关键词: 自发性气胸, 单操作孔, 单孔, 中心静脉导管

Abstract:

Objective To evaluate the efficacy of uniportal VATS combined with central venous catheter for thoracic drainage and single utility port VATS for spontaneous pneumothorax. Methods Between January 2016 and August 2016, a total of 66 patients with spontaneous pneumothorax who underwent uniportal VATS combined with central venous catheter for thoracic drainage or single utility port VATS were retrospectively reviewed. The 21 patients who underwent uniportal VATS combined with central venous catheter for thoracic drainage were assigned to uniportal group, and the other 45 patients who underwent single utility port VATS served as single utility port group. The surgical Results and complications of two groups were compared. Results The average chest tube drainage time and the degree of pain in the uniportal group were obvious less than that in the single utility port group（P<0.05）. There was no signifeant difference in the meam intraoperative blood loss, the mean operative time and postoperative recurrence between the two groups （P>0.05）. Conclusion These two operation Methods were safe and effective. Uniportal VATS combined with central venous catheter for thoracic drainage is less invasive and painful in the treatment of spontaneous pneumothorax, and deserve to be used widely.

Key words: single utility port, spontaneous pneumothorax, central venous catheter, uniport