|
KMID : 0364020160490020080
|
|
Korean Journal of Thoracic and Cardiovascular Surgery
2016 Volume.49 No. 2 p.80 ~ p.84
|
|
|
Outcomes of the Tower Crane Technique with a 15-mm Trocar in Primary Spontaneous Pneumothorax
|
|
Chong Yoo young
Cho Hyun-Jin
Kang Shin-Kwang
Na Myung-Hoon
Yu Jae-Hyeon
Lim Seung-Pyung
Kang Min-Woong
|
|
|
Abstract
|
|
|
Background: Video-assisted thoracoscopic surgery (VATS) pulmonary wedge resection has emerged as the standard treatment for primary spontaneous pneumothorax. Recently, single-port VATS has been introduced and is now widely performed. This study aimed to evaluate the outcomes of the Tower crane technique as novel technique using a 15-mm trocar and anchoring suture in primary spontaneous pneumothorax.
Methods: Patients who underwent single-port VATS wedge resection in Chungnam National University Hospital from April 2012 to March 2014 were enrolled. The medical records of the enrolled patients were reviewed retrospectively.
Results: A total of 1,251 patients were diagnosed with pneumothorax during this period, 270 of whom underwent VATS wedge resection. Fifty-two of those operations were single-port VATS wedge resections for primary spontaneous pneumothorax performed by a single surgeon. The median age of the patients was 19.3±11.5 years old, and 43 of the patients were male. The median duration of chest tube drainage following the operation was 2.3±1.3 days, and mean postoperative hospital stay was 3.2±1.3 days. Prolonged air leakage for more than three days following the operation was observed in one patient. The mean duration of follow-up was 18.7±6.1 months, with a recurrence rate of 3.8%.
Conclusion: The tower crane technique with a 15-mm trocar may be a promising treatment modality for patients presenting with primary spontaneous pneumothorax.
|
|
|
KEYWORD
|
|
|
Pneumothorax, Video-assisted thoracic surgery
|
|
|
FullTexts / Linksout information
|
|
 
|
|
|
Listed journal information
|
|
  
|