Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Outcomes of the Tower Crane Technique with a 15-mm Trocar in Primary Spontaneous Pneumothorax

  • Chong, Yooyoung (Department of Thoracic and Cardiovascular Surgery, Chungnam National University School of Medicine) ;
  • Cho, Hyun Jin (Department of Thoracic and Cardiovascular Surgery, Chungnam National University School of Medicine) ;
  • Kang, Shin Kwang (Department of Thoracic and Cardiovascular Surgery, Chungnam National University School of Medicine) ;
  • Na, Myung Hoon (Department of Thoracic and Cardiovascular Surgery, Chungnam National University School of Medicine) ;
  • Yu, Jae Hyeon (Department of Thoracic and Cardiovascular Surgery, Chungnam National University School of Medicine) ;
  • Lim, Seung Pyung (Department of Thoracic and Cardiovascular Surgery, Chungnam National University School of Medicine) ;
  • Kang, Min-Woong (Department of Thoracic and Cardiovascular Surgery, Chungnam National University School of Medicine)
  • Received : 2015.05.22
  • Accepted : 2015.08.05
  • Published : 2016.04.05
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Abstract

Background: Video-assisted thoracoscopic surgery (VATS) pulmonary wedge resection has emerged as the standard treatment for primary spontaneous pneumothorax. Recently, single-port VATS has been introduced and is now widely performed. This study aimed to evaluate the outcomes of the Tower crane technique as novel technique using a 15-mm trocar and anchoring suture in primary spontaneous pneumothorax. Methods: Patients who underwent single-port VATS wedge resection in Chungnam National University Hospital from April 2012 to March 2014 were enrolled. The medical records of the enrolled patients were reviewed retrospectively. Results: A total of 1,251 patients were diagnosed with pneumothorax during this period, 270 of whom underwent VATS wedge resection. Fifty-two of those operations were single-port VATS wedge resections for primary spontaneous pneumothorax performed by a single surgeon. The median age of the patients was $19.3{\pm}11.5$ years old, and 43 of the patients were male. The median duration of chest tube drainage following the operation was $2.3{\pm}1.3days$, and mean post-operative hospital stay was $3.2{\pm}1.3days$. Prolonged air leakage for more than three days following the operation was observed in one patient. The mean duration of follow-up was $18.7{\pm}6.1months$, with a recurrence rate of 3.8%. Conclusion: The tower crane technique with a 15-mm trocar may be a promising treatment modality for patients presenting with primary spontaneous pneumothorax.

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