title: Single-incision thoracoscopic surgery for primary spontaneous pneumothorax.
abstract: OBJECTIVE
  Single-incision laparoscopic surgery had been proven effective for appendectomy, cholecystectomy, and inguinal hernia repair. However, single-incision thoracoscopic surgery (SITS) in primary spontaneous pneumothorax (PSP) has not been reported.
  
  
  METHODS
  We prospectively enrolled 30 PSP patients who received thoracoscopic surgery in the division of Thoracic Surgery of China Medical University Hospital. Ten patients received SITS and 20 patients received traditional three-port thoracoscopic surgery. The operative time, blood loss, wound size, visual analog scale (VAS) pain score, and patient satisfaction score were compared.
  
  
  RESULTS
  There was no significant difference in the operative time and blood loss between the two groups. However, the VAS pain scores were significantly better in the SITS group in first 24 hours after surgery. Patient satisfaction scores in the SITS group were also significantly better in the first 24 and 48 hours after operation.
  
  
  CONCLUSIONS
  Although three-port thoracoscopic surgery for PSP is well established, SITS results in better patient satisfaction and decreased postoperative pain in the treatment of PSP.
authors.affiliation: Division of Thoracic Surgery, Department of Surgery, China Medical University Hospital, China Medical University, Taichung, Taiwan.
authors.forename: Pin-Ru
authors.initials: PR
authors.lastname: Chen
authors.forename: Chien-Kuang
authors.initials: CK
authors.lastname: Chen
authors.forename: Yu-Sen
authors.initials: YS
authors.lastname: Lin
authors.forename: Hsu-Chih
authors.initials: HC
authors.lastname: Huang
authors.forename: Jian-Shun
authors.initials: JS
authors.lastname: Tsai
authors.forename: Chih-Yi
authors.initials: CY
authors.lastname: Chen
authors.forename: Hsin-Yuan
authors.initials: HY
authors.lastname: Fang
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D010147:Pain Measurement; D017060:Patient Satisfaction; D011030:Pneumothorax / Q000601:surgery*; D011446:Prospective Studies; D020775:Thoracic Surgery, Video-Assisted; D013906:Thoracoscopy / Q000379:methods*; D016896:Treatment Outcome; D055815:Young Adult