Video-Assisted Thoracoscopic Surgery (VATS) has become a standard of care in adults, pediatric surgeons have been slower to undertake this approach. There are limitations for working in children. The site of a chest tube becomes the working site for thoracoscopic surgery and the only scar. We propose this study to do a retrospective review comparing the conventional multiport thoracic surgery with the newer single port site.
While Video-Assisted Thoracoscopic Surgery (VATS) has become a standard of care in adults, pediatric surgeons have been slower to undertake this approach. The limitations for working in children are decreased working space, unknown thoracoscopic effects on body physiology, and instrument accommodation. Especially as the field for minimally invasive surgery expands, using the single port approach has unique implications in children. The site of a chest tube becomes the working site for thoracoscopic surgery and the only scar. Despite some learning curve, the preliminary outcomes are similar to the multiport surgeries with better cosmesis. The learning curves for single port site surgery have been well described and our group recently performed a similar study for appendectomies. We propose this study to do a retrospective review comparing the conventional multiport thoracic surgery with the newer single port site.
Study Type
OBSERVATIONAL
Enrollment
7
Use 2 or more incisions for multiple instrument entry during the surgery and chest tube placement at the end of the operation.
Using only 1 incision for multiple instrument entry during the surgery and chest tube placement at the end of the operation. Single port - GelPOINT Mini® port (Applied Medical, Rancho Santa Margarita, California, USA)
Loma Linda University
Loma Linda, California, United States
Total amount of opioid doses in 24 hours post-op
Pain medication records will be reviewed for all opioids dispensed during the post-operative period until time of discharge. The name of the opioid, the dosage, the route, and the frequency will be recorded.period until time of discharge. The name of the opioid, the dosage, the route, and the frequency will be recorded.
Time frame: 24 hours post-operative VATS procedure
Assessment of length of time of chest tube insertion
Time will be recorded from surgery until chest tube removal post operation.
Time frame: Time from surgery until chest tube removal
Assessment of operation time
The length of surgery will be recorded.
Time frame: The time from surgery incision start to surgery closing will be the end time.
Assessment of pneumothorax reoccurrence
If a pneumothorax occurs in the post-operative period, this will be recorded.
Time frame: Within 48 hours post-operative period after surgery.
Total opioid dose from surgery until discharge
Pain medication records will be reviewed for all opioids dispensed during the period from start of surgery through time of hospital discharge. The name of the opioid, the dosage, the route, and the frequency will be recorded.
Time frame: Within 72 hours post-operative period after surgery.
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