ZengKorean Society for Thoracic and Cardiovascular SurgeryKorean Journal of Thoracic and Cardiovascular Surgery2233-601X2093-65162017-06-0150318418910.5090/kjtcs.2017.50.3.184Mid-Term Outcomes of Single-Port versus Conventional Three-Port Video-Assisted Thoracoscopic Surgery for Primary Spontaneous PneumothoraxHanna Jung0Tak Hyuk Oh1Joon Yong Cho2Deok Heon Lee3Kyungpook National UniversityKyungpook National UniversityKyungpook National UniversityKyungpook National UniversityBackground: The benefits of video-assisted thoracoscopic surgery (VATS) have been demonstrated over the past decades; as a result, VATS has become the gold-standard treatment for primary spontaneous pneumothorax (PSP). Due to improvements in surgical technique and equipment, single-port VATS (s-VATS) is emerging as an alternative approach to conventional three-port VATS (t-VATS). The aim of this study was to evaluate s-VATS as a treatment for PSP by comparing operative outcomes and recurrence rates for s-VATS versus t-VATS. Methods: Between March 2013 and December 2015, VATS for PSP was performed in 146 patients in Kyungpook National University Hospital. We retrospectively reviewed the medical records of these patients. Results: The mean follow-up duration was 13.4±6.5 months in the s-VATS group and 28.7±3.9 months in the t-VATS group. Operative time (p＜0.001), the number of staples used for the operation (p=0.001), duration of drainage (p=0.001), and duration of the postoperative stay (p＜0.001) were significantly lower in the s-VATS group than in the t-VATS group. There was no difference in the overall recurrence- free survival rate between the s-VATS and t-VATS groups. Conclusion: No significant differences in operative outcomes and recurrence rates were found between s-VATS and t-VATS for PSP. Therefore, we cautiously suggest that s-VATS may be an appropriate alternative to t-VATS in the treatment of PSP.http://www.kjtcvs.org/journal/download_pdf.php?doi=10.5090/kjtcs.2017.50.3.184Video-assisted thoracic surgeryPneumothoraxRecurrence |
| spellingShingle | Hanna Jung Tak Hyuk Oh Joon Yong Cho Deok Heon Lee Mid-Term Outcomes of Single-Port versus Conventional Three-Port Video-Assisted Thoracoscopic Surgery for Primary Spontaneous Pneumothorax Korean Journal of Thoracic and Cardiovascular Surgery Video-assisted thoracic surgery Pneumothorax Recurrence |
| title | Mid-Term Outcomes of Single-Port versus Conventional Three-Port Video-Assisted Thoracoscopic Surgery for Primary Spontaneous Pneumothorax |
| title_full | Mid-Term Outcomes of Single-Port versus Conventional Three-Port Video-Assisted Thoracoscopic Surgery for Primary Spontaneous Pneumothorax |
| title_fullStr | Mid-Term Outcomes of Single-Port versus Conventional Three-Port Video-Assisted Thoracoscopic Surgery for Primary Spontaneous Pneumothorax |
| title_full_unstemmed | Mid-Term Outcomes of Single-Port versus Conventional Three-Port Video-Assisted Thoracoscopic Surgery for Primary Spontaneous Pneumothorax |
| title_short | Mid-Term Outcomes of Single-Port versus Conventional Three-Port Video-Assisted Thoracoscopic Surgery for Primary Spontaneous Pneumothorax |
| title_sort | mid term outcomes of single port versus conventional three port video assisted thoracoscopic surgery for primary spontaneous pneumothorax |
| topic | Video-assisted thoracic surgery Pneumothorax Recurrence |
| url | http://www.kjtcvs.org/journal/download_pdf.php?doi=10.5090/kjtcs.2017.50.3.184 |
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