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Single-incision thoracoscopic surgery – SITS


Authors: P. Horák;  J. Fanta
Authors‘ workplace: Chirurgická klinika 1. LF UK a Nemocnice Na Bulovce, Budínova 2, Praha přednosta: Doc. MUDr. Jan Fanta, DrSc. 8
Published in: Rozhl. Chir., 2012, roč. 91, č. 2, s. 73-76.
Category: Original articles

Overview

Introduction:
To report our initial experience with single-incision videothoracoscopic surgery.

Material and methods:
Between 2009 and 2011, we performed 31 operations using this approach. Neither intraoperatively nor postoperatively did we observe any complication related to the change in the surgical approach.

Discussion:
The aim of this relatively newly introduced technique is to be a further decrease in the thoracic wall traumatisation and thus a further decrease in postoperative pain. The reduction in the incidence of chronic pain and paraesthesiae related to surgical trauma, faster recovery of the patient, shorter hospitalization time as well as shorter sick leave are expected. Benefits also include a good cosmetic result.

Conclusion:
Our first experience is encouraging. A more detailed comparison with multiple-incision VTS will need to be assessed in a prospective study.

Keywords:
videothoracoscopy – single-incision approach – postoperative pain – SITS


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