ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Robert J. Chen
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Chen, J.-S.
Right arrow Articles by Lee, Y.-C.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Chen, J.-S.
Right arrow Articles by Lee, Y.-C.
Related Collections
Right arrow Lung - other

Ann Thorac Surg 2003;75:1080-1085
© 2003 The Society of Thoracic Surgeons

Original article: general thoracic

Needlescopic versus conventional video-assisted thoracic surgery for primary spontaneous pneumothorax: a comparative study

Jin-Shing Chen, MDa,b, Hsao-Hsun Hsu, MDa,b, Shuenn-Wen Kuo, MDa,b, Pi-Ru Tsai, RNa,b, Robert J. Chen, MD, MPHa,b, Jang-Ming Lee, MD, PhDa,b, Yung-Chie Lee, MD, PhDa,b*

a Division of Thoracic Surgery, Department of Surgery, National Taiwan University Hospital, Taipei, Taiwan
b National Taiwan University College of Medicine, Taipei, Taiwan

Accepted for publication October 14, 2002.

* Address reprint requests to Dr Yung-Chie Lee, Department of Surgery, National Taiwan University Hospital and National Taiwan University College of Medicine, No. 7, Chung-Shan South Rd, Taipei, Taiwan.
e-mail: wuj{at}ha.mc.ntu.edu.tw

BACKGROUND: Management of primary spontaneous pneumothorax by needlescopic video-assisted thoracic surgery (VATS) has rarely been attempted and no comparison study with conventional VATS is available. In this study, we compared the clinical outcomes of needlescopic VATS with conventional VATS in treating primary spontaneous pneumothorax. The technique and our experience with needlescopic VATS are reported.

METHODS: Between April 2001 and April 2002, a total of 63 patients with recurrent, persistent, or contralateral primary spontaneous pneumothorax were recruited for this study. Operative procedures included needlescopic VATS in 28 patients and conventional VATS in 35 patients. We used a modified operative technique to improve the poor and narrower vision of the needle-videothoracoscope.

RESULTS: There was no mortality or major complications in either of the two groups. Needlescopic and conventional VATS groups had comparable operation times, postoperative pain, requested doses of meperidine hydrochloride, durations of postoperative chest drainage, and length of hospital stay. After a mean follow-up of 8 months, the needlescopic VATS group had less residual neuralgia (p = 0.021) and better wound satisfaction (p = 0.043) than the conventional VATS group. Ipsilateral recurrence of pneumothorax occurred in 1 patient (3.6%) in the needlescopic VATS group but not in any patients in the conventional VATS group.

CONCLUSIONS: Our experience showed that needlescopic VATS is technically feasible and can be a satisfactory alternative to conventional VATS in treating primary spontaneous pneumothorax. Limited vision of needlescopic VATS can be improved by the modified technique we used. However, conversion to conventional VATS or minithoracotomy is suggested in selected patients to prevent early recurrence.




This article has been cited by other articles:


Home page
 Ann. Thorac. Surg.Home page
H. Kim, H. K. Kim, Y. H. Choi, and S. H. Lim
Thoracoscopic bleb resection using two-lung ventilation anesthesia with low tidal volume for primary spontaneous pneumothorax.
Ann. Thorac. Surg., March 1, 2009; 87(3): 880 - 885.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
J.-S. Chen, H.-H. Hsu, K.-T. Tsai, A. Yuan, W.-J. Chen, and Y.-C. Lee
Salvage for Unsuccessful Aspiration of Primary Pneumothorax: Thoracoscopic Surgery or Chest Tube Drainage?
Ann. Thorac. Surg., June 1, 2008; 85(6): 1908 - 1913.
[Abstract] [Full Text] [PDF]

Home page
 Eur Respir JHome page
J-M. Tschopp, R. Rami-Porta, M. Noppen, and P. Astoul
Management of spontaneous pneumothorax: state of the art.
Eur. Respir. J., September 1, 2006; 28(3): 637 - 650.
[Abstract] [Full Text] [PDF]

Home page
 Am. J. Respir. Crit. Care Med.Home page
J.-S. Chen, H.-H. Hsu, R. J. Chen, S.-W. Kuo, P.-M. Huang, P.-R. Tsai, J.-M. Lee, and Y.-C. Lee
Additional Minocycline Pleurodesis after Thoracoscopic Surgery for Primary Spontaneous Pneumothorax
Am. J. Respir. Crit. Care Med., March 1, 2006; 173(5): 548 - 554.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
R. S. Jutley, M. W. Khalil, and G. Rocco
Uniportal vs standard three-port VATS technique for spontaneous pneumothorax: comparison of post-operative pain and residual paraesthesia
Eur. J. Cardiothorac. Surg., July 1, 2005; 28(1): 43 - 46.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
A. D.L. Sihoe, C. S.K. Cheung, H.-K. Lai, T.-W. Lee, K.-H. Thung, and A. P.C. Yim
Incidence of chest wall paresthesia after needlescopic video-assisted thoracic surgery for palmar hyperhidrosis
Eur. J. Cardiothorac. Surg., February 1, 2005; 27(2): 313 - 319.
[Abstract] [Full Text] [PDF]

Home page
 ChestHome page
J.-S. Chen, H.-H. Hsu, S.-W. Kuo, P.-R. Tsai, R. J. Chen, J.-M. Lee, and Y.-C. Lee
Effects of Additional Minocycline Pleurodesis After Thoracoscopic Procedures for Primary Spontaneous Pneumothorax
Chest, January 1, 2004; 125(1): 50 - 55.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 2003 by The Society of Thoracic Surgeons.