One-port video-assisted thoracic surgery versus three-port video-assisted thoracic surgery for primary spontaneous pneumothorax: a meta-analysis

Xu, Wenxian; Wang, Yan; Shen, Jianping; Mo, Lanying; Jiang, Tao

doi:10.1007/s00464-016-4940-8

Cited by 19 publications

(23 citation statements)

References 23 publications

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“…The Single port VATS is expected to reduce postoperative pain compared with the conventional VATS because it involves only one intercostal nerve damage; however, clinical benefit remains unclear. When there is no large randomized and prospective study, there are meta-analyzes about postoperative pain after single port and multiport VATS in the primary SP (16)(17)(18). Among those, two meta-analyzes concluded that the single port VATS have shown reduction of pain compared with three-port VATS (16,17), while the other showed that single port VATS had minimal effect of postoperative pain due to heterogeneity, including various surgical techniques and skin incisions (18).…”

Section: Discussionmentioning

confidence: 99%

“…When there is no large randomized and prospective study, there are meta-analyzes about postoperative pain after single port and multiport VATS in the primary SP (16)(17)(18). Among those, two meta-analyzes concluded that the single port VATS have shown reduction of pain compared with three-port VATS (16,17), while the other showed that single port VATS had minimal effect of postoperative pain due to heterogeneity, including various surgical techniques and skin incisions (18). Most literatures had 1.5-3 cm skin incisions of single port VATS for minor thoracic surgery (16), and we believe that, the ambiguity of terminology defining the single port (uniportal) VATS caused ununiformed conclusions.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Does 11.5 mm guided single port surgery has clinical advantage than multi-port thoracoscopic surgery in spontaneous pneumothorax?

Jeon¹,

Kim²

2016

J. Thorac. Dis.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Does 11.5 mm guided single port surgery has clinical advantage than multi-port thoracoscopic surgery in spontaneous pneumothorax?

Jeon¹,

Kim²

2016

J. Thorac. Dis.

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“…The procedure aims to inspect the entire pleural cavity, detect the lesion in the parenchyma, [2] resolve the lesion, achieve a chemical pleurodesis with fibrogenetic effect and suppression of pleural space [30] and effective drainage of the pleural cavity [31].…”

Section: Video Assisted Thoracoscopic Surgery (Vats)mentioning

confidence: 99%

Spontaneous Pneumothorax - Therapeutic Attitude - Brief Review

Nistor¹,

Ciuche²,

Stanciu-Gavan³

2020

IJCTS

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Background: Spontaneous pneumothorax is a type of air collection in the pleural cavity that it develops in the absence of trauma or an iatrogenic cause. It may become an emergency in thoracic surgery. The anatomical substrate of spontaneous pneumothorax is represented by blisters. But we must not minimize the emphysema bubbles that appear in the lung parenchyma, which may also be a common cause of spontaneous pneumothorax. In order to appear the spontaneous pneumothorax, it is considered necessary to have an area of minimal resistance in the visceral pleura and also a triggering element. For decades, the therapeutic options are been discussed. Objectives: literature review and updating of scientific data Method: The management of conservative treatment is known, ambulatory air aspiration, drain tube installation, video-assisted thoracoscopic surgery The use of chemical pleurodesis-betadine versus talc and mechanical-pleural abrasion, resection of blisters or ligature at their base, apical pleurectomy, are therapeutic options that are custom applied for each case. The current diagnostic and treatment guidelines have been designed about 10 years ago and with a little change. Results: We support the use as a chemical agent of betadine to prevent recurrences with a similar effect to that of talc. We concluded that the introduction of betadine into the drain tube after minimal pleurotomy for symphysis, can sometimes lead to local pain, sometimes atrocious, unbearable, even simulating the myocardial infarction pain. Therefore, before applying the chemical, we recommend the systemic analgesics and local analgesic from the amide group. Video-assisted thoracic surgery is the main surgical technique for treating pneumothorax in order to prevent recurrences. Conclusions-We considered necessary a mini-revision of the literature in order to update the scientific data and the effective treatment methods with the mention of some own amendments regarding the therapeutic options.

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“…Conventional three-port VATS has advantage in hospital stay, postoperative pain, and chest drainage time. In 2005, Dr. Gaetano Rocco used simple-port VATS for the first time, a technique that requires a minimum incision of approximately 3 cm and facilitates the postoperative recovery of the patient, compared with three-port VATS [53].…”

Section: Video-assisted Thoracoscopic Surgery (Vats)mentioning

confidence: 99%

Primary Spontaneous Pneumothorax, a Clinical Challenge

Vallejo¹,

Romero²,

Mejia³

et al. 2019

Pneumothorax

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Primary spontaneous pneumothorax (PSP) is a common disease in medical practice that affects young healthy people with a significant recurrence rate. PSP is the presence of air in the pleural space not caused by injury or medical intervention. Some risk factors include male gender, age, and smoking. Classic clinical presentation starts with acute-onset chest pain and shortness of breath. Physical examination can be normal in small pneumothoraces, but in larger pneumothoraces, breath sounds and tactile fremitus are typically decreased or absent, and percussion is hyperresonant. Chest X-ray can help confirm the diagnosis. Evacuation of air from the pleural cavity and prevention of future recurrences are the primary goals of treatment and depend on the patient's presentation. Initial deciding factors to direct the management are first-time or recurrent spontaneous pneumothorax and size of the pneumothorax. Treatment may include conventional chest tube drainage, video-assisted thoracoscopic surgery (VATS), or open surgery.

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One-port video-assisted thoracic surgery versus three-port video-assisted thoracic surgery for primary spontaneous pneumothorax: a meta-analysis

Abstract: Current evidence suggests that one-port VATS may have certain advantages over three-port VATS for PSP. More large-scale and high-quality studies are needed for authentication.

Cited by 19 publications

References 23 publications

Does 11.5 mm guided single port surgery has clinical advantage than multi-port thoracoscopic surgery in spontaneous pneumothorax?

Does 11.5 mm guided single port surgery has clinical advantage than multi-port thoracoscopic surgery in spontaneous pneumothorax?

Spontaneous Pneumothorax - Therapeutic Attitude - Brief Review

Primary Spontaneous Pneumothorax, a Clinical Challenge

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