Chou Shah-Hwa, Li Hsien-Pin, Lee Jui-Ying, Lee Yen-Lung, Kao Eing-Long, Huang Meei-Feng, Lin Tsun-En
Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.
Minim Invasive Ther Allied Technol. 2009;18(4):221-4. doi: 10.1080/13645700802649425.
Minimally invasive surgery is the current trend of approach in various fields. Since May 2006, our team has started implementing needlescopic video-assisted thoracic surgery as the standard surgical treatment for primary spontaneous pneumothorax. During a seventeen-month period, 62 consecutive patients with primary spontaneous pneumothorax were operated on. The ages, sex ratio, operative times, blood loss, postoperative pain in visual analog scale (VAS), length of stay and hospital costs were recorded and compared with that of another 62 consecutive patients who received conventional video-assisted thoracic surgery between July 2004 and April 2006. Only the postoperative pain in VAS was significantly lower in the needlescopic video-assisted thoracic surgery group; the rest remained the same. Also the wounds were almost undetectable in the needlescopic video-assisted thoracic surgery patients. There were no major complications, mortality or recurrence in either group. Needlescopic video-assisted thoracic surgery is a high-tech technique which provides safety, effectiveness, economy and outcome comparable to that of conventional techniques. It is also associated with less pain and better cosmetics.
微创手术是当前各个领域的治疗趋势。自2006年5月起，我们团队已开始将针孔式电视辅助胸腔镜手术作为原发性自发性气胸的标准外科治疗方法。在17个月的时间里，连续对62例原发性自发性气胸患者进行了手术。记录了患者的年龄、性别比例、手术时间、失血量、视觉模拟评分法（VAS）评估的术后疼痛程度、住院时间和住院费用，并与2004年7月至2006年4月期间连续接受传统电视辅助胸腔镜手术的另外62例患者进行了比较。仅针孔式电视辅助胸腔镜手术组的VAS术后疼痛程度明显更低；其他方面保持相同。而且针孔式电视辅助胸腔镜手术患者的伤口几乎难以察觉。两组均未出现重大并发症、死亡或复发情况。针孔式电视辅助胸腔镜手术是一项高科技技术，其安全性、有效性、经济性以及治疗效果与传统技术相当。它还具有疼痛较轻和美容效果更好的特点。
