Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Outcomes of Single-Incision Thoracoscopic Surgery Using the Spinal Needle Anchoring Technique for Primary Spontaneous Pneumothorax

  • Lee, Seung Hyong (Department of Thoracic and Cardiovascular Surgery, Kyung Hee University Hospital, College of Medicine, Kyung Hee University) ;
  • Lee, Sun-Geun (Department of Thoracic and Cardiovascular Surgery, Kyung Hee University Hospital at Gangdong, College of Medicine, Kyung Hee University) ;
  • Cho, Sang-Ho (Department of Thoracic and Cardiovascular Surgery, Kyung Hee University Hospital at Gangdong, College of Medicine, Kyung Hee University) ;
  • Song, Jae Won (Department of Thoracic and Cardiovascular Surgery, Kyung Hee University Hospital at Gangdong, College of Medicine, Kyung Hee University) ;
  • Kim, Dae Hyun (Department of Thoracic and Cardiovascular Surgery, Kyung Hee University Hospital at Gangdong, College of Medicine, Kyung Hee University)
  • Received : 2021.11.01
  • Accepted : 2021.11.19
  • Published : 2022.02.05
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Abstract

Background: Although classical multi-port video-assisted thoracic surgery has been widely performed, single-incision thoracoscopic surgery (SITS) is a popular surgical technique for the treatment of primary spontaneous pneumothorax (PSP). However, the inconvenient alignment of instruments and the limited field of view occasionally make surgeons convert from SITS to multi-port surgery or extend the incision. This study aimed to present an easy and safe SITS technique for PSP using a spinal needle. Methods: In total, 139 patients underwent SITS between May 2011 and December 2017. We used a spinal needle to hook the bulla or bleb, and wedge resection was performed through a small incision. Patients' medical records were reviewed retrospectively, and a telephone survey was conducted to investigate the recurrence rate. Results: The mean age of the 139 patients was 23.62±9.60 years. The mean operative time was 36.69±14.64 minutes, and multi-port conversion was not performed. The mean postoperative hospital stay was 3.00±0.78 days, and the mean indwelling chest tube duration was 1.97±0.77 days. No complications were observed. In the mean follow-up period of 86.75±23.20 months, recurrence of pneumothorax was found in 3 patients. Conclusion: We suggest that SITS for PSP with the aid of a spinal needle to replace a grasper is a safe and easy technique that only requires a small incision.

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References

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