2017年 · 第33卷第03期

Thoracoscopic pulmonary bullae resection is an important method for the treatment of primary pneumothorax in adolescents. After the technical development of "three-hole method", "two-hole method" (or "single-hole method") to "complete single-hole method", patients' trauma is reduced and pain is gradually improved. However, most patients still use the traditional water-sealed bottle for drainage after operation, which has the defects of thick drainage tube diameter, hard texture, large tissue bundle irritation, severe pain and inconvenient postoperative care. We used single-port thoracoscopy combined with negative pressure bulb thin tube drainage instead of traditional water-sealed bottle drainage, and the application effect was satisfactory. The experience is summarized as follows.

Hand sweat is a kind of hypersympathetic disease. T3 and T4 video-assisted thoracoscopic sympathectomy (VTS) can significantly improve the symptoms of hand sweat, and the rate of postoperative complications is lower than that of T2 sympathectomy^[1]。 Which of the two is superior or inferior is still inconclusive. We compared the efficacy of T3 and T4VTS in the treatment of hand hidrosis and reported as follows.