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.	Dżeljilji 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.	刘伦旭. 开胸手术将逐渐" 升级”为胸腔镜微创手术的补充. 中国胸心血管外科临床杂志, 2012, 19(2): 109-112.
5.	李威, 陈伟, 郑中锋, 等. 电视胸腔镜辅助小切口手术与电视胸腔镜手术治疗自发性气胸患者的临床比较. 中华临床医师杂志(电子版), 2014, 8(22): 4145-4147.
6.	Foroulis CN. Surgery for primary spontaneous pneumothorax. J Thorac Dis, 2016, 8(12): E1743-E1745.
7.	王通, 闫天生, 宋金涛, 等. 胸腔镜术后复发性气胸的再次胸腔镜手术治疗. 中国微创外科杂志, 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.	贺未, 宋金涛, 王通, 等. 影响原发性自发性气胸胸腔镜手术时长和引流管留置时间的因素分析. 实用医学杂志, 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.	张翔宇, 韩敬泉, 刘成, 等. 原发性自发性气胸的日间手术. 中国微创外科杂志, 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.	莫安胜, 杨小平, 冯志强, 等. 低成本两孔胸腔镜手术治疗原发性气胸. 中华腔镜外科杂志(电子版), 2016, 9(5): 281-284.
17.	罗经文, 成俊玲, 陈开林, 等. 双孔法电视胸腔镜治疗自发性气胸. 中国微创外科杂志, 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.	苗国强, 王宏伟, 李学峰, 等. 经腹壁切口胸腔镜同期治疗双侧肺大泡 67 例. 中国社区医师, 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.	乔文亮, 周建华, 刘法兵, 等. 3D 胸腔镜系统在胸部微创手术中的初步应用. 中国癌症杂志, 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.	陆世民, 任斌辉, 张楼, 等. 二维与三维高清胸腔镜下肺癌手术对比. 中华实验外科杂志, 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.	谢冬, 陈昶, 姜格宁. 肺癌外科手术切口的演变与发展趋势. 中国肺癌杂志, 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. Dżeljilji 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. 刘伦旭. 开胸手术将逐渐" 升级”为胸腔镜微创手术的补充. 中国胸心血管外科临床杂志, 2012, 19(2): 109-112.
5. 李威, 陈伟, 郑中锋, 等. 电视胸腔镜辅助小切口手术与电视胸腔镜手术治疗自发性气胸患者的临床比较. 中华临床医师杂志(电子版), 2014, 8(22): 4145-4147.
6. Foroulis CN. Surgery for primary spontaneous pneumothorax. J Thorac Dis, 2016, 8(12): E1743-E1745.
7. 王通, 闫天生, 宋金涛, 等. 胸腔镜术后复发性气胸的再次胸腔镜手术治疗. 中国微创外科杂志, 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. 贺未, 宋金涛, 王通, 等. 影响原发性自发性气胸胸腔镜手术时长和引流管留置时间的因素分析. 实用医学杂志, 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. 张翔宇, 韩敬泉, 刘成, 等. 原发性自发性气胸的日间手术. 中国微创外科杂志, 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. 莫安胜, 杨小平, 冯志强, 等. 低成本两孔胸腔镜手术治疗原发性气胸. 中华腔镜外科杂志(电子版), 2016, 9(5): 281-284.
17. 罗经文, 成俊玲, 陈开林, 等. 双孔法电视胸腔镜治疗自发性气胸. 中国微创外科杂志, 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. 苗国强, 王宏伟, 李学峰, 等. 经腹壁切口胸腔镜同期治疗双侧肺大泡 67 例. 中国社区医师, 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. 乔文亮, 周建华, 刘法兵, 等. 3D 胸腔镜系统在胸部微创手术中的初步应用. 中国癌症杂志, 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. 陆世民, 任斌辉, 张楼, 等. 二维与三维高清胸腔镜下肺癌手术对比. 中华实验外科杂志, 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. 谢冬, 陈昶, 姜格宁. 肺癌外科手术切口的演变与发展趋势. 中国肺癌杂志, 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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