Current status of video-assisted thoracoscopic surgery for spontaneous pneumothorax_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

YANG Zhen ^1,2 ,  YAN Tiansheng ^1,2 , PENG Jingping ³

1. Department of Thoracic Surgery, The Second Affiliated Hospital of Kunming Medical University, Kunming, 650101, P.R.China;
2. Department of Thoracic Surgery, Peking University Third Hospital, Beijing, 100083, P.R.China;
3. Department of Cardiovascular and Thoracic Surgery, Kunming General Hospital of Chengdu Military Region, PLA, Kunming, 650032, P.R.China;

Corresponding?author：

YAN Tiansheng, Email: yts8966@163.com

Keywords：

Spontaneous pneumothorax; minimally invasive; video-assisted thoracoscopic surgery

DOI：

10.7507/1007-4848.201706050

Video：

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Surgical treatment is an important treatment for spontaneous pneumothorax, which can remove the gas in the pleural cavity, relieve symptoms, promote lung recruitment, moreover, prevent future recurrence. The surgical modalities included video-assisted thoracoscopic surgery (VATS) and non VATS treatment. Nowadays, the treatment of spontaneous pneumothorax has entered a minimally invasive era. With the development of minimally invasive techniques in recent years, as the representative of minimally invasive surgery, the surgeon techniques of VATS has developed to diversity, including three-port VATS, two-port VATS, uniportal VATS, subxiphoid uniportal VATS, 3D VATS, robotic-assisted VAT and cervical uniportal VATS. Each technique has its own advantages and limitations, and individual choices should be made.

Citation： YANG Zhen, YAN Tiansheng, PENG Jingping. Current status of video-assisted thoracoscopic surgery for spontaneous pneumothorax. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2018, 25(8): 724-727. doi: 10.7507/1007-4848.201706050 Copy

