초록접수 현황
| 14F-212 | 포스터 발표 |
Outcomes of the Single Port VATS Pulmonary Wedge Resection (Tower Crane Technique) in Primary Spontaneous Pneumothorax
정유영, 한성준, 이연주, 강신광, 나명훈, 유재현, 임승평, 강민웅
Department of Thoracic and Cardiovascular Surgery, School of Medicine, Chungnam National University, Daejeon, Republic of Korea
Background : The minimally invasive surgery via VATS has recently increasing with the single port VATS. Since March 2012, our hospital was performed pulmonary wedge resection, anatomical segmentectomy, lobectomy and mediastinal mass excision with single port VATS procedure (154 cases). This study aimed to evaluate single surgeon, single institution outcomes of single port VATS pulmonary wedge resection with Tower crane technique in primary spontaneous pneumothorax.
Methods : From April 2012 to March 2014, 52 patients underwent single port VATS wedge resection with Tower crane technique. This procedure performed with 15mm Thoraport®(15mm incision), 30 degree 5mm thoracoscope, 0-0 vicryl, endo GIA(Covedien, tristapler®). Usually, 15mm thoraport inserted at mid axillary line with 6 or 7th intercostal space and thoracoscope and endo GIA inserted through 15mm Thoraport®. For the lung mobilization, 0-0 vicryl insert at the 2 intercostal spaces up from the thoraport insertion site and anchoring suture was done at infront of the target lesion. The medical records were retrospectively reviewed for the age, sex, surgical complication, the median operative time, the median length of chest tube drainage, the postoperative hospital stay, the mean pain score using Visual Analog Scale (VAS), duration of follow-up and recurrence.
Results : The median age was 19.25±11.45 years old and male was 43 of 52 patients. The left side was 25 and right was 27 of 52 patients. There was no mortality and bleeding complication. Prolonged air leakage more than 3 days after operation was in 1(1.9%) patient. The mean operative time was 34.28±11.47 minutes, the median length of chest tube drainage was 2.28±1.25 days, the postoperative hospital stay was 3.17±1.34 days, and the mean pain score was 2.26±0.81. There was no operation site wound problem. The mean duration of follow-up was 12.26±6.09 (range, 4-28) months, and recurrence rate was 3.84%(2/52) in follow up period.
Conclusion : Single port VATS wedge resection (Tower crane) could be one of the good treatments modality for the selected patients of primary spontaneous pneumothorax. For evaluation of efficacy of single port VATS wedge resection in primary spontaneous pneumothorax, anterograde randomized trial will be needed compare with traditional VATS pulmonary wedge resection procedure.
Methods : From April 2012 to March 2014, 52 patients underwent single port VATS wedge resection with Tower crane technique. This procedure performed with 15mm Thoraport®(15mm incision), 30 degree 5mm thoracoscope, 0-0 vicryl, endo GIA(Covedien, tristapler®). Usually, 15mm thoraport inserted at mid axillary line with 6 or 7th intercostal space and thoracoscope and endo GIA inserted through 15mm Thoraport®. For the lung mobilization, 0-0 vicryl insert at the 2 intercostal spaces up from the thoraport insertion site and anchoring suture was done at infront of the target lesion. The medical records were retrospectively reviewed for the age, sex, surgical complication, the median operative time, the median length of chest tube drainage, the postoperative hospital stay, the mean pain score using Visual Analog Scale (VAS), duration of follow-up and recurrence.
Results : The median age was 19.25±11.45 years old and male was 43 of 52 patients. The left side was 25 and right was 27 of 52 patients. There was no mortality and bleeding complication. Prolonged air leakage more than 3 days after operation was in 1(1.9%) patient. The mean operative time was 34.28±11.47 minutes, the median length of chest tube drainage was 2.28±1.25 days, the postoperative hospital stay was 3.17±1.34 days, and the mean pain score was 2.26±0.81. There was no operation site wound problem. The mean duration of follow-up was 12.26±6.09 (range, 4-28) months, and recurrence rate was 3.84%(2/52) in follow up period.
Conclusion : Single port VATS wedge resection (Tower crane) could be one of the good treatments modality for the selected patients of primary spontaneous pneumothorax. For evaluation of efficacy of single port VATS wedge resection in primary spontaneous pneumothorax, anterograde randomized trial will be needed compare with traditional VATS pulmonary wedge resection procedure.
책임저자: 강민웅
Department of Thoracic and Cardiovascular Surgery, School of Medicine, Chungnam National University, Daejeon, Republic of Korea
연락처 : 정유영, Tel: 042-280-7374 , E-mail : yooychong@gmail.com
