Korean J Thorac Cardiovasc Surg.
2016 Apr;49(2):80-84. 10.5090/kjtcs.2016.49.2.80.
Outcomes of the Tower Crane Technique with a 15-mm Trocar in Primary Spontaneous Pneumothorax
- Affiliations
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- 1Department of Thoracic and Cardiovascular Surgery, Chungnam National University School of Medicine, Korea. dreamerkang@hanmail.net
- KMID: 2161801
- DOI: http://doi.org/10.5090/kjtcs.2016.49.2.80
Abstract
- BACKGROUND
Video-assisted thoracoscopic surgery (VATS) pulmonary wedge resection has emerged as the standard treatment for primary spontaneous pneumothorax. Recently, single-port VATS has been introduced and is now widely performed. This study aimed to evaluate the outcomes of the Tower crane technique as novel technique using a 15-mm trocar and anchoring suture in primary spontaneous pneumothorax.
METHODS
Patients who underwent single-port VATS wedge resection in Chungnam National University Hospital from April 2012 to March 2014 were enrolled. The medical records of the enrolled patients were reviewed retrospectively.
RESULTS
A total of 1,251 patients were diagnosed with pneumothorax during this period, 270 of whom underwent VATS wedge resection. Fifty-two of those operations were single-port VATS wedge resections for primary spontaneous pneumothorax performed by a single surgeon. The median age of the patients was 19.3±11.5 years old, and 43 of the patients were male. The median duration of chest tube drainage following the operation was 2.3±1.3 days, and mean postoperative hospital stay was 3.2±1.3 days. Prolonged air leakage for more than three days following the operation was observed in one patient. The mean duration of follow-up was 18.7±6.1 months, with a recurrence rate of 3.8%.
CONCLUSION
The tower crane technique with a 15-mm trocar may be a promising treatment modality for patients presenting with primary spontaneous pneumothorax.
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