A comparative study on recurrence rates and hospitalization duration between video-assisted thoracoscopic surgery (VATS) and open thoracotomy for spontaneous pneumothorax
电视胸腔镜手术（VATS）与开胸手术治疗自发性气胸的复发率、住院时间的差异研究

摘要

目的 探讨对临床自发性气胸者，采取电视胸腔镜手术（VATS）vs开胸手术治疗，分析其治疗差异。方法 对于我院2023年1月至2024年12月收入的80例自发性气胸者进行选取，随机数字表法分为对照组与观察组，每组40例，对照组开展开胸手术，观察组予以VATS。结果 观察组手术耗时等指标均低于对照组（P<0.05）。观察组并发症率、复发率低于对照组（P<0.05）。结论 对临床自发性气胸者，采取VATS治疗，可助于缩短手术耗时、住院时间、引流管引流时长，减少术中出血量，降低并发症率和复发率。

Abstract

Objective To compare the therapeutic outcomes of video-assisted thoracoscopic surgery (VATS) versus open thoracotomy in clinical spontaneous pneumothorax patients.
Methods A total of 80 cases of spontaneous pneumothorax admitted to our hospital between January 2023 and December 2024 were enrolled. Patients were randomly assigned to a control group (40 cases) and an observation group (40 cases) using a random number table. The control group underwent open thoracotomy, while the observation group received VATS.
Results The observation group demonstrated significantly shorter operative time and shorter hospitalization duration compared to the control group (P<0.05). Additionally, the observation group showed lower complication rates and recurrence rates than the control group (P<0.05).
Conclusion   For clinical spontaneous pneumothorax patients, VATS treatment can effectively reduce operative time, shorten hospital stays, decrease drainage tube duration, minimize intraoperative blood loss, and lower complication and recurrence rates.