1.	Ling ZG, Wu YB, Ming MY, et al. The effect of pleural abrasion on the treatment of primary spontaneous pneumothorax: a systematic review of randomized controlled trials. PLoS One, 2015, 10(6): 1-12.
2.	Tschopp JM, Bintcliffe O, Astoul P, et al. ERS task force statement: diagnosis and treatment of primary spontaneous pneumothorax. Eur Respir J, 2015, 46(2): 321-335.
3.	D?eljilji A, Rokicki W, Rokicki M, et al. New aspects in the diagnosis and treatment of primary spontaneous pneumothorax. Kardiochir Torakochirurgia Pol, 2017, 14(1): 27-31.
4.	劉倫旭. 開胸手術將逐漸" 升級”為胸腔鏡微創手術的補充. 中國胸心血管外科臨床雜志, 2012, 19(2): 109-112.
5.	李威, 陳偉, 鄭中鋒, 等. 電視胸腔鏡輔助小切口手術與電視胸腔鏡手術治療自發性氣胸患者的臨床比較. 中華臨床醫師雜志(電子版), 2014, 8(22): 4145-4147.
6.	Foroulis CN. Surgery for primary spontaneous pneumothorax. J Thorac Dis, 2016, 8(12): E1743-E1745.
7.	王通, 閆天生, 宋金濤, 等. 胸腔鏡術后復發性氣胸的再次胸腔鏡手術治療. 中國微創外科雜志, 2013, 13(8): 680-682.
8.	Delpy JP, Pagès PB, Mordant P, et al. Surgical management of spontaneous pneumothorax: are there any prognostic factors influencing postoperative complications? . Eur J Cardiothorac Surg, 2016, 49(3): 862-867.
9.	Levi JF, Kleinmann P, Riquet M, et al. Percutaneous parietal pleurectomy for recurrent spontaneous pneumothorax. Lancet, 1990, 336 (8730): 1577-1578.
10.	Paliouras D, Barbetakis N, Lazaridis G, et al. Video-assisted thoracic surgery and pneumothorax. J Thorac Dis, 2015, 7(1): 56-61.
11.	Min X, Huang Y, Yang Y, et al. Mechanical pleurodesis does not reduce recurrence of spontaneous pneumothorax: a randomized trial. Ann Thorac Surg, 2014, 98(5): 1790-1796.
12.	賀未, 宋金濤, 王通, 等. 影響原發性自發性氣胸胸腔鏡手術時長和引流管留置時間的因素分析. 實用醫學雜志, 2012, 28(19): 3268-3270.
13.	Ueda K, Hayashi M, Tanaka T, et al. Omitting chest tube drainage after thoracoscopic major lung resection. Eur J Cardiothorac Surg, 2013, 44(2): 225-229.
14.	張翔宇, 韓敬泉, 劉成, 等. 原發性自發性氣胸的日間手術. 中國微創外科雜志, 2016, 16(2): 144-146.
15.	Kim HK, Choi YH. The feasibility of single-incision video-assisted thoracoscopic major pulmonary resection performed by surgeons experienced with a two-incision technique. Interact Cardiovasc Thorac Surg, 2015, 20(3): 310-315.
16.	莫安勝, 楊小平, 馮志強, 等. 低成本兩孔胸腔鏡手術治療原發性氣胸. 中華腔鏡外科雜志(電子版), 2016, 9(5): 281-284.
17.	羅經文, 成俊玲, 陳開林, 等. 雙孔法電視胸腔鏡治療自發性氣胸. 中國微創外科雜志, 2011, 11(5): 454-455.
18.	Migliore M. Efficacy and safety of single-trocar technique for minimally invasive surgery of the chest in the treatment of noncomplex pleural disease. J Thorac Cardiovasc Surg, 2003, 126(5): 1618-1623.
19.	Lin JB, Chen JF, Lai FC, et al. Transareolar pulmonary bullectomy for primary spontaneous pneumothorax. J Thorac Cardiovasc Surg, 2016, 152(4): 999-1005.
20.	Yang Y, Dong J, Huang Y. Single-incision versus conventional three-port video-assisted surgery in the treatment of pneumothorax: a systematic review and meta-analysis. Interact Cardiovasc Thorac Surg, 2016, 23(5): 722-728.
21.	Ng CS. Uniportal VATS in Asia. J Thorac Dis, 2013, 5 (4): 221-225.
22.	Tsuboshima K, Nagata M, Wakahara T, et al. Modified chest wall pulley for lung excision during single-Incision thoracoscopic surgery for primary spontaneous pneumothorax. Ann Thorac Cardiovasc Surg, 2016, 22(6): 359-362.
23.	苗國強, 王宏偉, 李學峰, 等. 經腹壁切口胸腔鏡同期治療雙側肺大泡 67 例. 中國社區醫師, 2013, 15(5): 72-73.
24.	Liu CY, Lin CS, Liu CC, et al. Subxiphoid single-incision thoracoscopic surgery for bilateral primary spontaneous pneumothorax. Videochir Inne Tech Maloinwazyjne, 2015, 10(1): 125-128.
25.	Song N, Zhao DP, Jiang L, et al. Subxiphoid uniportal video-assisted thoracoscopic surgery (VATS) for lobectomy: a report of 105 cases. J Thorac Dis, 2016, 8(3): 251-257.
26.	Gonzalez-Rivas D, Yang Y, Lei J, et al. Subxiphoid uniportal video-assisted thoracoscopic middle lobectomy and anterior anatomic segmentectomy (S3) . J Thorac Dis, 2016, 8(3): 540-543.
27.	Hernandez-Arenas LA, Lin L, Yang Y, et al. Initial experience in uniportal subxiphoid video-assisted thoracoscopic surgery for major lung resections. Eur J Cardiothorac Surg, 2016, 50(6): 1060-1066.
28.	喬文亮, 周建華, 劉法兵, 等. 3D 胸腔鏡系統在胸部微創手術中的初步應用. 中國癌癥雜志, 2015, 25(4): 305-310.
29.	Storz P, Buess G F, Kunert W, et al. 3D HD versus 2D HD: surgical task efficiency in standardised phantom tasks. Surgical Endoscopy, 2012, 26(5): 1454-60.
30.	陸世民, 任斌輝, 張樓, 等. 二維與三維高清胸腔鏡下肺癌手術對比. 中華實驗外科雜志, 2015, 32(3): 627-628.
31.	Hanna JM, Berry MF, DAmico TA. Contraindications of video-assisted thoracoscopic surgical lobectomy and determinants of conversion to open. J Thorae Dis, 2013, 5(3): 182-189.
32.	謝冬, 陳昶, 姜格寧. 肺癌外科手術切口的演變與發展趨勢. 中國肺癌雜志, 2016, 19(6): 343-346.
33.	Coyan G, Daon E. Resection of supernumerary intrathoracic rib using robotic-assisted video-assisted thoracoscopic surgery. Surg Radiol Anat, 2016, 38(4): 415-417.
34.	Liberman M, Khereba M, Goudie E, et al. Cervical video-assisted thoracoscopic surgery using a flexible endoscope for bilateral thoracoscopy. Ann Thorac Surg, 2012, 93(4): 1321-1323.
35.	Lonie SJ, Ch'Ng S, Alam NZ, et al. Minimally invasive tracheal resection: cervical approach plus video-assisted thoracoscopic surgery. Ann Thorac Surg, 2015, 100(6): 2336-2339.

