scholarly journals The advantages of video-assisted thoracoscopic surgery compared to thoracic drainage in the treatment of primary spontaneous pneumothorax

2019 ◽  
Vol 147 (3-4) ◽  
pp. 181-184
Author(s):  
Aleksandar Ristanovic ◽  
Dejan Stojkovic ◽  
Vanja Kostovski ◽  
Nebojsa Maric ◽  
Natasa Vesovic ◽  
...  
Keyword(s):  
Spontaneous Pneumothorax ◽  
Thoracoscopic Surgery ◽  
Intraoperative Complications ◽  
Video Assisted ◽  
Military Medical Academy ◽  
Thoracic Drainage ◽  
Significant Difference ◽  
Duration Of Surgery ◽  
The Military ◽  
Video Assisted Thoracoscopic Surgery

Introduction/Objective. The aim of the study is to analyze the treatment of spontaneous pneumothorax (PSP) through our 10-year experience. Methods. The study included 67 patients with PSP treated with video-assisted thoracoscopic surgery (VATS) or with thoracic drainage (TD) in the Clinic for Chest Surgery at the Military Medical Academy in Belgrade, Serbia in the 2008?2017 period. Results. PSP patients with VATS were younger (33.2 ? 16.4 vs. 45.5 ? 21.5 years, p = 0.010), and both groups consisted mainly of males (69.2% vs. 78%). VATS-treated patients were hospitalized shorter and wore drains (p < 0.001, p < 0.002). Recurrence after treatment was more common after TD (61% vs. 3.8%) and in most cases it was treated with VATS (92%). The incidence of intraoperative complications is similar between groups (p = 0.599, p = 0.636, p = 0.311, p = 0.388, p = 0.388, respectively). Pain was more common in TD (p < 0.001). The early complications in the group of patients treated with TD occurred more often (p < 0.001, p < 0.001), without significant difference in the incidence of pleura infections and intercostal blockade between groups (p = 0.388, p = 0.388, respectively). Patients treated for PSP with the VATS method came to the control follow-up later, compared to patients treated with TD (p < 0.001). Conclusion. VATS proved to be efficient, which was reflected in the optimal duration of surgery, length of hospitalization, tolerable postoperative pain and satisfactory cosmetic effect, and postsurgical relapse in only one case.

scholarly journals Uniportal Versus Needlescopic Video-Assisted Thoracoscopic Surgery for Primary Spontaneous Pneumothorax: A Comparable Study

2021 ◽  
Author(s):  
Jen-Hao Chuang ◽  
Hsao-Hsun Hsu ◽  
Mong-Wei Lin ◽  
Pei-Ming Huang ◽  
Shuenn-Wen Kuo ◽  
...  
Keyword(s):  
Spontaneous Pneumothorax ◽  
Thoracoscopic Surgery ◽  
University Hospital ◽  
Definitive Treatment ◽  
Common Disease ◽  
Video Assisted ◽  
Post Operative Pain ◽  
Alternative Approach ◽  
Significant Difference ◽  
Video Assisted Thoracoscopic Surgery

Abstract Objectives:Primary spontaneous pneumothorax (PSP) is a common disease in young and thin male. Operation has been regarded as definitive treatment for it. However, the operative methods for those patients are under dispute. Our study is aimed to compare the uniportal VATS versus needlescopic VATS for PSP patients in our institute.Methods:From July 2013 to December 2017, the patients who underwent video-assisted thoracic surgery for pneumothorax in National Taiwan University Hospital were retrospectively collected. The preoperative condition, surgical results, and postoperative outcomes was analyzed.Results:There were 60 patients undergoing needlescopic VATS and 91 undergoing uniportal VATS during the study period. There was no significant difference between the patients who underwent needlescopic VATS and those who underwent uniportal VATS in their demorgraphic and clinical characteristics. The post-operative pain score was significantly lower in the uniportal VATS group compared to the mini VATS group at day 1 (2.65 ± 1.59 vs. 1.74 ± 1.35, p = 0.001).Conclusion:We have shown that uniportal VATS is an effective and a safe treatment for PSP patients, and it is comparable to needlescopic VATS. Based on these results, we believe that uniportal VATS using a wound protector can be used as an alternative approach for PSP.

scholarly journals Comparison of video-assisted thoracoscopic surgery and standard surgical approach in treatment malignant thymus tumor stage I and II - propensity score analysis

2020 ◽  
Vol 148 (9-10) ◽  
pp. 548-553
Author(s):  
Vanja Kostovski ◽  
Milena Pandrc ◽  
Aleksandar Ristanovic ◽  
Dejan Stojkovic ◽  
Nebojsa Maric ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Propensity Score ◽  
Propensity Score Analysis ◽  
Thoracoscopic Surgery ◽  
Surgical Techniques ◽  
Perioperative Outcomes ◽  
Video Assisted ◽  
Thoracic Drainage ◽  
Significant Difference ◽  
Video Assisted Thoracoscopic Surgery

Introduction/Objective. Besides sternotomy, video-assisted thoracoscopic surgery (VATS) is used for thymus tumors treatment. The objective of our study was to compare oncological and perioperative outcomes in patients with I?II stage of thymic tumors treated with VATS or standard sternotomy procedures. Method. The study included only primary I?II thymoma according to the Masaoka classification, treated between May 2006 and February 2018. Out of 116 treated patients that had pathohistologically verified stage, 100 (86.2%) were matched by propensity score for sex, age, body mass index, myasthenia, tumor size, Masaoka classification stage. Oncological (direct post-operative survival, recurrence) and perioperative outcomes (intraoperative and postoperative complications, length of hospitalization) that affect the efficacy and safety of surgical techniques have been analyzed and compared between the two groups. Results. Among 50 patients operated by VATS, 34 patients (68%) were treated by uniportal approach, 13 (26%) by biportal and three (6%) by threeportal approach. The VATS intervention had shorter intervention time (p < 0.001), duration of hospitalization (p < 0.001), and usage of thoracic drainage (p < 0.001). There was a significant difference in terms of late control (p < 0.001). There was no significant difference between the groups regarding visual analogue scale score, as well as in terms of the time of recurrence (p = 0.305, p = 0.268). Conclusion. Compared to standard sternotomy, VATS thymectomy is an equally effective and significantly safer method with a minimum rate of intra and postoperative complications.

Recurrence following video-assisted thoracoscopic surgery for spontaneous pneumothorax.

1999 ◽  
Vol 13 (1) ◽  
pp. 27-31
Author(s):  
Keiji Kushibe ◽  
Kunimoto Nezu ◽  
Takashi Tojo ◽  
Makoto Takahama ◽  
Shigeki Taniguchi ◽  
...  
Keyword(s):  
Spontaneous Pneumothorax ◽  
Thoracoscopic Surgery ◽  
Video Assisted ◽  
Video Assisted Thoracoscopic Surgery

Management of the Pediatric Spontaneous Pneumothorax: The Role of Video-Assisted Thoracoscopic Surgery

2020 ◽  
Vol 30 (5) ◽  
pp. 569-575
Author(s):  
Zenon Pogorelić ◽  
Ružica Gudelj ◽  
Dora Bjelanović ◽  
Miro Jukić ◽  
Sara Elezović Baloević ◽  
...  
Keyword(s):  
Spontaneous Pneumothorax ◽  
Thoracoscopic Surgery ◽  
Video Assisted ◽  
Video Assisted Thoracoscopic Surgery
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