Transaxillary mini thoracotomy as an alternative to thoracoscopy in the treatment of primary spontaneous pneumothorax: A prospective cohort study
Keywords:Video-assisted thoracic surgery, Transaxillary mini thoracotomy, Spontaneous pneumothorax, Cost
Aim: Arguments comparing the outcomes of traditional open surgery and endoscopic approach performed for the treatment of primary spontaneous pneumothorax persist. This study aims to reveal the efficiency of transaxillary mini thoracotomy which is considered an alternative to thoracoscopy.
Methods: This study was conducted with 40 patients who underwent 3-port thoracoscopy and 40 patients who were treated with transaxillary mini thoracotomy for pneumothorax between 2012 and 2018. Two different types of surgery were compared in terms of age, gender, side of operation, duration of hospital stay, complications, recurrence and total cost.
Results: The whole group included 68 (85%) males and 12 (15%) females. Mean age was 25 (3.96) (range: 18-35) years. Pneumothorax was right sided in 42 (52.5%) patients. Mean hospital stay was 2.86 (0.56) (range: 2-4) days. Average cost was 3263.75 (563.71) TL per patient. Complications occurred in 11 (13.75%) patients whereas 4 (5%) cases developed recurrence. Groups of different surgeries had no statistically significant difference in terms of age, gender, side of operation, duration of hospital stay, rates of complication and recurrence while the average of cost was significantly lower for thoracotomy group.
Conclusion: Regarding the identical surgical outcomes and lower cost, transaxillary mini thoracotomy can be safely preferred as an alternative to thoracoscopy for the treatment of spontaneous pneumothorax.
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