Clinical research of video-assisted thorascopic surgery(VATS) and traditional operation methods to treat the spontaneous pneumothorax

Objective To investigate the clinical efficacy of video-assisted thoracic surgery(VATS) in the treatment of spontaneous pneumothorax compared with traditional operation methods.Methods 64 cases of spontaneous pneumothorax required surgical therapy in our hospital between June 2009 and December 2011 were randomly divided into observation group and control group.The observation group of 33 patients was treated with VATS,and the control group of 31 patients only received conventional thoracotomy.The length of incision,operative time,chest tube indwelling time,blood loss,postoperative drainage,postoperative hospital stay,recurrence rate of 2 groups and other relevant clinical indicators were analyzed in both groups.Results The patients in observation group had the shorter with the length of incision,operative time,chest tube indwelling time,blood loss,postoperative drainage and postoperative hospital stay for patients compared with the control group(t=15.78,P0.001;t=4.96,P0.001;t=3.89,P0.001;t=20.83,P0.001;t=3.28,P0.001;t=4.36,P0.001).There was no significant difference in recurrence rate between the 2 groups(χ2=2.39,P0.05).Conclusion VATS is an effective treatment for spontaneous pneumothorax,and has obvious advantage over traditional operation methods,which is worthy of further promotion.