Ichinose J, Nakahara K, Kina S, Miyanaga S
Department of Thoracic Surgery, Tokyo Teishin Hospital, Tokyo, Japan.
Kyobu Geka. 2010 May;63(5):371-4.
We successfully performed 1-port video-assisted thoracic surgery (VATS) for primary spontaneous pneumothorax using Mini Loop Retractor II in 137 (39%) of 351 patients from March 2005 to May 2009 at Tokyo Teishin Hospital. This retractor is accessible to the thoracic cavity by simple skin puncture. It can hold and retract the lung freely like forceps. We made a 2 cm incision and inserted a 5 mm thoracoscope. We held the affected lung by the retractor and performed wedge resection by endoscopic staplers through skin incision. The operation time was 34.8 +/- 10.9 minutes and the blood loss was trace level in all cases. The duration of chest drainage was 1.2 +/- 0.8 days and the postoperative hospital stay was 2.8 +/- 1.2 days. There was no major complications. The recurrence of pneumothorax was noted in 17 (12.4%) cases. One-port VATS for pneumothorax using Mini Loop Retractor II can be applied easily and safely to selected patients.
2005年3月至2009年5月期间，我们在东京帝京医院对351例患者中的137例（39%）使用Mini Loop Retractor II成功实施了单孔电视辅助胸腔镜手术（VATS）治疗原发性自发性气胸。该牵开器通过简单的皮肤穿刺即可进入胸腔。它能像钳子一样自由地夹持和牵拉肺组织。我们做了一个2厘米的切口，插入一个5毫米的胸腔镜。我们用牵开器夹持患侧肺组织，并通过皮肤切口用内镜吻合器进行楔形切除术。所有病例的手术时间为34.8±10.9分钟，出血量为微量。胸腔引流时间为1.2±0.8天，术后住院时间为2.8±1.2天。无重大并发症。17例（12.4%）出现气胸复发。使用Mini Loop Retractor II的单孔VATS治疗气胸可轻松、安全地应用于选定患者。