1. Ling ZG, Wu YB, Ming MY, et al. The effect of pleural abrasion on the treatment of primary spontaneous pneumothorax: a systematic review of randomized controlled trials. PLoS One, 2015, 10(6): 1-12.
2. Tschopp JM, Bintcliffe O, Astoul P, et al. ERS task force statement: diagnosis and treatment of primary spontaneous pneumothorax. Eur Respir J, 2015, 46(2): 321-335.
3. D?eljilji A, Rokicki W, Rokicki M, et al. New aspects in the diagnosis and treatment of primary spontaneous pneumothorax. Kardiochir Torakochirurgia Pol, 2017, 14(1): 27-31.
4. 劉倫旭. 開胸手術將逐漸" 升級”為胸腔鏡微創手術的補充. 中國胸心血管外科臨床雜志, 2012, 19(2): 109-112.
5. 李威, 陳偉, 鄭中鋒, 等. 電視胸腔鏡輔助小切口手術與電視胸腔鏡手術治療自發性氣胸患者的臨床比較. 中華臨床醫師雜志(電子版), 2014, 8(22): 4145-4147.
6. Foroulis CN. Surgery for primary spontaneous pneumothorax. J Thorac Dis, 2016, 8(12): E1743-E1745.
7. 王通, 閆天生, 宋金濤, 等. 胸腔鏡術后復發性氣胸的再次胸腔鏡手術治療. 中國微創外科雜志, 2013, 13(8): 680-682.
8. Delpy JP, Pagès PB, Mordant P, et al. Surgical management of spontaneous pneumothorax: are there any prognostic factors influencing postoperative complications? . Eur J Cardiothorac Surg, 2016, 49(3): 862-867.
9. Levi JF, Kleinmann P, Riquet M, et al. Percutaneous parietal pleurectomy for recurrent spontaneous pneumothorax. Lancet, 1990, 336 (8730): 1577-1578.
10. Paliouras D, Barbetakis N, Lazaridis G, et al. Video-assisted thoracic surgery and pneumothorax. J Thorac Dis, 2015, 7(1): 56-61.
11. Min X, Huang Y, Yang Y, et al. Mechanical pleurodesis does not reduce recurrence of spontaneous pneumothorax: a randomized trial. Ann Thorac Surg, 2014, 98(5): 1790-1796.
12. 賀未, 宋金濤, 王通, 等. 影響原發性自發性氣胸胸腔鏡手術時長和引流管留置時間的因素分析. 實用醫學雜志, 2012, 28(19): 3268-3270.
13. Ueda K, Hayashi M, Tanaka T, et al. Omitting chest tube drainage after thoracoscopic major lung resection. Eur J Cardiothorac Surg, 2013, 44(2): 225-229.
14. 張翔宇, 韓敬泉, 劉成, 等. 原發性自發性氣胸的日間手術. 中國微創外科雜志, 2016, 16(2): 144-146.
15. Kim HK, Choi YH. The feasibility of single-incision video-assisted thoracoscopic major pulmonary resection performed by surgeons experienced with a two-incision technique. Interact Cardiovasc Thorac Surg, 2015, 20(3): 310-315.
16. 莫安勝, 楊小平, 馮志強, 等. 低成本兩孔胸腔鏡手術治療原發性氣胸. 中華腔鏡外科雜志(電子版), 2016, 9(5): 281-284.
17. 羅經文, 成俊玲, 陳開林, 等. 雙孔法電視胸腔鏡治療自發性氣胸. 中國微創外科雜志, 2011, 11(5): 454-455.
18. Migliore M. Efficacy and safety of single-trocar technique for minimally invasive surgery of the chest in the treatment of noncomplex pleural disease. J Thorac Cardiovasc Surg, 2003, 126(5): 1618-1623.
19. Lin JB, Chen JF, Lai FC, et al. Transareolar pulmonary bullectomy for primary spontaneous pneumothorax. J Thorac Cardiovasc Surg, 2016, 152(4): 999-1005.
