Ahmadinejad Mojtaba, Soltani Hedieh, Foroohi Mojtaba, Manesh Nafiseh Yousefi, Mohajerani Hooravash, Ahmadinejad Izadmehr, Bagherpour Javad Zebarjadi
Department of General Surgery, School of Medicine, Alborz University of Medical Sciences, Taleghani Boulevard, Karaj, 3149779453, Iran.
Student Research Committee, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran.
BMC Surg. 2025 Mar 25;25(1):114. doi: 10.1186/s12893-025-02834-8.
Lung collapse can occur for various reasons, especially trauma. Single-port thoracoscopy is a treatment method that has not been discussed in detail. This study aimed to investigate the results of single-port thoracoscopy as a treatment for trauma-induced lung collapse.
This descriptive retrospective cross-sectional study included 100 patients with lung collapse following trauma who were referred to the Madani Hospital. Demographic data, underlying causes and injuries, respiratory and consciousness state, pain level, recurrence rate, hospitalization period, complications, and narcotic and non-narcotic analgesics, re-thoracoscopy, and thoracotomy requirements were evaluated.
The mean age of patients was 38 ± 16 years, and 65% were male. Single port thoracoscopy has suitable therapeutic effects, low complications, less pain, and reduced need for painkillers. Patients with more concomitant injuries, longer duration from trauma to performing thoracoscopy, intubation requirement, bilateral lung involvement, and lower GCS, required re-thoracoscopy, which has been associated with more extended hospitalization, suffering from more pain, need to receive narcotics and thoracotomy, and frequency of narcotic and non-narcotic agents. These results demonstrate the efficacy of the single port thoracoscopy in uncomplicated and initially completely recovered patients, and the re-thoracoscopy requirement and complications are based on the underlying cause and medical circumstances.
Single port thoracoscopy is practical for improving the quality of management of patients with lung collapse following trauma. Future studies should compare different methods.
肺萎陷可由多种原因引起，尤其是创伤。单孔胸腔镜检查作为一种治疗方法尚未得到详细讨论。本研究旨在探讨单孔胸腔镜检查治疗创伤性肺萎陷的效果。
这项描述性回顾性横断面研究纳入了100例因创伤导致肺萎陷并转诊至马达尼医院的患者。评估了人口统计学数据、潜在病因和损伤、呼吸及意识状态、疼痛程度、复发率、住院时间、并发症以及麻醉和非麻醉性镇痛药的使用情况、再次胸腔镜检查和开胸手术需求。
患者的平均年龄为38±16岁，65%为男性。单孔胸腔镜检查具有良好的治疗效果、低并发症、较少疼痛且止痛药需求减少。合并伤较多、从创伤到进行胸腔镜检查的时间较长、需要插管、双侧肺受累以及格拉斯哥昏迷评分较低的患者需要再次胸腔镜检查，这与更长的住院时间、更多的疼痛、需要接受麻醉药和开胸手术以及麻醉和非麻醉药物的使用频率相关。这些结果表明单孔胸腔镜检查在无并发症且最初完全康复的患者中具有疗效，再次胸腔镜检查的需求和并发症取决于潜在病因和医疗情况。
单孔胸腔镜检查对于提高创伤后肺萎陷患者的管理质量是切实可行的。未来的研究应比较不同的方法。
