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| Clinical Study on Single-Hole Thoracoscopic Surgery and Postoperative Application of Negative Pressure Drainage for Benign Chest Disease |
| FAN Jian-kun, CHENG Liang, FEGN Qi, et al |
| The Department of Cardiothoracic Surgery, The 4th People's Hospital of Langfang City, Hebei 065700 China |
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Abstract 【Objective】To explore the clinical application of single-hole thoracoscopic surgery and negative pressure drainage after surgery for benign chest diseases.【Methods】A total of 182 patients who underwent thoracoscopic surgery in our hospital from May 2014 to May 2017 were enrolled in this study. According to the different thoracoscopic procedures, patients were divided into the single-hole thoracoscopic surgery and postoperative application of negative pressure drainage ball drainage group (hereinafter referred to as single-hole thoracoscopic surgery group) with 102 cases and the conventional thoracoscopic surgery and postoperative application of ordinary drainage group (hereinafter referred to as traditional thoracoscopic surgery group) with 80 cases. Patients in the single-hole thoracoscopic surgery group underwent single-hole thoracoscopic surgery, while patients in the traditional thoracoscopic surgery group received three-hole thoracoscopic surgery. The intraoperative blood loss, operation time, length of hospitalization and drainage were compared between the two groups. Postoperative pain, postoperative complications, and quality of life for 3 months after surgery were evaluated as well.【Results】The intraoperative blood loss and drainage volume of patients with the single hole thoracoscopic surgery were less than those of the traditional thoracoscopic surgery group (P<0.05), but the operation time in the single-thoracic surgery group was longer than that of the conventional thoracoscopic surgery group (P<0.05). The hospitalization time of patients with single-hole thoracoscopic surgery was shorter than that in the conventional thoracoscopic surgery group; the difference was statistically significant (P<0.05). The maximum pain at 3 and 7 days postoperatively, and the lowest pain at 7 days after operation in the single-hole thoracoscopic surgery group were lower than those in the conventional thoracoscopic surgery group; the differences were statistically significant (P<0.05). However, there was no statistically significant difference in the incidence of postoperative complications between the two groups. After 3 months of surgery, the scores of physiological function, physical pain, social function, emotional function and mental health in patients who underwent single-hole thoracoscopic surgery were significantly higher than those in patients underwent traditional thoracoscopic surgery; the differences were statistically significant (P<0.05).【Conclusion】Compared to traditional thoracoscopic surgery with ordinary drainage tube, the use of single-hole thoracoscopic surgery with negative pressure thoracic drainage treatment of thoracic surgery can more effectively reduce the amount of intraoperative blood loss, shorten the length of hospital stay, reduce drainage volume, relieve pain, and improve the quality of life. It is worthy of clinical promotion.
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Received: 14 August 2017
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2018, Vol. 35 
