Clinical Analysis Of Video-assisted Thoracoscopic In The Treatment Of Spontaneous Pneumothorax With Single Port.

Objective Spontaneous pneumothorax is a common diseases of thoracic surgery. It occurs in young, more acute onset, often life-threatening predilection. As technology advances, video-assisted thoracoscopic surgery(VATS) technique is getting more and more widely application in the diagnosis and treatment of thoracic disease, and playing more extensive role in the related diseases therapeutic areas. VATS has been widely used in the treatment of spontaneous pneumothorax. The purpose of this clinical analysis is to review thoracoscopic pulmonary resection with the perioperative clinical effects of single port in the surgical treatment of spontaneous pneumothorax.Methods We retrospectively analyzed the clinical data of 121 patients with spontaneous pneumothorax who underwent complete VATS pulmonary resection from January 2012 to January 2015 in the First Affiliated Hospital of Dalian medical university(male 110, female 11;mean age 28.09±12.00 years old). 44 patients with spontaneous pneumothorax who underwent single port completely thoracoscopic treatment(“1-port VATS” group, including 44 cases of male patients and 3 female patients, mean age 25.23 ± 8.34 years) compared with 37 patients with spontaneous pneumothorax who underwent single unility port completely thoracoscopic treatment(“2-port VATS” group, including 32 cases of male patients and 5 female patients, mean age 30.03 ± 14.13 years),and 40 patients with spontaneous pneumothorax who underwent conventional 3-port VATS pulmonary resection(“3-port VATS” group, including 37 cases of male patients, and 3 female patients cases, with an average age of 20.45 ± 12.92 years).Compared the total postoperative chest drainage, postoperative thoracic drainage tube indwelling time, postoperative hospital stay and postoperative complications statistical indicators for “1-port VATS” group and the “2-port VATS” group,“3-port VATS” group by SPSS statistical software such as the T-test and x2-test.Results No perioperative death occurred in three groups.“1-port VATS” group average total postoperative chest drainage 427.27ml±420.85 ml, average thoracic drainage tube indwelling time 3.91±2.44 days, average postoperative hospital stay 6.50±3.15 days,9 cases of postoperative complications; “2-port VATS” group average total chest drainage 519.19±264.20 ml, average thoracic drainage tube indwelling time 3.81±1.58 days, postoperative hospital stay 6.40 ± 2.42 days, four cases of postoperative chest complications; “3-port VATS” group average total postoperative chest drainage 794.25±886.94 ml, average thoracic drainage tube indwelling time of 4.15±2.36 days, average postoperative hospital stay 7.58 ± 5.92 days, 5 cases of postoperative complications.There were no statistical difference in total postoperative chest drainage, postoperative thoracic drainage tube indwelling time, postoperative hospital stay and postoperative complications between “1-port VATS” group and “2-port VATS ”group(P>0. 05).There were statistical differences between “1-port VATS” group and “3-port VATS” group in total postoperative chest drainage(P<0. 05).Conclusion Complete VATS pulmonary resection with single port is an effective way in the treatment of spontaneous pneumothorax.