| Objective To investigate the effect of single-operating-hole video-assisted thoracoscopic surgery (VATS) in the treatment of spontaneous pneumothorax. Methods The clinical data of 89 patients with spontaneous pneumothorax ever treated by VATS in our hospital from Feb 2014 to Feb 2016 were analyzed retrospectively, with implementation method of the single-operating-hole VATS in 49 cases and the three-hole VATS in 40 cases. The operation time, blood loss, hospitalization time, postoperative drainage time and pain severity between the two groups were compared and analyzed. Results All patients underwent successful operation without severe complications, and none of them died during the perioperative period. In comparison of the operative time, hospitalization time, and postoperative drainage time of chest tube between the two groups, their differences were not statistically significant (P>0.05). But the patients with single-operating-hole VATS had lower intraoperative blood loss and postoperative pain scores than those with three-hole VATS, and between them there were statistically significant differences (P<0.05). Conclusion The single-operating-hole VATS is a surgical method with simple operation and excellent effect in the treatment of spontaneous pneumothorax, with further fewer operative trauma than the three-hole method. |