20. Yang Y, Dong J, Huang Y. Single-incision versus conventional three-port video-assisted surgery in the treatment of pneumothorax: a systematic review and meta-analysis. Interact Cardiovasc Thorac Surg, 2016, 23(5): 722-728.
21. Ng CS. Uniportal VATS in Asia. J Thorac Dis, 2013, 5 (4): 221-225.
22. Tsuboshima K, Nagata M, Wakahara T, et al. Modified chest wall pulley for lung excision during single-Incision thoracoscopic surgery for primary spontaneous pneumothorax. Ann Thorac Cardiovasc Surg, 2016, 22(6): 359-362.
23. 苗國強, 王宏偉, 李學峰, 等. 經腹壁切口胸腔鏡同期治療雙側肺大泡 67 例. 中國社區醫師, 2013, 15(5): 72-73.
24. Liu CY, Lin CS, Liu CC, et al. Subxiphoid single-incision thoracoscopic surgery for bilateral primary spontaneous pneumothorax. Videochir Inne Tech Maloinwazyjne, 2015, 10(1): 125-128.
25. Song N, Zhao DP, Jiang L, et al. Subxiphoid uniportal video-assisted thoracoscopic surgery (VATS) for lobectomy: a report of 105 cases. J Thorac Dis, 2016, 8(3): 251-257.
26. Gonzalez-Rivas D, Yang Y, Lei J, et al. Subxiphoid uniportal video-assisted thoracoscopic middle lobectomy and anterior anatomic segmentectomy (S3) . J Thorac Dis, 2016, 8(3): 540-543.
27. Hernandez-Arenas LA, Lin L, Yang Y, et al. Initial experience in uniportal subxiphoid video-assisted thoracoscopic surgery for major lung resections. Eur J Cardiothorac Surg, 2016, 50(6): 1060-1066.
28. 喬文亮, 周建華, 劉法兵, 等. 3D 胸腔鏡系統在胸部微創手術中的初步應用. 中國癌癥雜志, 2015, 25(4): 305-310.
29. Storz P, Buess G F, Kunert W, et al. 3D HD versus 2D HD: surgical task efficiency in standardised phantom tasks. Surgical Endoscopy, 2012, 26(5): 1454-60.
30. 陸世民, 任斌輝, 張樓, 等. 二維與三維高清胸腔鏡下肺癌手術對比. 中華實驗外科雜志, 2015, 32(3): 627-628.
31. Hanna JM, Berry MF, DAmico TA. Contraindications of video-assisted thoracoscopic surgical lobectomy and determinants of conversion to open. J Thorae Dis, 2013, 5(3): 182-189.
32. 謝冬, 陳昶, 姜格寧. 肺癌外科手術切口的演變與發展趨勢. 中國肺癌雜志, 2016, 19(6): 343-346.
33. Coyan G, Daon E. Resection of supernumerary intrathoracic rib using robotic-assisted video-assisted thoracoscopic surgery. Surg Radiol Anat, 2016, 38(4): 415-417.
34. Liberman M, Khereba M, Goudie E, et al. Cervical video-assisted thoracoscopic surgery using a flexible endoscope for bilateral thoracoscopy. Ann Thorac Surg, 2012, 93(4): 1321-1323.
35. Lonie SJ, Ch'Ng S, Alam NZ, et al. Minimally invasive tracheal resection: cervical approach plus video-assisted thoracoscopic surgery. Ann Thorac Surg, 2015, 100(6): 2336-2339.

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Current status of video-assisted thoracoscopic surgery for spontaneous pneumothorax

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