经乳晕隐痕切口在胸外科男性患者微创手术中的应用

Abstract
Figure/Table
References
Related Citation (15)

Download: PDF (583 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

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.

Key words： mammary areola hidden scar thoracopathy thoracoscope

Received: 29 September 2020

ZTFLH:

R655

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	WU Dongqiang
	ZHANG Zhihao
	YU Qun
	XIAO Huaiqing
	WANG Xiyong
	ZHANG Dongliang
	ZHANG Qianli

Cite this article:

WU Dongqiang,ZHANG Zhihao,YU Qun等. Applicability of incision through areola in minimally invasive surgery for male patients during thoracic surgery[J]. Med. J. Chin. Peop. Armed Poli. Forc., 2021, 32(2): 97-99.

URL:

http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2021/V32/I2/97

[1]	宋焕,王坤,茹玉航,等.自发性气胸手术治疗中单孔与双孔胸腔镜肺大泡切除术的应用对比研究[J].解放军预防医学杂志,2019,37(5):189-190.
[2]	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.
[3]	Roubelakis A,Modi A,Holman M,et al.Uniportal video-assisted thoracic surgery:the lesser invasive thoracic surgery[J].Asian Cardiovasc Thorac Ann,2014,22(1):72-76.
[4]	高万露,汪小海.患者疼痛评分法的术前选择及术后疼痛评估的效果分析[J].实用医学杂志,2013,29(23):3892-3894.
[5]	张正旭,黄大伟,宋传健,等.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.
[6]	Youben F,Bo W,Chunlin Z,et al.Trans-areola single-site endoscopic thyroidectomy:pilot study of 35 cases[J].Surg Endosc,2012,26(4):939-947.
[7]	张小川,仲宁,李星,等. 经乳晕单孔胸腔镜交感神经切断术治疗手汗症[J].中国微创外科杂志,2017,17(10):939-941.
[8]	王俊彬,刘继先,李灼,等.3 mm胸腔镜联合免trocar电凝钩经乳晕切口治疗男性手汗症[J].中国微创外科杂志,2018,18(12):1121-1124.
[9]	杨扬,李喆,刘延风,等.改良胸腔镜在治疗自发性气胸的应用效果[J].武警医学,2015,26(10):985-987.