초록접수 현황
| 16F-195 | 구연 발표 |
Feasibility of Barbed Suture Material Technique for Concomitant Wound Closure and Tube Placement in Single Port VATS for Pneumothorax
Kyung Soo Kim, Jiyun Lee, Jungsuk Choi, Jinwon Shin, Min Namkoong
Department of Thoracic and Cardiovascular Surgery, Seoul St. Mary’s Hospital, The Catholic University College of Medicine, Seoul, Korea
Background : Single port VATS has gaining the feasibility for treatment of primary spontaneous pneumothorax (PSP) due to its less invasiveness with acceptable results. We aimed to evaluate the efficacy of simple technique for wound closure and concomitant tube placement using barbed suture material in single port VATS for PSP.
Methods : Between July 2012 and December 2015, consecutive 31 patients (22 males) with a mean age of 21.4 years (range, 14-43 years) underwent single port VATS for PSP. Bilateral approach was performed in 4 patients that total 35 cases were enrolled in this study. Of them, barbed absorbable suture device was used in 17 (48.5%) cases (Group A) and conventional suture anchoring was used in 18 (51.4%) cases (Group B). Postoperative position of the chest tube was compared, and outcomes after tube placement and removal procedure were analyzed.
Results : There was no significant difference on chest tube displacement between two groups (p = 0.765). There was no significant difference in length of hospital stay (3.7 ± 1.2 vs. 4.1 ± 1.2 days, p = 0.267) and in median chest tube indwelling time (2.4 ± 0.9 vs. 3.1 ± 1.2 days, p = 0.066), respectively. There was no significant difference in operation time (41.7 ± 11.8 vs. 45.6 ± 16.0 minutes, p = 0.415). All chest tubes were easily removed with concomitant sealing the wound by just pulling the suture material. There were no wound complications in both groups for median follow up duration of 18 months.
Conclusion : Continuous suture with subsequent anchoring technique using barbed suture material achieved equivocal outcome without complications comparing the conventional suture anchoring method. We suggest this simple technique for concomitant wound closure, chest tube placement, and for easy tube removal with cosmetic wound healing in single port VATS for PSP.
Methods : Between July 2012 and December 2015, consecutive 31 patients (22 males) with a mean age of 21.4 years (range, 14-43 years) underwent single port VATS for PSP. Bilateral approach was performed in 4 patients that total 35 cases were enrolled in this study. Of them, barbed absorbable suture device was used in 17 (48.5%) cases (Group A) and conventional suture anchoring was used in 18 (51.4%) cases (Group B). Postoperative position of the chest tube was compared, and outcomes after tube placement and removal procedure were analyzed.
Results : There was no significant difference on chest tube displacement between two groups (p = 0.765). There was no significant difference in length of hospital stay (3.7 ± 1.2 vs. 4.1 ± 1.2 days, p = 0.267) and in median chest tube indwelling time (2.4 ± 0.9 vs. 3.1 ± 1.2 days, p = 0.066), respectively. There was no significant difference in operation time (41.7 ± 11.8 vs. 45.6 ± 16.0 minutes, p = 0.415). All chest tubes were easily removed with concomitant sealing the wound by just pulling the suture material. There were no wound complications in both groups for median follow up duration of 18 months.
Conclusion : Continuous suture with subsequent anchoring technique using barbed suture material achieved equivocal outcome without complications comparing the conventional suture anchoring method. We suggest this simple technique for concomitant wound closure, chest tube placement, and for easy tube removal with cosmetic wound healing in single port VATS for PSP.
책임저자: Kyung Soo Kim
Department of Thoracic and Cardiovascular Surgery, Seoul St. Mary’s Hospital, The Catholic University College of Medicine, Seoul, Korea
발표자: Kyung Soo Kim, E-mail : cskks@catholic.ac.kr