Nonintubated transareolar single-port thoracic sympathicotomy with a needle scope in a series of 85 male patients

Chen, Jianfeng; Lin, Jianbo; Tu, Yuan-rong; Lin, Min; Li, Xu; Lai, Fan-Cai; Du, Qingyou; Dai, Yifei

doi:10.1007/s00464-015-4628-5

Cited by 8 publications

(3 citation statements)

References 35 publications

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“…[9][10][11][12][13][14][15] It has been advocated as an alternative to conventional intubated anesthesia for a variety of VATS procedures. 12,16,17 Our experience mirrored that of previous studies, demonstrating that patients operated under SV-VATS had a shorter postoperative recovery time and were able to eat and mobilize earlier compared with the conventional endotracheal ventilation VATS approach. 18,19 However, whether the SV-VATS technique can offer benefits for tracheal surgery is unknown.…”

supporting

confidence: 73%

Thoracoscopic surgery for tracheal and carinal resection and reconstruction under spontaneous ventilation

Jiang

Lee

González-Rivas

et al. 2018

The Journal of Thoracic and Cardiovascular Surgery

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supporting

confidence: 73%

Thoracoscopic surgery for tracheal and carinal resection and reconstruction under spontaneous ventilation

Jiang

Lee

González-Rivas

et al. 2018

The Journal of Thoracic and Cardiovascular Surgery

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“…Our study did not show specific postoperative complications correlated with using transareolar ports, which was similar to other previous studies using transareolar approach for thoracic surgeries (15)(16)(17).…”

Section: A B Csupporting

confidence: 92%

Feasibility of thoracoscopic pulmonary bullectomy using a transareolar approach for treatment of primary spontaneous pneumothorax

et al. 2020

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Background: Primary spontaneous pneumothorax (PSP) is a common disease among young patients, particularly men. While the most common thoracoscopic approach is triportal, the transareolar approach is rare. In this study, we prospectively investigated the feasibility of thoracoscopic pulmonary bullectomy using a transareolar approach for treatment of PSP. Methods: Ten patients with PSP who underwent thoracoscopic transareolar pulmonary bullectomy were prospectively enrolled in this study between September 2017 and March 2018. For all 10 patients, we evaluated the perioperative outcomes, postoperative complications, recurrence, wound-related pain, and cosmetic satisfaction regarding the surgical wound. Results: The mean patient age was 18.9±4.2 years; three patients were affected on the right side and seven patients were affected on the left side. Bullae and blebs were localized at the apex of the affected lung in all patients. All procedures were completed using a transareolar approach without additional ports or conversion to thoracotomy in any patient. The mean operative time was 39.8±8.6 min. The mean volume of blood lost during surgery was extremely small in all patients. The duration of postoperative drainage was 1 day, while the length of postoperative hospital stay was 2 days in all patients. No morbidities or recurrence of PSP occurred during the study period. The mean cosmetic satisfaction scores of the surgical wound were 3.3 and 3.2 on postoperative day (POD) 7 and at postoperative month (POM) 12. The mean NRS score was 1.5 on POD 7. All patients were pain-free at POM 12. Conclusions: Transareolar thoracoscopic pulmonary bullectomy for treatment of PSP is feasible and safe, with a high degree of satisfaction for postoperative pain and cosmetics. This new approach could be a novel option for surgical treatment of PSP.

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“…However, the disadvantage is that the carbon dioxide cannot be used to form an artificial pneumothorax, and the operative field is not well exposed. In the previous reported studies (15,16), rigid thoracoscope was used in ETS, both thoracoscope and electrocoagulation hook were inserted in the same incision during the surgical operation, which occasionally caused intrathoracic operation inconvenience and intercostals nerve injury, resulting in postoperative chest pain. As part of the continuing development of endoscopic surgery, a flexible endoscope has recently been designed for the diagnosis and treatment of thoracic diseases (17), wherein the instrumental flexibility allows intrathoracic navigation by minimally invasive approaches.…”

Section: Introductionmentioning

confidence: 99%

Transareolar single-port endoscopic thoracic sympathectomy with a flexible endoscope for primary palmar hyperhidrosis: a prospective randomized controlled trial

Lin¹,

Kang

Chen³

et al. 2020

Ann Transl Med

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Background: Transareolar single-port endoscopic thoracic sympathectomy (ETS) with a flexible endoscope has rarely been reported. This study assessed the performance of this novel minimally invasive technique for primary palmar hyperhidrosis (PPH).Methods: From January 2019 to September 2019, 118 males with severe PPH requiring single-port and bilateral ETS were randomly allocated to undergo transareolar ETS using a flexible endoscope (group A, n=58) or transaxillary ETS using a 5 mm thoracoscope (group B, n=60).Results: Both groups had similar patient characteristics. All procedures were performed successfully, with no mortality or conversion to open surgery. All patients had dry and warm palms immediately after surgery.Compared with group B, group A had a significantly shorter median incision length [5.

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Nonintubated transareolar single-port thoracic sympathicotomy with a needle scope in a series of 85 male patients

Abstract: Nonintubated transareolar single-port needlescopic thoracic sympathicotomy is a safe, effective and minimally invasive therapeutic procedure, which can be performed in routine clinical practice for male PPH patients.

Cited by 8 publications

References 35 publications

Thoracoscopic surgery for tracheal and carinal resection and reconstruction under spontaneous ventilation

Thoracoscopic surgery for tracheal and carinal resection and reconstruction under spontaneous ventilation

Feasibility of thoracoscopic pulmonary bullectomy using a transareolar approach for treatment of primary spontaneous pneumothorax

Transareolar single-port endoscopic thoracic sympathectomy with a flexible endoscope for primary palmar hyperhidrosis: a prospective randomized controlled trial

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