[Single-port VATS resection for some XXXX :strategies of the incision location in different gender].

@entity1 @entity190 @entity358 @entity86 @entity158 @entity282
OBJECTIVE: To discuss the feasibility and advantages of aberrant incision location of single-port video-assisted thoracoscopic surgery(VATS) in different gender when treating some @entity358 . METHODS: Retrospectively analyze the clinical data of these @entity1 who were received lung partial resection from the same surgeon in the First Affiliated Hospital of Soochow University, the 100 Hospital of PLA, Wu Zhong @entity1 's Hospital from January 2012 to December 2014. Among the males, 57 were undertook a single-port VATS surgery through areola incision (Observation Group A), and the rest 114 were received conventional uniportal VATS surgery (Control Group A). Among the females, 15 were operated through the subxiphoid incision (Observation Group B) and 45 were received conventional one (Control Group B). The operation time, @entity190 , @entity86 amount, chest tube drainage duration, postoperative hospital stay, the Visual Analogue Scale (VAS) @entity158 score of the 1st and 2nd postoperative day, the incision discomfort in the 30th and 90th postoperative day, and the incision satisfaction degree were evaluated. RESULTS: All the @entity1 were underwent total VATS surgery successfully and no severe complications were observed.In males, there were no significant differences in operation time, @entity190 , @entity86 amount, chest tube drainage duration, postoperative hospital day and the VAS score of the 1st postoperative day (P>0.05). Compared to control group A, the VAS score of the 2nd postoperative day was lower (3.56  1.78 vs 4.14  1.62, P=0.035), the incision discomfort of 30th and 90th postoperative day was reduced (33(57.9%) vs 86(75.4%), P=0.019; 29(50.9%) vs 76(66.7%), P=0.046) and the incision satisfaction degree was significantly improved (45(79.0%) vs 61(53.5%), P=0.001). In females, there were no statistical differences in intraoperative @entity190 , @entity86 amount, chest tube drainage duration, postoperative hospital day and the incision satisfaction degree (P>0.05). Compared to control group B, the operation time was obviously prolonged (57.67  5.72 vs 42.91  7.82, P=0.000), the VAS score of the 1st and 2nd postoperative day was significantly lower (2.13  1.06 vs 3.84  1.69, P=0.001; 2.60  1.24 vs 4.18  1.56, P=0.001) and the incision discomfort in 30th and 90th postoperative day was reduced (4(26.7%) vs 34(75.6%), P=0.001; 4(26.7%) vs 28(62.2%), P=0.017). CONCLUSION: In single-port VATS surgery for some @entity358 , we choose "individualized" incision location--trans-areola incision in males and subxiphoid incision in females--according to different gender and varieties of diseases, which was considered to raise incision satisfaction degree in males and reduce @entity282 in females, it warrants further clinical practice.
