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ORIGINAL RESEARCH article

Front. Surg.
Sec. Thoracic Surgery
Volume 11 - 2024 | doi: 10.3389/fsurg.2024.1480240

Comparative Clinical Efficacy of Single-Incision Thoracoscopic Bullectomy Combined with C-shaped Electrocautery Pleurodesis versus Chemical Pleurodesis in the Management of Spontaneous Pneumothorax

Provisionally accepted
Bin Zhong Bin Zhong Qiyong Wu Qiyong Wu *Ming Zhang Ming Zhang *
  • Changzhou No.2 People's Hospital, Changzhou, China

The final, formatted version of the article will be published soon.

    Objective: This study aims to observe the clinical efficacy of single-incision thoracoscopic bullectomy combined with C-shaped electrocautery pleurodesis compared to traditional iodine chemical pleurodesis in the treatment of patients with spontaneous pneumothorax. Methods: A total of 128 patients with spontaneous pneumothorax who underwent surgical treatment at our institution from January 2021 to December 2022 were selected. Patients were categorized into the study group (n = 65) and the control group (n = 63) based on the surgical method used. The study group received C-shaped pleura cautery for pleurodesis, while the control group underwent traditional iodine chemical pleurodesis. Surgical and clinical outcomes were evaluated, and recurrence rates within one year postoperatively were compared. Serum C-reactive protein (CRP) levels and visual analog scale (VAS) scores were measured at different time points.Results: No significant differences were observed between the two groups regarding surgical duration, intraoperative blood loss, or postoperative hospital stay (p > 0.05). However, the study group demonstrated significantly lower serum CRP levels and VAS scores on postoperative days 1 and 2, as well as reduced drainage volumes compared to the control group (p < 0.05). The recurrence rates of pneumothorax within one year postoperatively did not differ significantly between the groups (p > 0.05).Conclusion: Single-incision thoracoscopic bullectomy combined with C-shaped electrocautery pleurodesis is an effective treatment for spontaneous pneumothorax. Compared to traditional iodine chemical pleurodesis, this method causes less pleural irritation, results in lower postoperative pain and drainage, and facilitates patient recovery, making it a safe and reliable option for the management of spontaneous pneumothorax.

    Keywords: Spontaneous pneumothorax, Single-incision, Thoracoscopic surgery, Pleurodesis, Pain score

    Received: 13 Aug 2024; Accepted: 28 Oct 2024.

    Copyright: © 2024 Zhong, Wu and Zhang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence:
    Qiyong Wu, Changzhou No.2 People's Hospital, Changzhou, China
    Ming Zhang, Changzhou No.2 People's Hospital, Changzhou, China

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.