Uniportal video-assisted thoracic surgery lowers the incidence of post-thoracotomy pain syndrome

Autor: Hiromitsu Nagano, Takashi Suda, Hisato Ishizawa, Takahiro Negi, Hiroshi Kawai, Toru Kawakami, Daisuke Tochii, Sachiko Tochii, Yasushi Hoshikawa
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Fujita Medical Journal, Vol 6, Iss 2, Pp 31-36 (2020)
Druh dokumentu: article
ISSN: 2189-7247
2189-7255
DOI: 10.20407/fmj.2019-008
Popis: Objective: We compared post-thoracotomy pain syndrome (PTPS) incidence in patients who underwent uniportal or multiportal video-assisted thoracoscopic surgery (VATS). Methods: We included 223 patients who underwent either uniportal or multiportal VATS between January 2017 and October 2018 (pulmonary lobectomies and pulmonary segmentectomies—uniportal: n=19, multiportal: n=133; wedge lung resections—uniportal: n=16, multiportal: n=55). We retrospectively studied incidences of PTPS in all subgroups. Results: Incidences of PTPS were significantly less for uniportal procedures for both the pulmonary lobectomy/segmentectomy group (P=0.024) and the wedge lung resection group (P=0.0315) than for multiportal procedures. Conclusion: Patients who underwent uniportal VATS procedures had lower incidences of PTPS than the multiportal VATS group. The uniportal VATS approach is therefore beneficial for patients.
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