Small Single-Incision Thoracoscopic Surgery Using an Anchoring Suture in Patients With Primary Spontaneous Pneumothorax: A Safe and Feasible Procedure

Son, Bong Soo; Kim, Do-Hyung; Lee, Sang Kwon; Kim, Chang-Wan

doi:10.1016/j.athoracsur.2015.04.095

Cited by 19 publications

(27 citation statements)

References 27 publications

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“…In the 11.5 mm port guided single port VATS, the space is too narrow for several instruments, thus the procedure is less comfortable than multi-port VATS (4). Son et al described anchoring suture technique for single port VATS wedge resection (8). This technique is similar to our technique but our technique is easier and simpler.…”

Section: Discussionmentioning

confidence: 89%

“…Although the single port VATS has been expected to have benefits such as lesser postoperative pain and earlier recovery compared to the multi-port VATS, the clinical advantage is still unclear. Using one 2.5 cm incision with a wound protector or the SILS Port™ (Covidien, Norwalk, CT, USA) has been a common fashion for the single port VATS (7,8), and the incision was larger than the biggest incision of multi-port VATS, which made it possible to place several instruments. However, authors believed that the definition of single port VATS is to make the single incision not larger than the maximal port incision in conventional multiport VATS.…”

Section: Introductionmentioning

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: 89%

Section: Introductionmentioning

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 complications mentioned above, though rare, prompt us to improve currently existing postoperative analgesia. With the improvement of endoscopic surgical instruments and skills, comparable therapeutic results have been achieved in selected patients with a smaller incision wound (5)(6)(7)(8).…”

Section: Introductionmentioning

confidence: 96%

Management of acute postoperative pain with continuous intercostal nerve block after single port video-assisted thoracoscopic anatomic resection

Hsieh¹,

Wang²,

Liu³

et al. 2016

J. Thorac. Dis.

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Background: Effective postoperative pain control for thoracic surgery is very important, not only because it reduces pulmonary complications but also because it accelerates the pace of recovery. Moreover, it increases patients' satisfaction with the surgery. In this study, we present a simple approach involving the safe placement of intercostal catheter (ICC) after single port video-assisted thoracoscopic surgery (VATS) anatomic resection and we evaluate postoperative analgesic function with and without it.Methods: We identified patients who underwent single port anatomic resection with ICC placed intraoperatively as a route for continuous postoperative levobupivacaine (0.5%) administration and retrospectively compared them with a group of single port anatomic resection patients without ICC.The operation time, postoperative day 0, 1, 2, 3 and discharge day pain score, triflow numbers, narcotic requirements, drainage duration and post-operative hospital stay were compared.Results: In total, 78 patients were enrolled in the final analysis (39 patients with ICC and 39 without).We found patients with ICC had less pain sensation numerical rating scale (NRS) on postoperative day 0, 1 (P=0.023, <0.001) and better triflow performance on postoperative day 1 and 2 (P=0.015, 0.032). In addition, lower IV form morphine usage frequency and dosage (P=0.009, 0.017), shorter chest tube drainage duration (P=0.001) and postoperative stay (P=0.005) were observed in the ICC group.Conclusions: Continuous intercostal nerve blockade by placing an ICC intraoperatively provides effective analgesia for patients undergoing single port VATS anatomic resection. This may be considered a viable alternative for postoperative pain management.

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“…For spontaneous pneumothorax, thoracic surgeons usually apply a reduced-port thoracoscopic approach (2,3). However, the optimum method for preventing postoperative recurrence in reduced-port thoracoscopic bullectomy remains unclear.…”

Section: Introductionmentioning

confidence: 99%

Simple covering technique in thoracoscopic bullectomy for spontaneous pneumothorax

et al. 2017

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Reduced-port thoracoscopic surgery for pneumothorax has been well reported. However, the optimum method for preventing postoperative recurrence in reduced-port thoracoscopic bullectomy remains unclear. We investigated ways to improve the covering technique with reduced-port thoracoscopic bullectomy for spontaneous pneumothorax. From April to December 2016, we performed a simple covering technique with reduced-port thoracoscopic bullectomy on six patients and evaluated the surgical results and patient outcomes. All of the patients were successfully treated with the simple covering technique, and none had a postoperative ipsilateral recurrence of pneumothorax. Our method is a simple and easy technique involving the wide reinforcement of the staple line and may be effective in reducing the risk of postoperative recurrence in reduced-port thoracoscopic bullectomy.

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Small Single-Incision Thoracoscopic Surgery Using an Anchoring Suture in Patients With Primary Spontaneous Pneumothorax: A Safe and Feasible Procedure

Abstract: Small (<2 cm) single-incision thoracoscopic surgery using a wound protector and a bidirectional anchoring suture was safe and feasible and yielded acceptable outcomes for treating primary spontaneous pneumothorax.

Cited by 19 publications

References 27 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?

Management of acute postoperative pain with continuous intercostal nerve block after single port video-assisted thoracoscopic anatomic resection

Simple covering technique in thoracoscopic bullectomy for spontaneous pneumothorax

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