Uniportal vs standard three-port VATS technique for spontaneous pneumothorax: Comparison of post-operative pain and residual paraesthesia

Rajwinder Singh Jutley, Mohammed Wesam Khalil, Gaetano Rocco

Research output: Contribution to journalArticle

Abstract

Objective: VATS using the conventional three ports is currently the technique of choice for blebectomy/bullectomy for spontaneous pneumothorax. However, the procedure has recently been shown to have neurological complications related to the port sites. Uniportal VATS has recently been proposed as an alternative to conventional three-port VATS. It is anticipated that the single incision will predispose to a lower incidence of neurological complications. Methods: We report our initial single surgeon experience of uniportal VATS (n=16) and provide a comparison of post-operative pain and residual paraesthesia to conventional three-port procedures (n=19) for the same pathology. Results: In both groups, the pneumothorax pathology was principally primary. There was no difference between the groups in terms of age, spirometry, tissue resected, drainage time and inpatient stay. A difference was, however, noted in inpatient pain scores. The uniportal group had a lower median score of 0.4 (visual analogue range 0-4) while the three-port technique reported 0.8 (P=0.06, Mann-Whitney test). The maximum score trend was similar (1.4 vs. 2.6, respectively, P

Original languageEnglish
Pages (from-to)43-46
Number of pages4
JournalEuropean Journal of Cardio-thoracic Surgery
Volume28
Issue number1
DOIs
Publication statusPublished - Jul 2005

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Keywords

  • Pain
  • Paraesthesia
  • Spontaneous pneumothorax
  • Uniportal
  • VATS

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

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