Novel paravertebral block during single-incision thoracoscopic surgery for primary spontaneous pneumothorax.
Recently, the use of paravertebral block (PVB) during thoracic surgery has been re-evaluated, as it is not inferior to epidural anaesthesia for postoperative pain control, and has been associated with fewer complications (e.g., hematoma of epidural, hypotension, urinary retention, postoperative nausea and vomiting). No reports have described intraoperative catheterization for PVB during single-incision thoracoscopic surgery (SITS) as distinct from thoracotomy or multi-ports video-assisted thoracoscopic surgery. We describe a case of SITS bullectomy using a chest wall pulley for lung excision to treat primary spontaneous pneumothorax and 25 catheterizations for PVB during SITS that have been performed since June 2013. Our novel technique is both easy and safe. It is ideal to combine PVB with SITS because both methods are less invasive.
Department of Thoracic Surgery, Takasago Municipal Hospital, 33-1 Kamimachi, Arai Town, Takasago, Hyogo, 676-8585, Japan. drniwatori@smn.enjoy.ne.jp.
Kenji
K
Tsuboshima
Department of Thoracic Surgery, Takasago Municipal Hospital, 33-1 Kamimachi, Arai Town, Takasago, Hyogo, 676-8585, Japan.
Machiko
M
Nagata
Department of Thoracic Surgery, Takasago Municipal Hospital, 33-1 Kamimachi, Arai Town, Takasago, Hyogo, 676-8585, Japan.
Teppei
T
Wakahara
Department of Thoracic Surgery, Takasago Municipal Hospital, 33-1 Kamimachi, Arai Town, Takasago, Hyogo, 676-8585, Japan.
Yasumi
Y
Matoba
Department of Thoracic Surgery, Hyogo Cancer Center, Akashi, Japan.
Wataru
W
Nishio
Division of Thoracic Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.
Yoshimasa
Y
Maniwa
D000293:Adolescent; D000328:Adult; D000767:Anesthesia, Epidural; D005260:Female; D006801:Humans; D008297:Male; D009407:Nerve Block / Q000379:methods*; D010149:Postoperative Pain / Q000209:etiology / Q000517:prevention & control*; D011030:Pneumothorax / Q000601:surgery*; D013906:Thoracoscopy / Q000009:adverse effects / Q000379:methods; D013908:Thoracotomy / Q000009:adverse effects / Q000379:methods; D055815:Young Adult
Paravertebral block; Primary spontaneous pneumothorax; Single-incision thoracoscopic surgery