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Clinical analysis of patients with spontaneous pneumothorax by improved two-port thoracoscopy |
YANG Yang,LI Zhe,LIU Yanfeng,and XU Ruibin |
Department of Thoracic Surgery, the Affliated Hospital of Yanan University, Yanan 716000, China |
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Abstract Objective To investigate effects of the limited two-port video assisted thoracic surgery on treatment of spontaneous pneumothorax. Methods A retrospective analysis of 96 patients with spontaneous pneumothorax who underwent video assisted thoracic surgery was conducted in the present study, in which 23 cases underwent the limited two-port video assisted thoracic surgery while 73 cases treated with the standard three-port video assisted thoracic surgery or the standard two-port video assisted thoracic surgery. The mean operation time, mean intraoperative blood loss and average postoperative hospital stay, average postoperative chest tube duration and postoperative pain rating were analyzed. Results Though no statistically significant difference existed in the mean operation time[(50.0±4.1)vs(51.4±4.0), P=0.327], mean intraoperative blood loss [(43.2±6.7)vs(46.4±6.9), P=0.058]average postoperative hospital stay[(6.0±1.4)vs(6.6±1.4), P=0.122], average postoperative chest tube duration [(4.5±1.1)vs(4.8±1.1),P=0.377] between the two group, however, the postoperative pain scores in the limited two-port video assisted thoracic surgery group were significantly lower than those in the traditional video assisted thoracic surgery group (P=0.002). Conclusion There is better cosmetic effect, and lower grade postoperative pain in the limited two-port video assisted thoracic surgery.
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Received: 03 March 2015
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