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Sub-axillary cosmetic incision versus single-incision thoracoscopic surgery for primary spontaneous pneumothorax

BACKGROUND: In recent years, single-incision thoracoscopic surgery (SITS) has been increasingly applied as an optimal treatment option for primary spontaneous pneumothorax (PSP). However, most SITS techniques are used in the fourth to sixth intercostal space between the anterior axillary and mid axi...

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Autores principales: Zheng, Yuan-Liang, Huang, Ri-Sheng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10339476/
https://www.ncbi.nlm.nih.gov/pubmed/37438742
http://dx.doi.org/10.1186/s13019-023-02319-w
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author Zheng, Yuan-Liang
Huang, Ri-Sheng
author_facet Zheng, Yuan-Liang
Huang, Ri-Sheng
author_sort Zheng, Yuan-Liang
collection PubMed
description BACKGROUND: In recent years, single-incision thoracoscopic surgery (SITS) has been increasingly applied as an optimal treatment option for primary spontaneous pneumothorax (PSP). However, most SITS techniques are used in the fourth to sixth intercostal space between the anterior axillary and mid axillary lines. To find out more concealed incisions, this study performed PSP surgery via the sub-axillary cosmetic incision (SACI) technique. METHODS: A total of 128 PSP patients were subjected to video-assisted thoracoscopic surgery (VATS) between January 2017 and January 2019 at our institution. These patients were evaluated and assigned into SACI (n = 21) and SITS (n = 57) groups. Propensity score matching (PSM) was performed based on patients’ backgrounds, and the enrolled cohort was divided into 21 pairs. The incision satisfaction was assessed at 2 weeks and 6 months post-surgery. RESULTS: The 21 pairs with matching baseline characteristics in the two groups did not exhibit significant differences in their backgrounds and surgical results. However, compared with the SITS group, the operation time was longer in the SACI group (p = 0.013). There were no post-operative complications in both groups. At 2 weeks and 6 months, incision satisfaction scores in the SACI group were significantly lower than those in the SITS group (p = 0.022 and p = 0.039, respectively). There were no recurrences of ipsilateral pneumothorax in both groups. CONCLUSIONS: SACI is a safe and feasible surgical method for PSP treatment. In addition, incision concealment can be used for patients with incision needs.
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spelling pubmed-103394762023-07-14 Sub-axillary cosmetic incision versus single-incision thoracoscopic surgery for primary spontaneous pneumothorax Zheng, Yuan-Liang Huang, Ri-Sheng J Cardiothorac Surg Research BACKGROUND: In recent years, single-incision thoracoscopic surgery (SITS) has been increasingly applied as an optimal treatment option for primary spontaneous pneumothorax (PSP). However, most SITS techniques are used in the fourth to sixth intercostal space between the anterior axillary and mid axillary lines. To find out more concealed incisions, this study performed PSP surgery via the sub-axillary cosmetic incision (SACI) technique. METHODS: A total of 128 PSP patients were subjected to video-assisted thoracoscopic surgery (VATS) between January 2017 and January 2019 at our institution. These patients were evaluated and assigned into SACI (n = 21) and SITS (n = 57) groups. Propensity score matching (PSM) was performed based on patients’ backgrounds, and the enrolled cohort was divided into 21 pairs. The incision satisfaction was assessed at 2 weeks and 6 months post-surgery. RESULTS: The 21 pairs with matching baseline characteristics in the two groups did not exhibit significant differences in their backgrounds and surgical results. However, compared with the SITS group, the operation time was longer in the SACI group (p = 0.013). There were no post-operative complications in both groups. At 2 weeks and 6 months, incision satisfaction scores in the SACI group were significantly lower than those in the SITS group (p = 0.022 and p = 0.039, respectively). There were no recurrences of ipsilateral pneumothorax in both groups. CONCLUSIONS: SACI is a safe and feasible surgical method for PSP treatment. In addition, incision concealment can be used for patients with incision needs. BioMed Central 2023-07-12 /pmc/articles/PMC10339476/ /pubmed/37438742 http://dx.doi.org/10.1186/s13019-023-02319-w Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Zheng, Yuan-Liang
Huang, Ri-Sheng
Sub-axillary cosmetic incision versus single-incision thoracoscopic surgery for primary spontaneous pneumothorax
title Sub-axillary cosmetic incision versus single-incision thoracoscopic surgery for primary spontaneous pneumothorax
title_full Sub-axillary cosmetic incision versus single-incision thoracoscopic surgery for primary spontaneous pneumothorax
title_fullStr Sub-axillary cosmetic incision versus single-incision thoracoscopic surgery for primary spontaneous pneumothorax
title_full_unstemmed Sub-axillary cosmetic incision versus single-incision thoracoscopic surgery for primary spontaneous pneumothorax
title_short Sub-axillary cosmetic incision versus single-incision thoracoscopic surgery for primary spontaneous pneumothorax
title_sort sub-axillary cosmetic incision versus single-incision thoracoscopic surgery for primary spontaneous pneumothorax
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10339476/
https://www.ncbi.nlm.nih.gov/pubmed/37438742
http://dx.doi.org/10.1186/s13019-023-02319-w
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