Ligation versus stapling in video-assisted thoracoscopic (VATS) bullectomy; early outcome of a low cost technqiue
Abstract Background Spontaneous pneumothorax is thoracic condition, with annual incidence of 7 to 9 cases per 100,000 people. Most of thoracic surgeons prefer minimally invasive method that uses staplers to resect bullous parenchyma, but this technique is costly. Now, the problem of rising health ca...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SpringerOpen
2023-03-01
|
| Series: | The Cardiothoracic Surgeon |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s43057-023-00098-7 |
| _version_ | 1797859839583453184 |
|---|---|
| author | Mohamed Osman Omar Hassan Linyou Zhang Mahmoud Khairy El-Haish Mohsen Saber Mohamed Ahmed Hussein Elkhayat |
| author_facet | Mohamed Osman Omar Hassan Linyou Zhang Mahmoud Khairy El-Haish Mohsen Saber Mohamed Ahmed Hussein Elkhayat |
| author_sort | Mohamed Osman Omar Hassan |
| collection | DOAJ |
| description | Abstract Background Spontaneous pneumothorax is thoracic condition, with annual incidence of 7 to 9 cases per 100,000 people. Most of thoracic surgeons prefer minimally invasive method that uses staplers to resect bullous parenchyma, but this technique is costly. Now, the problem of rising health care costs is faced by all countries all over the world. As result, preventing use of disposable consumables in video-assisted thoracic surgery (VATS) will aid in cost control. In our study, we described a new cheap technique which was VATS ligation of bullae by silk ligature and we compared it to standard technique of using staplers in VATS bullectomy. Aim of Work We aimed to investigate the results of VATS ligation of bullae by silk ligature in comparison to using staplers in VATS bullectomy. Patient & techniques This was retrospective research done on 120 studied cases at cardiothoracic surgery, 2nd Affiliated Hospital, Harbin Medical University, China and Assiut University Hospital, Egypt from March 2020 to December 2021. Results We retrospectively investigate data of 120 patients and there was no variation in patient characteristics among VATS bullectomy using staplers and VATS bullae ligation. Air leak duration and post-operative drainage were statistically significant higher in VATS bullectomy using staplers than bullae ligation. Hospital stay duration (mean = 3.800 ± 1.070 vs 4.917 ± 2.794) and complications were statistically significant higher in VATS bullectomy using staplers than thoracoscopic bullae ligation. Conclusion Treatment of spontaneous pneumothorax by thoracoscopic ligation of bullae by silk ligature is comparable to VATS bullectomy using staplers in short-term results and offers less complications and better economic results. |
| first_indexed | 2024-04-09T21:36:06Z |
| format | Article |
| id | doaj.art-ae2a2c8f20ce424eb0bf6aa130eadd41 |
| institution | Directory Open Access Journal |
| issn | 2662-2203 |
| language | English |
| last_indexed | 2024-04-09T21:36:06Z |
| publishDate | 2023-03-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | The Cardiothoracic Surgeon |
| spelling | doaj.art-ae2a2c8f20ce424eb0bf6aa130eadd412023-03-26T11:18:02ZengSpringerOpenThe Cardiothoracic Surgeon2662-22032023-03-013111810.1186/s43057-023-00098-7Ligation versus stapling in video-assisted thoracoscopic (VATS) bullectomy; early outcome of a low cost technqiueMohamed Osman Omar Hassan0Linyou Zhang1Mahmoud Khairy El-Haish2Mohsen Saber Mohamed Ahmed3Hussein Elkhayat4Cardiothoracic Surgery Department, Faculty of Medicine, South Valley UniversityThoracic Surgery Department, 2nd affiliated hospital, Harbin Medical UniversityCardiothoracic Surgery Department, Faculty of Medicine, Assiut UniversityCardiothoracic Surgery Department, Faculty of Medicine, Sohag UniversityCardiothoracic