Primary spontaneous pneumothorax (PSP) is a common disease in young and thin male. Operation has been regarded as definitive treatment for it. However, the operative methods for those patients are under dispute. Our study is aimed to compare the uniportal VATS versus needlescopic VATS for PSP patients in our institute.
From July 2013 to December 2017, the patients who underwent video-assisted thoracic surgery for pneumothorax in National Taiwan University Hospital were retrospectively collected. The preoperative condition, surgical results, and postoperative outcomes was analyzed.
There were 60 patients undergoing needlescopic VATS and 91 undergoing uniportal VATS during the study period. There was no significant difference between the patients who underwent needlescopic VATS and those who underwent uniportal VATS in their demorgraphic and clinical characteristics. The post-operative pain score was significantly lower in the uniportal VATS group compared to the mini VATS group at day 1 (2.65 ± 1.59 vs. 1.74 ± 1.35, p = 0.001).
We have shown that uniportal VATS is an effective and a safe treatment for PSP patients, and it is comparable to needlescopic VATS. Based on these results, we believe that uniportal VATS using a wound protector can be used as an alternative approach for PSP.