Our Surgical Experience with Uniport Video-Assisted Thoracoscopic Surgery in a Recurrent Spontaneous Pneumothorax: A Case Report

Abstract

Ozet Otuz yasinda erkek hasta hastaneye nefes darligi sikayeti ile basvurdu. Hastanin ozgecmisinde 5 yil once sol spontan pnomotoraks nedeniyle sol tup torakostomi uygulandigi ogrenildi. Posteroanterior akciger grafisinde solda total pnomotoraks mevcuttu. Hasta cift lumenli sol tuple entube edildi. Sol 6. interkostal aralik orta axiller hattan insizyon yapildi ve toraksa tek porttan girildi ve ust lob apikal segmente wedge rezeksiyon yapildi. Postoperatif 3. gun hastaneden taburcu edildi. Spontan pnomotoraksin cerrahi tedavisinde operasyon suresini kisaltmasi, postoperatif agri azligi, kozmetik ve hastanede yatis suresini kisaltmasindan dolayi tek port videoyardimli torakoskopik cerrahi yontemi tercih edilmelidir. Abstract Thirty-year-old male patient was admitted to the hospital complaining of shortness of breath. In patients background there is a left sided tube thoracostomy applied for primary spontaneous pneumothorax before five years. In this recourse there was a total pneumothorax on posteroanterior chest graphy again. In this instance, patient was intubated with left double-lumen intubation tube then left 6th intercostal space mid-axillary line incision was made, and entered to thoracic cavity through a single port. After that apical bullous segment of the upper lobe removed by wedge resection. Third postoperative day the patient was discharged from the hospital. In the surgical treatment of spontaneous pneumothorax, single-port video-assisted thoracoscopic surgery method should be preferred because the lack of postoperative pain, cosmetic results and the shortening of hospitalization duration.