Surgery Department, Faculty of Medicine, Assiut UniversityAbstract Background Spontaneous pneumothorax is thoracic condition, with annual incidence of 7 to 9 cases per 100,000 people. Most of thoracic surgeons prefer minimally invasive method that uses staplers to resect bullous parenchyma, but this technique is costly. Now, the problem of rising health care costs is faced by all countries all over the world. As result, preventing use of disposable consumables in video-assisted thoracic surgery (VATS) will aid in cost control. In our study, we described a new cheap technique which was VATS ligation of bullae by silk ligature and we compared it to standard technique of using staplers in VATS bullectomy. Aim of Work We aimed to investigate the results of VATS ligation of bullae by silk ligature in comparison to using staplers in VATS bullectomy. Patient & techniques This was retrospective research done on 120 studied cases at cardiothoracic surgery, 2nd Affiliated Hospital, Harbin Medical University, China and Assiut University Hospital, Egypt from March 2020 to December 2021. Results We retrospectively investigate data of 120 patients and there was no variation in patient characteristics among VATS bullectomy using staplers and VATS bullae ligation. Air leak duration and post-operative drainage were statistically significant higher in VATS bullectomy using staplers than bullae ligation. Hospital stay duration (mean = 3.800 ± 1.070 vs 4.917 ± 2.794) and complications were statistically significant higher in VATS bullectomy using staplers than thoracoscopic bullae ligation. Conclusion Treatment of spontaneous pneumothorax by thoracoscopic ligation of bullae by silk ligature is comparable to VATS bullectomy using staplers in short-term results and offers less complications and better economic results.https://doi.org/10.1186/s43057-023-00098-7LigationStaplingVideo-assisted thoracoscopic (VATS)Bullectomy |
| spellingShingle | Mohamed Osman Omar Hassan Linyou Zhang Mahmoud Khairy El-Haish Mohsen Saber Mohamed Ahmed Hussein Elkhayat Ligation versus stapling in video-assisted thoracoscopic (VATS) bullectomy; early outcome of a low cost technqiue The Cardiothoracic Surgeon Ligation Stapling Video-assisted thoracoscopic (VATS) Bullectomy |
| title | Ligation versus stapling in video-assisted thoracoscopic (VATS) bullectomy; early outcome of a low cost technqiue |
| title_full | Ligation versus stapling in video-assisted thoracoscopic (VATS) bullectomy; early outcome of a low cost technqiue |
| title_fullStr | Ligation versus stapling in video-assisted thoracoscopic (VATS) bullectomy; early outcome of a low cost technqiue |
| title_full_unstemmed | Ligation versus stapling in video-assisted thoracoscopic (VATS) bullectomy; early outcome of a low cost technqiue |
| title_short | Ligation versus stapling in video-assisted thoracoscopic (VATS) bullectomy; early outcome of a low cost technqiue |
| title_sort | ligation versus stapling in video assisted thoracoscopic vats bullectomy early outcome of a low cost technqiue |
| topic | Ligation Stapling Video-assisted thoracoscopic (VATS) Bullectomy |
| url | https://doi.org/10.1186/s43057-023-00098-7 |
| work_keys_str_mv | AT mohamedosmanomarhassan ligationversusstaplinginvideoassistedthoracoscopicvatsbullectomyearlyoutcomeofalowcosttechnqiue AT linyouzhang ligationversusstaplinginvideoassistedthoracoscopicvatsbullectomyearlyoutcomeofalowcosttechnqiue AT mahmoudkhairyelhaish ligationversusstaplinginvideoassistedthoracoscopicvatsbullectomyearlyoutcomeofalowcosttechnqiue AT mohsensabermohamedahmed ligationversusstaplinginvideoassistedthoracoscopicvatsbullectomyearlyoutcomeofalowcosttechnqiue AT husseinelkhayat ligationversusstaplinginvideoassistedthoracoscopicvatsbullectomyearlyoutcomeofalowcosttechnqiue |