摘要
Objective:Theobjectiveofthecurrentstudywastoevaluatethefeasibilityandsafetyofnonintubateduniportalvideo-assistedthoracoscopicsurgery（VATS）forthemanagementofprimaryspontaneouspneumothorax（PSP）.Methods:FromNovember2011toJune2013,32consecutivepatientswithPSPweretreatedbynonintubateduniportalthoracoscopicbullectomyusingepiduralanaesthesiaandsedationwithoutendotrachealintubation.Anincision2cminlengthwasmadeatthe6thintercostalspaceinthemedianaxillaryline.Thepleuralspacewasenteredbybluntdissectionforplacementofasoftincisionprotector.Instrumentsweretheninsertedthroughtheincisionprotectortoperformthoracoscopicbullectomy.Datawerecollectedwithinaminimumfollow-upperiodof10months.Results:Theaveragetimeofsurgerywas49.0min（range,33-65min）.Nocomplicationswererecorded.Thepostoperativefeedingtimewas6h.Themeanpostoperativechesttubedrainageandhospitalstaywere19.3hand41.6h,respectively.Thepostoperativepainwasmildfor30patients（93.75%）andmoderatefortwopatients（6.25%）.Norecurrencesofpneumothoraxwereobservedatfollow-up.Conclusions:Theinitialresultsindicatedthatnonintubateduniportalvideo-assistedthoracoscopicoperationsarenotonlytechnicallyfeasible,butmayalsobeasafeandlessinvasivealternativeforselectpatientsinthemanagementofPSP.ThisisthefirstreporttoincludetheuseofanonintubateduniportaltechniqueinVATSforsuchalargenumberofPSPcases.Furtherworkanddevelopmentofinstrumentsareneededtodefinetheapplicationsandadvantagesofthistechnique.
出版日期
2015年02月12日（中国期刊网平台首次上网日期，不代表论文的发表时间）
