Tsuboshima Kenji, Matoba Yasumi, Sato Masanobu, Kobayashi Iwao, Ohue Hiroaki, Watanabe Yoshihisa, Ohno Toru
Department of Surgery, Takasago Municipal Hospital, Takasago, Japan.
Kyobu Geka. 2013 Mar;66(3):210-3.
We aimed to assess the perioperative outcomes of 2 ports video-assisted thoracoscopic surgery(VATS) using Endo-Close (2 ports VATS) in patient for the primary spontaneous pneumothorax(PSP) compared to conventional 3 ports VATS in our hospital. 31 consecutive patients(11;2 ports VATS and 20;3 ports VATS) since 2009 were enrolled in this study. Endo-Close is a device that for pulling the anchoring thread by puncture 1.5 cm incision at the level of the 7th intercostal space( ICS) at the median axillary line( MAL) for camera port, a 1.5 cm incision at the level of the 4th ICS at the anterior axillary line for working port, and 2 mm puncture at the level of the 5th ICS at the MAL using the Endo-Close were placed for this procedure. Compared with 3 ports VATS, equivalent results were obtained by the present procedure;operation time(58.6±18.3 minutes vs 63.0±15.1 minutes, NS), duration of drainage after operation(1.0±0 days vs 1.3±0.5 days, NS), postoperative hospital stay(3.0±1.5 days vs 3.7±1.4 days, NS) significantly.Blood loss was minimal in both cases. In conclusion, 2 port VATS using Endo-Close proved to be feasible method in surgical treatment for PSP.
我们旨在评估在我院，与传统三孔电视辅助胸腔镜手术（VATS）相比，使用Endo-Close的两孔电视辅助胸腔镜手术（2孔VATS）治疗原发性自发性气胸（PSP）患者的围手术期结果。自2009年以来，连续31例患者（11例采用2孔VATS，20例采用3孔VATS）纳入本研究。Endo-Close是一种通过在腋中线（MAL）第7肋间水平穿刺1.5 cm切口来牵拉固定线的装置，用于放置摄像头端口，在前腋前线第4肋间水平做一个1.5 cm切口作为操作端口，并使用Endo-Close在MAL第5肋间水平进行2 mm穿刺来放置该装置用于此手术。与三孔VATS相比，本手术获得了相当的结果；手术时间（58.6±18.3分钟对63.0±15.1分钟，无统计学差异）、术后引流时间（1.0±0天对1.3±0.5天，无统计学差异）、术后住院时间（3.0±1.5天对3.7±1.4天，无统计学差异）均无显著差异。两种情况的失血量均极少。总之，使用Endo-Close的两孔VATS被证明是治疗PSP的可行手术方法。
