Our Single-Port Video-Assisted Thoracoscopic Surgery Applications in Pneumothorax treatmentBayram Metin1, Şener Yıldırım1, Çiğdem Ünal Kantekin2, Halil Tözüm31Bozok University, Faculty Of Medicine, Thoracic Surgery Department, Yozgat / Turkey
2Bozok University, Faculty Of Medicine, Anesteziology And Reanimation Department, Yozgat / Turkey
3Medeniyet University, Faculty Of Medicine, Goztepe Training and Research Hospital, Thoracic Surgery Department, Istanbul / Turkey
In recent years,single-port VATS (video-assisted thoracoscopic surgery) applications have become widespread in the surgical treatment of spontaneous pneumothorax. In this study, the results of 16 patients with spontaneous pneumothorax who were treated by single-port VATS in our clinic have been reported.
Materials and Methods: The records of 16 patients with spontaneous pneumothorax who were treated by single-port VATS were analyzed retrospectively. 14 (87.5%) of the patients were male, 2 (12.5%) of the patients were female, the average age of the patients was 28.50(minimum: 18, maximum 63). All patients were evaluated according to the affected side of the chest,preoperative clinical characteristics, surgical procedures, postoperative clinical characteristics and recurrence rates in the follow-up.
Findings: 56.3% (n=9) of the patients had a right pneumothorax and 43.82% (n = 7) of the patients had a left pneumothorax.The mean operation time was 38.75 minutes, the mean size of the surgical incision was 2.5 cm, the average amount of drainage was 185.25 ml, the mean duration of stay of postoperative drain was 4.13 days,the mean postoperative hospital stay was 5.13 days. The mild pain was present in 62.5% of the patients, moderate pain was present in 12.5% of the patients, severe pain was present in 25% of the patients according to visual analogue scale (VAS) pain score in the first 24-hour. There was no recurrencein any patients duringmean 12.50 month postoperative follow-up period.
Discussion: Single-port VATS applications in the treatment of pneumothorax will become commonly used with shorter port incision length, shorter operation time, smaller amount of drainage, shorter drainage time and shorter hospital length of stay by development of new surgical equipment and increased experience in the future. Keywords: Video-assisted Thoracoscopy, Pneumothorax, Single-port
Pnömotoraks Tedavisinde Tek Port VATS UygulamalarımızBayram Metin1, Şener Yıldırım1, Çiğdem Ünal Kantekin2, Halil Tözüm31Bozok Üniversitesi Tıp Fakültesi, Göğüs Cerrahi AD, Yozgat / Türkiye
2Bozok Üniversitesi Tıp Fakültesi, Anesteziyoloji Ve Reanimasyon AD, Yozgat / Türkiye
3Medeniyet Üniversitesi Tıp Fakültesi Göztepe Eğitim Araştırma Hastanesi, Göğüs Cerrahi AD, İstanbul / Türkiye
Amaç: Son yıllarda spontanpnömotoraksın cerrahi tedavisinde tek port VATS (video yardımlı torakoskopik cerrahi)prosedürlerinin kullanımı yaygınlaşmaya başlamıştır. Bu çalışmada kliniğimizde tek port VATS ile tedavi edilen 16 spontanpnömotoraks olgusunun sonuçları bildirilmiştir.
Materyal ve Metod: Tek port VATS uygulanarak tedavi edilen 16 spontanpnömotorakslı hastanın kayıtları retrospektif olarak incelendi. Olguların 14 (%87,5)’ü erkek, 2(%12,5)’si kadın, yaş ortalaması 28.50 (minimum: 18 maksimum 63) idi. Tüm hastalar pnömotoraksın tarafına, preoperatif klinik özelliklerine, cerrahi prosedürlerine, postoperatif klinik özelliklerine ve takipteki nüks oranlarına göre değerlendirildi.
Bulgular: Olguların %56,3’ünde sağ, %43,8’inde (n: 7) sol pnömotoraks vardı. Operasyon süresi ortalama 38,75 dakika, cerrahi insizyon boyutu ortalama 2,5 cm, drenaj miktarı ortalama 185,25 ml, postoperatif dren kalış süresi ortalama 4,13 gün, postoperatif hastanede kalış süresi ortalama 5,13 gün olarak hesaplanmıştır. İlk 24 saatte Görsel analog skala (VAS) ağrı skoruna göre hastaların %62,5’inde düşük ağrı, %12,5’inde orta düzeyde ağrı, %25’inde şiddetli ağrı mevcuttu. Hastaların ortalama 12,50 aylık postoperatif takip süreleri boyunca hiçbir hastada nüks ile karşılaşılmadı.
Tartışma: Pnömotoraks tedavisinde tek port VATS uygulamaları, ileride geliştirilecek yeni cerrahi ekipmanlar ve artacak tecrübeler ile daha kısa port kesi uzunluğu, ameliyat süresi, drenaj miktarı, dren süresi ve hastanede kalış süreleri ile daha yaygın kullanılır hale gelecektir. Anahtar Kelimeler: Video torakoskopi, Pnömotoraks, Tek Port
Bayram Metin, Şener Yıldırım, Çiğdem Ünal Kantekin, Halil Tözüm. Our Single-Port Video-Assisted Thoracoscopic Surgery Applications in Pneumothorax treatment. Medeniyet Med J. 2015; 30(4): 170-174
Corresponding Author: Halil Tözüm, Türkiye |
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