@article{JTD4229,
author = {Ansheng Mo and Yuzhong Luo and Xiaoping Yang and Shaoxiong Mo and Jun Wu and Yitong Wei},
title = {Low-cost biportal endoscopic surgery for primary spontaneous pneumothorax},
journal = {Journal of Thoracic Disease},
volume = {7},
number = {4},
year = {2015},
keywords = {},
abstract = {Background: Like many other countries, including the United States, China faces the problem of rising health care costs, which have become a heavy burden on the state and individuals. Endoscopic surgery offers many benefits. However, the need for more expensive endoscopic consumables brings further high medical costs. Therefore, the development of video-assisted thoracic surgery with no disposable consumables will help to control medical cost escalation.
Methods: Between October 2011 and September 2014, a series of 66 patients with primary spontaneous pneumothorax underwent hand ligation of blebs under biportal video-assisted thoracoscopic surgery or bullectomy with stapler during triportal video-assisted thoracoscopic surgery. After treatment of blebs, pleural abrasion was performed with an electrocautery cleaning pad.
Results: Compared with the group treated by bullectomy with stapler, we found a significant reduction in postoperative costs in the group with bleb ligation. There was no difference in operating time, chest tube drainage, and postoperative stay between the two groups. The follow-up period varied from 1 to 35 months and six cases of recurrence were noted.
Conclusions: The technique that we described appears to offer better economic results than bullectomy with a stapler under three-port video-assisted thoracoscopic surgery for treating primary spontaneous. The clinical outcomes are similar.},
issn = {2077-6624}, url = {https://jtd.amegroups.org/article/view/4229}
}