ObjectiveTo analyze the feasibility of single-incision video-assisted thoracoscopic surgery (VATS) technique in treating first-episode primary spontaneous pneumothorax(PSP). MethodsA retrospective clinical analysis was made in 82 patients of first-episode primary spontaneous pneumothorax from March 2010 to March 2014. Of them, 35 cases received single-incision video-assisted thoracoscopic surgery (VATS) (group A), 47 cases were given conservative treatment (group B). The clinical indexes of two groups were compared. ResultsAll the 82 patients recovered smoothly and were discharged. No complications occurred in both groups, including incision hematoma, pneumonia, empyema, hemothorax and intractable chest pain. The indwelling time of thoracic drainage tube, the length of hospital stay, the postoperative recurrent rate, the pain duration, and the patient satisfaction in group A were significant better that those of group B. There was no significant difference in pain intensity. ConclusionSingle-incision video-assisted thoracic surgery may decrease the postoperative recurrence rate of first-episode PSP. I is a safe, effective and feasible procedure, worthy of clinical promotion.

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