Clinical Analysis Of Video-assisted Minithoracotomy Surgery In The Treatment Of Pulmonary Bulla Which Merges Spontaneous Pneumothorax

BackgroundIn1910, foreign scholars had successfully applied the endoscopic technique to pleural adhesion problem which turned up in the patient of cavitary pulmonary tuberculosis. Thereafter, scholars and experts developed this technology in various clinical specialities, which experienced from the traditional straight thoracoscope to video-assisted minithoracotomy surgery, and to video-assisted thoracoscopic surgery (VATS) Its development has entered a golden period with the development of photovoltaic technology, the improvement of the equipment, especially the invention of various surgical instruments. In China this technology has been put into use since the1990s which is widely used clinically. The technology has been recognized by the majority of patients, and the application has broad prospect.ObjectiveTo study the clinical application of video-assisted minithoracotomy surgery (VAMT) in the treatment of pulmonary bulla which merges spontaneous pneumothorax.MethodsPatients with pulmonary bulla and spontaneous pneumothorax who were similar in age,sex in our hospital were treated in groups:30cases of video-assisted minithoracotomy surgery (Jan,2010～Jan,2012),25cases of traditional thoracotomy surgery (Jan,2008～Jan,2010) and17cases of video-assisted thoracoscopic surgery (Jan,2012-Jan,2014). The operation time, blood loss, postoperative drainage, chest tube duration, length of stay and hospital costs, etc. were analysed and the advantage of video-assisted minithoracotomy surgery in the chest surgery was compared.ResultsAfter video-assisted minithoracotomy surgery,30cases of patients were recovered and discharged and there was no conversion to thoracotomy and no operative death;There was no recurrence after3months to2years follow-up; In operation time, intraoperative blood loss, postoperative, chest drain tube indwelling time, length of hospital stay, etc.,in video-assisted minithoracotomy surgery group, there was significant difference (P<0.05) compared with the traditional thoracoscope group and there was no significant difference (P>0.05) compared with completely video-assisted thoracoscope surgery group. In hospitalization costs,there was significant difference (P<0.05) video-assisted minithoracotomy surgery group compared with the traditional thoracoscope and there were significant differences (P<0.05) compared with completely video-assisted thoracoscope surgery group, video-assisted minithoracotomy surgery had the advantages of minimally invasive surgery, but hospitalization costs was lower.ConclusionVideo-assisted minithoracotomy surgery can be used wider, with advantages of less trauma, less pain, shorter hospital stay, faster recovery, fewer complications, safe, reliable, good patient compliance, low recurrence rate,etc., compared with completely video-assisted thoracoscope surgery, but the video-assisted minithoracotomy surgery can be carried out with conventional instruments, less disposable supplies used,and significantly lower cost of hospitalization compared with completely video-assisted thoracoscopic surgery, which can greatly alleviate the economic and psychological pressure on patients and their families.