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

Hiromitsu Nagano; Takashi Suda; Hisato Ishizawa; Takahiro Negi; Hiroshi Kawai; Toru Kawakami; Daisuke Tochii; Sachiko Tochii; Yasushi Hoshikawa

doi:10.20407/fmj.2019-008

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

Hiromitsu Nagano, Takashi Suda, Hisato Ishizawa, Takahiro Negi, Hiroshi Kawai, Toru Kawakami, Daisuke Tochii, Sachiko Tochii, Yasushi Hoshikawa

著者情報

キーワード: Uniportal VATS, Post-thoracotomy pain syndrome, Minimally invasive surgery, Surgery

ジャーナルオープンアクセス早期公開

論文ID: 2019-008

DOI https://doi.org/10.20407/fmj.2019-008

この記事には本公開記事があります。

The final version of this article is now available: Vol. 6 (2020), No. 2 pp. 31-36

詳細

抄録

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.

責任著者(Corresponding author)

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