초록접수 현황
| 16F-133 | 구연 발표 |
Does Single Port Thoracoscopic Surgery Provide Less Postoperative Pain in Primary Spontaneous Pneumothorax?
Hyun Woo Jeon, Young-Du Kim
Department of Thoracic and Cardiovascular Surgery, Bucheon St. Mary`s Hospital, The Catholic University College of Medicine, Gyeonggi-do, Korea
Background : Video-assisted thoracoscopic surgery (VATS) has been widely used for spontaneous pneumothorax. In recent years, Thoracic surgeons have attempted single incision or single port surgery with the development of surgical technology and skills. Theoretically, single port surgery is expected to provide benefits such as less pain and early recovery. The purpose of this study was to determine the benefits of single port surgery in spontaneous pneumothorax.
Methods : The 107 patients with spontaneous pneumothorax who underwent surgery, between July 2013 and May 2015, were reviewed retrospectively. The patients with secondary pneumothorax, who underwent open procedures and lacking of medical records were excluded. Visual analog scale, paresthesia and clinical outcomes were reviewed in 86 patients (46 patients: three-port, 40 patients: 11.5 mm guided single port).
Results : The mean age was 23.4 years in three-port and 22.4 in single port (p=0.247). The height and body weight was not significantly difference between two groups. The mean operation time was 39 minutes in three-port and 37.3 in single port without statistical difference (p=0.204). The pain score in single port surgery was significantly lower after postoperative day 1 (p=0.028). However chest tube duration time was significantly shorter in the single port group (p<0.001). After exclusion of the patients with chest tube removal within postoperative 1 day, the pain score was not significantly different at the postoperative day 1 between two groups (p=0.176). The pain score between two groups were not different at 1 week after discharge.
Conclusion : The pain score reduction was found 1 day after operation in single port group. However, the chest tube duration time was significantly shorter in the single port group. Considering young age in primary spontaneous pneumothorax, the benefit of single port surgery in spontaneous pneumothorax was minimal.
Methods : The 107 patients with spontaneous pneumothorax who underwent surgery, between July 2013 and May 2015, were reviewed retrospectively. The patients with secondary pneumothorax, who underwent open procedures and lacking of medical records were excluded. Visual analog scale, paresthesia and clinical outcomes were reviewed in 86 patients (46 patients: three-port, 40 patients: 11.5 mm guided single port).
Results : The mean age was 23.4 years in three-port and 22.4 in single port (p=0.247). The height and body weight was not significantly difference between two groups. The mean operation time was 39 minutes in three-port and 37.3 in single port without statistical difference (p=0.204). The pain score in single port surgery was significantly lower after postoperative day 1 (p=0.028). However chest tube duration time was significantly shorter in the single port group (p<0.001). After exclusion of the patients with chest tube removal within postoperative 1 day, the pain score was not significantly different at the postoperative day 1 between two groups (p=0.176). The pain score between two groups were not different at 1 week after discharge.
Conclusion : The pain score reduction was found 1 day after operation in single port group. However, the chest tube duration time was significantly shorter in the single port group. Considering young age in primary spontaneous pneumothorax, the benefit of single port surgery in spontaneous pneumothorax was minimal.
책임저자: Young-Du Kim
Department of Thoracic and Cardiovascular Surgery, Bucheon St. Mary`s Hospital, The Catholic University College of Medicine, Gyeonggi-do, Korea
발표자: Hyun Woo Jeon, E-mail : ulnazoro@catholic.ac.kr