Abstract:
Objective
Endoscopic surgery offers many benefits. However, the need for more expensive endoscopic consumables brings further high medical costs. Here, we introduced a method of video-assisted thoracic surgery with no disposable consumables.
Methods
Between Oct. 2011 and Feb. 2016, a series of 84 patients with primary spontaneous pneumothorax underwent hand ligation of blebs under biportal video-assisted thoracoscopic surgery or bullectomy with stapler during triportal video-assisted thoracoscopic surgery. After treatment of blebs, pleural abrasion was performed with an electrocautery cleaning pad.
Results
Compared with the group treated by bullectomy with stapler, we found a significant reduction in postoperative costs in the group with bleb ligation. There was no difference in operating time, chest tube drainage(P>0.05), postoperative stay, and recurrence between the two groups[(16 747.30±2 586.41) yuan vs (21 088.54±6 005.68)yuan, P<0.05] .
Conclusions
Biportal thoracoscopic bleb ligation for primary spontaneous pneumothorax is a safe, low-cost, simple and reliable procedure.
Key words:
Biportal video-assisted thoracic surgery,
Primary spontaneous pneumothorax,
Ligation,
Hospital costs
Ansheng Mo, Xiaoping Yang, Zhiqiang Feng, Yuzhong Luo, Shaoxiong Mo, Jun Wu, Yitong Wei, Qiangxin Huang. Low-cost biportal endoscopic surgery for primary spontaneous pneumothorax[J]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2016, 09(05): 281-284.