Low-cost of uniportal thoracoscopic surgery for primary spontaneous pneumothorax

Objective: Single-incision thoracoscopic surgery is a favorable treatment choice for primary spontaneous pneumothorax, and manual ligation of the bleb during thoracoscopic surgery appears to offer better economic results. In this study we undertook ligation of the bleb by hand under uniportal thorac...

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Main Author: Ansheng Mo
Format: Article
Language:English
Published: Elsevier 2019-01-01
Series:Respiratory Medicine Case Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S221300711930067X
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author Ansheng Mo
author_facet Ansheng Mo
author_sort Ansheng Mo
collection DOAJ
description Objective: Single-incision thoracoscopic surgery is a favorable treatment choice for primary spontaneous pneumothorax, and manual ligation of the bleb during thoracoscopic surgery appears to offer better economic results. In this study we undertook ligation of the bleb by hand under uniportal thoracoscopic surgery for primary spontaneous pneumothorax. Methods: Between June 2015 and December 2016, a series of 26 patients with primary spontaneous pneumothorax underwent hand ligation of blebs using the technology of uniportal thoracoscopy, followed by pleural abrasion as necessary. Results: No case was converted to two- or three-port video-assisted thoracoscopic surgery during the operation. No patients experienced prolonged (>5 days) air leakage. No other complication was recorded. No recurrence of pneumothorax was encountered during 29–47 months follow-up. Compared with the group treated by bullectomy using stapler, we found a significant reduction in medical costs in the group with bleb ligation. Conclusions: Ligation of the bleb by hand under uniportal thoracoscopic surgery for primary spontaneous pneumothorax is a safe and offers better economic results, which is applicable for low income family. Keywords: Uniportal video-assisted thoracic surgery, Primary spontaneous pneumothorax, Ligation, Medical costs
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spelling doaj.art-cd7a6786115d4e3b82aa6d6230cc78792022-12-22T00:28:06ZengElsevierRespiratory Medicine Case Reports2213-00712019-01-0128Low-cost of uniportal thoracoscopic surgery for primary spontaneous pneumothoraxAnsheng Mo0Department of Cardiothoracic Surgery, First Affiliated Hospital of Guangxi Traditional Chinese Medical University, No. 89-9 Dongge Road, Nanning City, Nanning, 530001, Guangxi Zhuang Autonomous Region, ChinaObjective: Single-incision thoracoscopic surgery is a favorable treatment choice for primary spontaneous pneumothorax, and manual ligation of the bleb during thoracoscopic surgery appears to offer better economic results. In this study we undertook ligation of the bleb by hand under uniportal thoracoscopic surgery for primary spontaneous pneumothorax. Methods: Between June 2015 and December 2016, a series of 26 patients with primary spontaneous pneumothorax underwent hand ligation of blebs using the technology of uniportal thoracoscopy, followed by pleural abrasion as necessary. Results: No case was converted to two- or three-port video-assisted thoracoscopic surgery during the operation. No patients experienced prolonged (>5 days) air leakage. No other complication was recorded. No recurrence of pneumothorax was encountered during 29–47 months follow-up. Compared with the group treated by bullectomy using stapler, we found a significant reduction in medical costs in the group with bleb ligation. Conclusions: Ligation of the bleb by hand under uniportal thoracoscopic surgery for primary spontaneous pneumothorax is a safe and offers better economic results, which is applicable for low income family. Keywords: Uniportal video-assisted thoracic surgery, Primary spontaneous pneumothorax, Ligation, Medical costshttp://www.sciencedirect.com/science/article/pii/S221300711930067X
spellingShingle Ansheng Mo
Low-cost of uniportal thoracoscopic surgery for primary spontaneous pneumothorax
Respiratory Medicine Case Reports
title Low-cost of uniportal thoracoscopic surgery for primary spontaneous pneumothorax
title_full Low-cost of uniportal thoracoscopic surgery for primary spontaneous pneumothorax
title_fullStr Low-cost of uniportal thoracoscopic surgery for primary spontaneous pneumothorax
title_full_unstemmed Low-cost of uniportal thoracoscopic surgery for primary spontaneous pneumothorax
title_short Low-cost of uniportal thoracoscopic surgery for primary spontaneous pneumothorax
title_sort low cost of uniportal thoracoscopic surgery for primary spontaneous pneumothorax
url http://www.sciencedirect.com/science/article/pii/S221300711930067X
work_keys_str_mv AT anshengmo lowcostofuniportalthoracoscopicsurgeryforprimaryspontaneouspneumothorax