Single-port thoracoscopic surgery for pneumothorax under two-lung ventilation with carbon dioxide insufflation
DC Field | Value | Language |
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dc.contributor.author | Han, Kook Nam | - |
dc.contributor.author | Kim, Hyun Koo | - |
dc.contributor.author | Lee, Hyun Joo | - |
dc.contributor.author | Lee, Dong Kyu | - |
dc.contributor.author | Kim, Heezoo | - |
dc.contributor.author | Lim, Sang Ho | - |
dc.contributor.author | Choi, Young Ho | - |
dc.date.accessioned | 2021-09-03T23:26:46Z | - |
dc.date.available | 2021-09-03T23:26:46Z | - |
dc.date.created | 2021-06-18 | - |
dc.date.issued | 2016-06 | - |
dc.identifier.issn | 2072-1439 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/88529 | - |
dc.description.abstract | Background: The development of single-port thoracoscopic surgery and two-lung ventilation reduced the invasiveness of minor thoracic surgery. This study aimed to evaluate the feasibility and safety of single-port thoracoscopic bleb resection for primary spontaneous pneumothorax using two-lung ventilation with carbon dioxide insufflation. Methods: Between February 2009 and May 2014, 130 patients underwent single-port thoracoscopic bleb resection under two-lung ventilation with carbon dioxide insufflation. Access was gained using a commercial multiple-access single port through a 2.5-cm incision; carbon dioxide gas was insufflated through a port channel. A 5-mm thoracoscope, articulating endoscopic devices, and flexible endoscopic staplers were introduced through a multiple-access single port for bulla resection. Results: The mean time from endotracheal intubation to incision was 29.2 +/- 7.8 minutes, the mean operative time was 30.9 +/- 8.2 minutes, and the mean total anesthetic time was 75.5 +/- 14.4 minutes. There were no anesthesia-related complications or wound problems. The chest drain was removed after a mean of 3.7 +/- 1.4 days and patients were discharged without complications 4.8 +/- 1.5 days from the operative day. During a mean 7.5 +/- 10.1 months of follow-up, there were five recurrences (3.8%) in operated thorax. Conclusions: The anesthetic strategy of single-lumen intubation with carbon dioxide gas insufflation can be a safe and feasible option for single-port thoracoscopic bulla resection as it represents the least invasive surgical option with the potential advantages of reducing operative time and one-lung ventilation-related complications without diminishing surgical outcomes. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | AME PUBL CO | - |
dc.subject | ONE-LUNG VENTILATION | - |
dc.subject | LOW-TIDAL VOLUME | - |
dc.subject | MECHANICAL PLEURODESIS | - |
dc.subject | ANESTHESIA | - |
dc.title | Single-port thoracoscopic surgery for pneumothorax under two-lung ventilation with carbon dioxide insufflation | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Han, Kook Nam | - |
dc.contributor.affiliatedAuthor | Kim, Hyun Koo | - |
dc.contributor.affiliatedAuthor | Lee, Dong Kyu | - |
dc.contributor.affiliatedAuthor | Kim, Heezoo | - |
dc.contributor.affiliatedAuthor | Lim, Sang Ho | - |
dc.contributor.affiliatedAuthor | Choi, Young Ho | - |
dc.identifier.doi | 10.21037/jtd.2016.03.95 | - |
dc.identifier.scopusid | 2-s2.0-84971597817 | - |
dc.identifier.wosid | 000376581000042 | - |
dc.identifier.bibliographicCitation | JOURNAL OF THORACIC DISEASE, v.8, no.6 | - |
dc.relation.isPartOf | JOURNAL OF THORACIC DISEASE | - |
dc.citation.title | JOURNAL OF THORACIC DISEASE | - |
dc.citation.volume | 8 | - |
dc.citation.number | 6 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Respiratory System | - |
dc.relation.journalWebOfScienceCategory | Respiratory System | - |
dc.subject.keywordPlus | ONE-LUNG VENTILATION | - |
dc.subject.keywordPlus | LOW-TIDAL VOLUME | - |
dc.subject.keywordPlus | MECHANICAL PLEURODESIS | - |
dc.subject.keywordPlus | ANESTHESIA | - |
dc.subject.keywordAuthor | Pneumothorax | - |
dc.subject.keywordAuthor | thoracoscopy/video-assisted thoracoscopic surgery (VATS) | - |
dc.subject.keywordAuthor | minimally invasive surgery | - |
dc.subject.keywordAuthor | anesthesia | - |
dc.subject.keywordAuthor | ventilation | - |
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