Treatment of Spontaneous Pneumothorax by using the Video Assisted Thoracoscopic Surgery and Mini Invasive Thoracoscopic Surgery

Abstract

Background and Aim: The temporizing treatment for spontaneous pneumothorax had been established methodically, but thoracoscopic surgical methods has been not yet. The objective of the study is to show the treatment effect of intra- and post-operation by using rational thoracoscopic surgery for the patients with spontaneous pneumothorax. Methods: We had performed Video Assisted Thoracoscopic Surgery (VATS) and Mini Invasive Thoracoscopic Surgery (MITS) for 322 patients with spontaneous pneumothorax and established rational surgery approach between January 2011 and December 2017. And then we evaluated the outcome of surgery compared to common thoracotomy. Results: Compared to common thoracotomy, VATS was an operation with large economic efficacy because of light operation associated injury, fast recovery and the ability to decrease temporary disability rate. And also it saved different drugs and provided Quality of life (QOL) because of low operative cicatrix. Conclusion: VATS not only gave light operative burden to patients but also decreased surgeons’ mental and physical fatigue. In the MITS automatic suture tool with expensive cost and limited indications was not used and the range of indications were wide and operating time was shortened because of procedure under direct visual field associated with thoracoscopy.