VATS or VATS-assisted minithoracotomy for spontaneous pneumothorax:a 28 cases anaysis

Objective To explore the practical value of VATS or VATS-assisted minithoracotomy(VAMT) for spontaneous pneumothorax.Methods VATS or VAMT were performed in 28 patients with spontaneous pneumothorax,and their clinical data were analyzed.Results There was no operative death in the group VATSs or VAMTs(total 28 cases) were accomplished successfully.The operation time was 35~70min,50.56±10.15 min for VATSs or VAMTs.Blood loss was 30~150 ml,80.00±26.79 ml and blood transfusion was not needed.The volume of chest drainage was 50～200 ml,86.11±37.12 ml after the operation.The chest drainage tube was removed in 2 to 7 d(4.06±1.63 d) after operation.The postoperative hospital stay was 5～12 d,7.28±2.05 d.The follow up period was 1~21 months and there was 1 recurrence in all patients after operation.Conclusion VATS,or VAMT approach could effectively play the clear surgical field of VATS and direct vision operational advantages of supporting small-incision clear,which could achieve the objective of minimally invasive facilities but also reflect the dialectical governance principles in the process of the treatment of spontaneous pneumothorax.