Yıl: 2020 Cilt: 28 Sayı: 2 Sayfa Aralığı: 347 - 351 Metin Dili: İngilizce DOI: 10.5606/tgkdc.dergisi.2020.18778 İndeks Tarihi: 31-10-2020

Minimally invasive approach to pneumothorax: Single port or two ports?

Öz:
Background: This study aims to compare the effectiveness ofsingle-port and two-port video-assisted thoracoscopic surgery inpatients with pneumothorax.Methods: Between June 2016 and December 2018, a total of44 patients (39 males, 5 females; mean age 27.0±9.5 years; range,15 to 60 years) who underwent video-assisted thoracoscopicsurgery due to the spontaneous pneumothorax in our center wereretrospectively evaluated. The study population was dividedinto two groups as the single-port (n=29) and two-port (n=15)procedure according to the number of port entries applied duringthe operation. Age, gender, number of days of drainage, lengthof hospitalization, number of days of air leak, the indication ofoperation, pneumothorax side, type of pneumothorax, duration ofoperation, and complications were compared between the groups.Results: Twenty-two patients (50%) were operated on the rightside and 22 patients (50%) on the left side. The mean operationtime was 81.1±19.2 min, indicating no significant differencebetween the groups (p=0.053). No significant difference wasobserved in the number of days of drainage, the length ofhospitalization, and number of days of air leak between the twogroups. Complications developed in eight patients (27.6%) in thesingle-port group and five patients (33.3%) in the two-port group,indicating no significant difference between the groups (p=0.475).Conclusion: Our study results show that video-assistedthoracoscopic surgery for the treatment of pneumothorax can besuccessfully performed via a single-port approach.
Anahtar Kelime:

Pnömotoraksta minimal invaziv yaklaşım: Tek port mu, iki port mu?

Öz:
Amaç: Bu çalışmada pnömotoraks olan hastalarda tek port ve iki port video yardımlı torakoskopik cerrahinin etkinliği karşılaştırıldı. Ça­lış­ma pla­nı: Haziran 2016 - Aralık 2018 tarihleri arasında, spontan pnömotoraks nedeni ile hastanemizde video yardımlı torakoskopik cerrahi uygulanan toplam 44 hasta (39 erkek, 5 kadın; ort. yaş 27.0±9.5 yıl; dağılım, 15-60 yıl) retrospektif olarak değerlendirildi. Çalışma grubu operasyon sırasında uygulanan port giriş sayısına göre tek port (n=29) ve iki port (n=15) işlem olarak iki gruba ayrıldı. İki hasta grubu yaş, cinsiyet, drenaj gün sayısı, hastanede yatış süresi, hava kaçağı gün sayısı, ameliyat endikasyonu, pnömotoraks tarafı, pnömotoraks tipi, ameliyat süresi ve komplikasyonlar açısından karşılaştırıldı. Bulgular: Yirmi iki hasta (%50) sağ taraftan, 22 hasta (%50) sol taraftan ameliyat edildi. Ameliyat süresi ortalama 81.1±19.2 dk. olup, gruplar arasında anlamlı bir fark gözlenmedi (p=0.053). İki grup arasında drenaj gün sayısı, hastanede yatış süresi ve hava kaçağı gün sayısı açısından anlamlı bir fark saptanmadı. Tek port grubunda sekiz hastada (%27.6) ve iki port grubunda beş hastada (%33.3) komplikasyon gelişti; gruplar arasında anlamlı bir fark bulunmadı (p=0.475). So­nuç: Çalışma sonuçlarımız video yardımlı torakoskopik cerrahinin tek port yaklaşımı ile pnömotoraks tedavisinde başarılı bir şekilde yapılabileceğini göstermektedir
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA KAVURMACI O, acar t, Cantay S, Anar S (2020). Minimally invasive approach to pneumothorax: Single port or two ports?. , 347 - 351. 10.5606/tgkdc.dergisi.2020.18778
Chicago KAVURMACI Onder,acar tuba,Cantay Sinem,Anar Sinan Minimally invasive approach to pneumothorax: Single port or two ports?. (2020): 347 - 351. 10.5606/tgkdc.dergisi.2020.18778
MLA KAVURMACI Onder,acar tuba,Cantay Sinem,Anar Sinan Minimally invasive approach to pneumothorax: Single port or two ports?. , 2020, ss.347 - 351. 10.5606/tgkdc.dergisi.2020.18778
AMA KAVURMACI O,acar t,Cantay S,Anar S Minimally invasive approach to pneumothorax: Single port or two ports?. . 2020; 347 - 351. 10.5606/tgkdc.dergisi.2020.18778
Vancouver KAVURMACI O,acar t,Cantay S,Anar S Minimally invasive approach to pneumothorax: Single port or two ports?. . 2020; 347 - 351. 10.5606/tgkdc.dergisi.2020.18778
IEEE KAVURMACI O,acar t,Cantay S,Anar S "Minimally invasive approach to pneumothorax: Single port or two ports?." , ss.347 - 351, 2020. 10.5606/tgkdc.dergisi.2020.18778
ISNAD KAVURMACI, Onder vd. "Minimally invasive approach to pneumothorax: Single port or two ports?". (2020), 347-351. https://doi.org/10.5606/tgkdc.dergisi.2020.18778
APA KAVURMACI O, acar t, Cantay S, Anar S (2020). Minimally invasive approach to pneumothorax: Single port or two ports?. Türk Göğüs Kalp Damar Cerrahisi Dergisi, 28(2), 347 - 351. 10.5606/tgkdc.dergisi.2020.18778
Chicago KAVURMACI Onder,acar tuba,Cantay Sinem,Anar Sinan Minimally invasive approach to pneumothorax: Single port or two ports?. Türk Göğüs Kalp Damar Cerrahisi Dergisi 28, no.2 (2020): 347 - 351. 10.5606/tgkdc.dergisi.2020.18778
MLA KAVURMACI Onder,acar tuba,Cantay Sinem,Anar Sinan Minimally invasive approach to pneumothorax: Single port or two ports?. Türk Göğüs Kalp Damar Cerrahisi Dergisi, vol.28, no.2, 2020, ss.347 - 351. 10.5606/tgkdc.dergisi.2020.18778
AMA KAVURMACI O,acar t,Cantay S,Anar S Minimally invasive approach to pneumothorax: Single port or two ports?. Türk Göğüs Kalp Damar Cerrahisi Dergisi. 2020; 28(2): 347 - 351. 10.5606/tgkdc.dergisi.2020.18778
Vancouver KAVURMACI O,acar t,Cantay S,Anar S Minimally invasive approach to pneumothorax: Single port or two ports?. Türk Göğüs Kalp Damar Cerrahisi Dergisi. 2020; 28(2): 347 - 351. 10.5606/tgkdc.dergisi.2020.18778
IEEE KAVURMACI O,acar t,Cantay S,Anar S "Minimally invasive approach to pneumothorax: Single port or two ports?." Türk Göğüs Kalp Damar Cerrahisi Dergisi, 28, ss.347 - 351, 2020. 10.5606/tgkdc.dergisi.2020.18778
ISNAD KAVURMACI, Onder vd. "Minimally invasive approach to pneumothorax: Single port or two ports?". Türk Göğüs Kalp Damar Cerrahisi Dergisi 28/2 (2020), 347-351. https://doi.org/10.5606/tgkdc.dergisi.2020.18778