Pain Versus Gain: Multiport Versus Single-Port Thoracoscopic Surgery for Pediatric Pneumothorax a Case Series
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 7
- 试验地点
- 1
- 主要终点
- Total amount of opioid doses in 24 hours post-op
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Control
- 时间视角
- Retrospective
入排标准
- 年龄范围
- — 至 19 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age < 19 years old
- •pneumothorax
- •underwent surgery for pneumothorax
排除标准
- •Age =/> 19 years old
- •history of prior thoracic surgery
- •history of cancer
结局指标
主要结局
Total amount of opioid doses in 24 hours post-op
时间窗: 24 hours post-operative VATS procedure
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.
Assessment of length of time of chest tube insertion
时间窗: Time from surgery until chest tube removal
Time will be recorded from surgery until chest tube removal post operation.
次要结局
- Assessment of pneumothorax reoccurrence(Within 48 hours post-operative period after surgery.)
- Assessment of operation time(The time from surgery incision start to surgery closing will be the end time.)
- Total opioid dose from surgery until discharge(Within 72 hours post-operative period after surgery.)