ArticleSurgery today2017
Feasibility of single-incision thoracoscopic surgery using a modified chest wall pulley for primary spontaneous pneumothorax: a propensity score matching analysis.
Article in Surgery today, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 14 citations in OpenAlex.
- New Trends in Uniportal Video-Assisted Thoracoscopic Surgery for Primary Spontaneous Pneumothorax: A Narrative Review.Journal of clinical medicine · 2025Review
- Does a gender have something to do with clinical pictures of primary spontaneous pneumothorax?General thoracic and cardiovascular surgery · 2020Article
- Next-day discharge following small uniportal thoracoscopic bullectomy assisted with an anchoring suture.The Journal of international medical research · 2020Article
- The clinical characteristics and surgical results of smoking-related young pneumothorax.General thoracic and cardiovascular surgery · 2019Article
- Optimal margin distance of bullectomy for primary spontaneous pneumothorax reduces postoperative recurrence.Journal of thoracic disease · 2019Article
- Contralateral bulla neogenesis associated with postoperative recurrences of primary spontaneous pneumothorax in young patients.Journal of thoracic disease · 2019Article
- Natural history of bulla neogenesis for primary spontaneous pneumothorax: a propensity score analysis.General thoracic and cardiovascular surgery · 2019Article
- Subxiphoid vs transthoracic approach thoracoscopic surgery for spontaneous pneumothorax: a propensity score-matched analysis.BMC surgery · 2019Article
- Micro-incision thoracoscopic treatment of primary spontaneous pneumothorax: the "loop" technique.Journal of visualized surgery · 2018Article
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeRecently, single-incision thoracoscopic surgery (SITS) has been recognized as a favorable treatment choice for primary spontaneous pneumothorax (PSP) compared with conventional three-port video-assisted thoracoscopic surgery (VATS). However, conventional SITS bullectomy often results in collisions with surgical devices. Therefore, we devised a method of SITS using a chest wall pulley for lung excision (PulLE) and modified PulLE (mPulLE) system, which substitutes threads to eliminate such collisions. We compared the mPulLE system with conventional procedures using propensity score matching (PSM) to adjust for patient backgrounds.
methodsUsing PSM, we evaluated the surgical results of 210 PSP patients who underwent VATS, including mPulLE (n = 23) and three-port VATS (n = 102), at our institution between January 2010 and August 2016.
resultsWe selected 17 mPulLE cases and 17 three-port VATS. There were no marked differences between the groups in the patient backgrounds or surgical results. However, there was a significant difference between the mPulLE cases and the three-port VATS cases in the operative time (71.7 ± 15.7 vs. 85.9 ± 25.5 min, respectively, P = 0.0388) and the number of autosutures used (3.6 ± 1.2 vs. 4.5 ± 1.2, respectively, P = 0.0178).
conclusionThe surgical results of mPulLE in patients with PSP with multiple lesions were equivalent to those achieved with three-port VATS under the same conditions.
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