Abstract：Objective To investigate the feasibility and advantages of minimally invasive video-assisted thoracoscopic surgery through areola incision among male thoracic surgery patients.Methods The data about male patients undergoing single-port video-assisted thoracoscopic surgery in the Department of Chest and Heart Surgery, the Hospital of Armed Police Coast Guard, between March 2016 and January 2019 was retrospectively analyzed. Fifty-six cases were treated with areola incision (areola group), and 68 with conventional incision (control group). The duration of surgery, intraoperative bleeding volume, postoperative thoracic drainage volume, extubation time, postoperative hospital stay, visual simulation scores one and two days after operation, the number of uncomfortable incisions one and three months after operation, and the levels of satisfaction with long-term incisions were compared between the two groups.Results All patients smoothly completed surgery without serious complications intraoperatively or postoperativley. There was no significant difference between the two groups in the duration of surgery, intraoperative bleeding volume, postoperative thoracic drainage volume, extubation time, postoperative hospital stay, or VAS scores one day after operation. Compared with the control group, the VAS score on the second postoperative day in the areola group was decreased (P<0.05), and there were fewer patients with incision discomfort (P<0.05). Forty-one cases (73.2%) in the areola group and 19 cases (27.9%) in the control group were followed up for half a year. The difference in levels of satisfaction with incisions was statistically significant between the two groups (P<0.05).Conclusions The areola incision for single-hole video-assisted thoracoscopic surgery is safe and feasible for male patients with thoracopathy, which can leave incisions more satisfactory and scar-free, so this approach should be made more accessible.
McEInay P J, Molyneux M,Krishnadas R,et al.Pain and recovery are comparable after either uniportal or multiport video-assisted thoracoscopic lobectomy:an observation study[J].Eur J Cardiothorac Surg,2015,47(5):912-915.
2021, Vol. 32 
