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A prospective comparative study of thoracoscopic transareolar and uniportal approaches for young male patients with primary spontaneous pneumothorax

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Abstract

Objective

In this study, we introduce a novel approach, thoracoscopic transareolar bullectomy, for treating young male patients with primary spontaneous pneumothorax (PSP). This approach might be less invasive and cosmetically superior to existing methods. We also prospectively compared transareolar and uniportal approaches.

Methods

Between April 2018 and July 2019, 40 patients were prospectively assigned to transareolar (n = 21) and uniportal (n = 19) groups. We compared patient characteristics and perioperative results. Approximately 1 week or 1 year after the operation, postoperative pain was evaluated using a numerical rating scale (NRS), and cosmetic satisfaction was graded on a four-point scale.

Results

We found no significant between-group differences in patient characteristics or perioperative results. NRS scores did not differ on postoperative day (POD) 7 (transareolar, 1.8 ± 0.9 vs. uniportal, 1.6 ± 0.9; p = 0.62) or in postoperative month (POM) 12 (transareolar, 1.3 ± 0.5 vs. uniportal, 1.1 ± 0.5; p = 0.18). In terms of cosmetic satisfaction, the transareolar group was more satisfied on POD 7 (transareolar, 3.5 ± 0.6 vs. uniportal, 2.9 ± 0.9; p = 0.02) and in POM 12 (transareolar, 3.8 ± 0.5 vs. uniportal, 3.3 ± 0.9; p = 0.0065).

Conclusion

Although the perioperative results of the transareolar and uniportal approaches were similar, the former approach afforded a little better cosmetic satisfaction and might be useful option for young males with PSP.

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Acknowledgements

The authors thank all involved surgeons and their coworkers, and the editors and reviewers for their assistance with the manuscript.

Funding

The study was not externally funded.

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Authors and Affiliations

  1. Department of General Thoracic Surgery, Japanese Red Cross Maebashi Hospital, 389-1 Asakura-cho, Maebashi, Gunma, 371-0811, Japan

    Hitoshi Igai, Mitsuhiro Kamiyoshihara, Shinya Furusawa, Fumi Ohsawa, Tomohiro Yazawa & Natsumi Matsuura

Authors
  1. Hitoshi Igai
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  2. Mitsuhiro Kamiyoshihara
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  3. Shinya Furusawa
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  4. Fumi Ohsawa
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  5. Tomohiro Yazawa
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  6. Natsumi Matsuura
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Contributions

Hitoshi Igai: Conceptualization; formal analysis; investigation; writing of the original draft. Mitsuhiro Kamiyoshihara: Project administration. Shinya Furusawa: Writing, review, and editing. Fumi Ohsawa: Writing, review, and editing. Tomohiro Yazawa: Writing, review, and editing. Natsumi Matsuura: Writing, review, and editing.

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Correspondence to Hitoshi Igai.

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Igai, H., Kamiyoshihara, M., Furusawa, S. et al. A prospective comparative study of thoracoscopic transareolar and uniportal approaches for young male patients with primary spontaneous pneumothorax. Gen Thorac Cardiovasc Surg 69, 1414–1420 (2021). https://doi.org/10.1007/s11748-021-01647-9

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  • DOI: https://doi.org/10.1007/s11748-021-01647-9

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