Two-port videothoracoscopic surgery for pulmonary bullous emphysema

Drobayzgin E.A.

Novosibirsk State Medical University;
Novosibirsk State Regional Clinical Hospital;
Meshalkin National Medical Research Center

ORCID: 0000-0002-3690-1316

Chikinev Yu.V.

Novosibirsk State Medical University;
Novosibirsk State Regional Clinical Hospital

ORCID: 0000-0002-6795-6678

Shcherbina K.I.

State Novosibirsk Regional Clinical Hospital

Khusainov V.F.

Novosibirsk State Medical University;
State Novosibirsk Regional Clinical Hospital

Two-port videothoracoscopic surgery for pulmonary bullous emphysema

Authors:

Drobayzgin E.A., Chikinev Yu.V., Shcherbina K.I., Khusainov V.F.

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Journal: Endoscopic Surgery. 2020;26(4): 22‑27

DOI: 10.17116/endoskop20202604122

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To cite this article:

Drobayzgin EA, Chikinev YuV, Shcherbina KI, Khusainov VF. Two-port videothoracoscopic surgery for pulmonary bullous emphysema. Endoscopic Surgery. 2020;26(4):22‑27. (In Russ.)
https://doi.org/10.17116/endoskop20202604122

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THE PURPOSE

Comparative evaluation of two-port operations and standard videothoracoscopy in patients with pulmonary bullous emphysema.

MATERIAL AND METHODS

From 2018 to 2019, 70 patients with pulmonary bullous emphysema were operated on. The extent of the operation is the resection of a bullous-altered portion of the lung tissue and subtotal parietal pleurectomy. Depending on the surgical approach, the patients were divided into two groups: Group 1 — the main (31 men and 5 women who underwent intervention through 2 ports); Group 2 — comparisons (30 men and 4 women who underwent standard videothoracoscopy). The perioperative period, the incidence of postoperative complications, and the severity of pain were analyzed.

RESULTS

It was revealed that the duration of surgery intervention, drainage of the pleural cavity, and the timing of removal of drainage from the pleural cavity were less in patients of Group 1 (p<0.05). The severity of pain on the visual analogue pain scale during the first 3 days after surgery was stronger in patients of Group 2 (p<0.01). The incidence of postoperative complications in the groups did not statistically significantly differ. Moreover, the duration of hospital stay in the postoperative period in the st Group 1 was 2.11 days less than in patients of Group 2 (p<0.01).

CONCLUSION

Interventions in patients with pulmonary bullous emphysema permit to reduce the indices of perioperative period. In terms of efficiency and safety, they are not inferior to standard videothoracoscopic operations in patients of this category.

Keywords:

pulmonary bullous emphysema

spontaneous pneumothorax

videothoracoscopy

two-port operations

Authors:

Drobayzgin E.A.

Novosibirsk State Medical University;
Novosibirsk State Regional Clinical Hospital;
Meshalkin National Medical Research Center

ORCID: 0000-0002-3690-1316

Chikinev Yu.V.

Novosibirsk State Medical University;
Novosibirsk State Regional Clinical Hospital

ORCID: 0000-0002-6795-6678

Shcherbina K.I.

State Novosibirsk Regional Clinical Hospital

Khusainov V.F.

Novosibirsk State Medical University;
State Novosibirsk Regional Clinical Hospital

Received:

22.09.2019

Accepted:

18.02.2020

List of references:

