Abstract：Objective To study the feasibility and clinical value of single utility port complete video-assisted thoracoscopic surgery (VATS) to treat pulmonary bulla. Methods We retrospectively analyzed 106 pulmonary bulla patients treated with VATS. 51 patients received single utility port complete VATS (single-port group) and 55 patients received three port VATS (three-port group). The operation time, wound size, blood loss, post-operative drainage time and volume, post-operative hospital stay and assessment of pain between two groups were compared. Results All the patients underwent thoracic operation successfully, there was no statistically significant difference in operation time and blood lost between the two groups; Compared with control group, the length of the incision in observation group was shorter [(4.1±0.39)cm vs (4.9±0.46) cm], the tube drainage was less[(186±79)ml vs(219±80)ml], and the thoracic tube sustain less longer[(2.3±1.6) d vs(2.9±1.6)d]. The post-operative pain level compared with the control group was statistically significant. Conclusions The single utility port complete VATS is feasible in the treatment of pulmonary bulla and can improve the quality of life for patients.
张正旭,黄大伟,宋传健,侯延君,蔡航,姜长滨. 单孔法与三孔法胸腔镜肺大疱切除术疗效比较[J]. 武警医学, 2014, 25(10): 1015-1017.
ZHANG Zhengxu, HUANG Dawei, SONG Chuanjian, HOU Yanjun, CAI Hang,JIANG Changbin. Efficacy comparison of single utility port and three port video-assisted thoracoscopic surgery to treat pulmonary bulla. Med. J. Chin. Peop. Armed Poli. Forc., 2014, 25(10): 1015-1017.
Migliore M.Efficacy and safety of single-trocar technique for minimally invasive surgery of the chest in the treatment of noncomplex pleural disease[J].Thorac Cardiovase Surg,2003,126(5):1618-1623.
[8]
Chang A C.Awake single-access (uniportal) video-assisted thoracoscopic surgery for peripheral pulmonary nodules in a complete ambulatory setting[J].Ann Thorac Surg,2010,89(5):1625-1626.
Berlanga L A,Gigirey O.Uniportal video-assisted thoracic surgery for primary spontaneous pneumothorax using a single-incision laparoscopic surgeryport:a feasible and safe procedure[J].Surg Endosc,2011,25(6):2044-2047.
[4]
Best S L,Tracy C R,Cadeddu J A.Laparoendoscopic single-site surgery and natural orifice transluminal endoscopic surgery:future perspectives[J].BJU Int,2010,106(6):941-944.
[10]
Chen P R,Chen C K,Lin Y S,et al.single-incision thoracoscopic surgery for primary spontaneous pneumothorax[J].J Cardiothorac Surg,2011,6:58.
Salati M,Brunelli A,Xiumè F,et al.Uniportal video-assisted thoracic surgery for primary spontaneous pneumothorax:clinical and economic analysis in comparison to the traditional approach[J].Inter Cardiovasc Thorac Surg,2008,7(1):63-66.
[6]
Autorino R,Stein R J,Lima E,et al.Current status and future perspectives in laparoendoscopic single-site and natural orifice transluminal endoscopic urological surgery[J].Int J Urol,2010,17:410-431.
[7]
Migliore M.Efficacy and safety of single-trocar technique for minimally invasive surgery of the chest in the treatment of noncomplex pleural disease[J].Thorac Cardiovase Surg,2003,126(5):1618-1623.
[8]
Chang A C.Awake single-access (uniportal) video-assisted thoracoscopic surgery for peripheral pulmonary nodules in a complete ambulatory setting[J].Ann Thorac Surg,2010,89(5):1625-1626.
[9]
徐大华. 单孔腹腔镜手术的技术瓶颈分析[J].中国微创外科杂志,2010,10(1):21-22.
[10]
Chen P R,Chen C K,Lin Y S,et al.single-incision thoracoscopic surgery for primary spontaneous pneumothorax[J].J Cardiothorac Surg,2011,6:58.
Salati M,Brunelli A,Xiumè F,et al.Uniportal video-assisted thoracic surgery for primary spontaneous pneumothorax:clinical and economic analysis in comparison to the traditional approach[J].Inter Cardiovasc Thorac Surg,2008,7(1):63-66.
2014, Vol. 25 
