Thoracoscopic one window plus puncture method for XXXX .

@entity1 @entity5229 @entity456
AIM: The aim of this article is to present a new method for treating @entity5229 , the one window plus puncture method (1WP) in which a thin endoscope is used. METHODS: With the @entity1 in the lateral position and under one-lung ventilation, a one-window working port was created on the ventral side. An introducer was inserted on the dorsal side, and the operation to treat @entity5229 was performed under observation with a thin endoscope, that was 2 mm to 3 mm in diameter. RESULTS: This study enrolled 540 @entity1 , in whom thoracoscopic surgery was performed in order to treat @entity5229 during the period from 1995 to 2004. The cases were divided into two groups: the first group comprised 324 cases (TWM group) in which surgery was performed by the two windows method (TWM), and the second group comprised 216 cases (1WP group) in which surgery was performed by the one window plus puncture method (1WP) using a thin endoscope. After surgery the two groups were compared. The TWM group consisted of 282 males and 42 females, and the @entity1 ' mean age was 32+/-14.5 years (range: 15 to 76 years). The 1WP group consisted of 202 males and 14 females, and the @entity1 ' mean age was 21.6+/-6.1 years (range: 15 to 48 years). The mean interval between hospital admission and surgery was 1.5+/-2.8 days in the TWM group and 0.9+/-1.5 days in the in the 1WP group. The mean interval between surgery and hospital discharge was 3.3+/-2.5 days in the TWM group and 2.3+/-0.7 days in the 1WP group. There was a postoperative recurrence in 13 (4%) of the cases in the TWM group, and reoperation was performed in 8 of them; and there was a recurrence in 7 (3.2%) of the cases in the 1WP group, and reoperation was performed in all of them. Thoracoscopic surgery using the thin endoscope was esthetically superior, surgical invasion was minor, and the @entity1 were able to return to their daily lives sooner. CONCLUSIONS: A thoracoscopic surgery performed aggressively to treat @entity5229 made it possible for the @entity1 to return to their daily lives sooner. As thoracoscopic surgery by the 1WP method eliminates the access site on the dorsal side, used in the TWM, and utilizes only a 2 mm to 3 mm puncture, it is a more esthetic procedure, similar in terms of appearance to inserting a @entity456 without performing surgery.