Foroulis CN. Surgery for primary spontaneous pneumothorax. J Thorac Dis. 2016;8(12):1743-1745.
Habibi B, Achachi L, Hayoun S, Raoufi M, Herrak L, Ftouh ME. Management of spontaneous pneumothorax: about 138 case. Pan Afr Med J. 2017;26:152. https://doi.org/10.11604/pamj.2017.26.152.11437
Asano H, Ohtsuka T, Noda Y, Kato D, Mori S, Nakada T, Matsudaira H. Risk factors for recurrence of primary spontaneous pneumothorax after thoracoscopic surgery. J Thorac Dis. 2019;11(5):1940-1944. https://doi.org/10.21037/jtd.2019.04.105
Chikaishi Y, Kanayama M, Taira A, Nabe Y, Shinohara S, Kuwata T, Hirai A, Imanishi N, Ichiki Y, Tanaka F. What is the best treatment strategy for primary spontaneous pneumothorax? A retrospective study. Ann Med Surg (Lond). 2019;45:98-101. https://doi.org/10.1016/j.amsu.2019.07.034
Motus IYa, Neretin AV. Videothoracoscopy in the surgery of spontaneous pneumothorax. Endoscopicheskaya khirurgiya. 2006;12(4):44-48. (In Russ.)
Polyantsev AA., Bykov AV, Polyantsev AA Jr, Kotrunov VV, Zimin AG, Dyachkova YuA. The first episode of spontaneous pneumothorax (errors, hazards, complications). Pirogov Russian Journal of Surgery. 2018;3:64-69. (In Russ.)
Aljehani YM, Almajid FM, Niaz RC, Elghoneimy YF. Management of Primary Spontaneous Pneumothorax: A Single-center Experience. Saudi J Med Med Sci. 2018;6(2):100-103. https://doi.org/10.4103/sjmms.sjmms_163_16
Chikinev YuV, Drobyazgin EA, Litvintsev AYu. Complications of surgical thoracoscopic methods of bullous emphysema treatment. Sibirskij nauchnyj meditsinskij zhurnal. 2018;38(1):65-68. (In Russ.) https://doi.org/10.15372/SSMJ20180110
Cardillo G, Ricciardi S, Rahman N, Walker S, Maskell NA. Primary spontaneous pneumothorax: time for surgery at first episode? J Thorac Dis. 2019;11(9):1393-1397. https://doi.org/10.21037/jtd.2019.03.22
Allain PA, Carella M, Agrafiotis AC, Burey J, Assouad J, Hafiani EM, Ynineb Y, Bonnet F, Garnier M, Quesnel C. Comparison of several methods for pain management after video-assisted thoracic surgery for pneumothorax: an observational study. BMC Anesthesiol. 2019;19(1):120. https://doi.org/10.1186/s12871-019-0797-4
Goto T. Is surgery the choice for treatment for first presentation of pneumothorax? J Thorac Dis. 2019;11(Suppl 9):1398-1401. https://doi.org/10.21037/jtd.2019.03.16
Hamaji M, Tanaka T, Tachi H, Ohsumi A. Thoracoscopic 360 degree apical pleurodesis with turned-over parietal pleura. Eur J Cardiothorac Surg. 2014;46(2):327-328.
Guo HY, Pan XQ, Hu M, Liang YF, Qiu XC, Chen ZH. Medical Thoracoscopy-Assisted Argon Plasma Coagulation Combined with Electrosurgical Unit for the Treatment of Refractory Pneumothorax in Elderly Patients. Ann Thorac Cardiovasc Surg. 2019. https://doi.org/10.5761/atcs.oa.19-00017
Bertolaccini L, Pardolesi A, Brandolini J, Solli P. Uniportal video-assisted thoracic surgery for pneumothorax and blebs/bullae. J Vis Surg. 2017; 21(3):107. https://doi.org/10.21037/jovs.2017.07.04
Cardillo G, Bintcliffe OJ, Carleo F, Carbone L, Di Martino M, Kahan BC, Maskell NA. Primary spontaneous pneumothorax: a cohort study of VATS with talc poudrage. Thorax. 2016;71(9):847-853. https://doi.org/10.1136/thoraxjnl-2015-207976
Divisi D, Di Leonardo G, Crisci R. Vats Versus Axillary Minithoracotomy in the Management of the Second Episode of Spontaneous Pneumothorax: Cost-Benefit Analysis. World J Surg. 2016;40(9):2171-2177. https://doi.org/10.1007/s00268-016-3558-2
Jeon HW, Kim YD. Does 11.5 mm guided single port surgery has clinical advantage than multi-port thoracoscopic surgery in spontaneous pneumothorax? J Thorac Dis. 2016;8(10):2924-2930.
Mo A. Low-cost of uniportal thoracoscopic surgery for primary spontaneous pneumothorax. Respir Med Case Rep. 2019;28:100878. https://doi.org/10.1016/j.rmcr.2019.100878
Chen L, Liu F, Wang B, Wang K. Subxiphoid vs transthoracic approach thoracoscopic surgery for spontaneous pneumothorax: a propensity score-matched analysis. BMC Surg. 2019;19(1):46. https://doi.org/10.1186/s12893-019-0503-y
Mithiran H, Leow L, Ong K, Liew T, Siva D, Liang S, Tam JKC. Video-Assisted Thoracic Surgery (VATS) Talc Pleurodesis Versus Pleurectomy for Primary Spontaneous Pneumothorax: A Large Single-Centre Study with No Conversion. World J Surg. 2019;43(8):2099-2105. https://doi.org/10.1007/s00268-019-05001-2
Li X, Wang X, Zhang H, Cheng H, Cao Q. Unilateral single-port thoracoscopic surgery for bilateral pneumothorax or pulmonary bullae. J Cardiothorac Surg. 2019;14(1):71. https://doi.org/10.1186/s13019-019-0894-y

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