{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T13:17:15Z","timestamp":1787318235489,"version":"build-2736575974"},"reference-count":23,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2023,2,1]],"date-time":"2023-02-01T00:00:00Z","timestamp":1675209600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Med Res"],"published-print":{"date-parts":[[2023,2]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To propose a treatment approach for primary spontaneous pneumothorax (PSP) in male patients with a smaller incision and less pain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We retrospectively studied 29 patients with PSP who underwent areola-port video-assisted thoracoscopic surgery (VATS) and 21 patients who underwent single-port VATS. The areola-port VATS technique was performed as follows. First, an arc incision was made along the lower edge of the areola, and a 5-mm-diameter thoracoscope was placed. The bullae were completely removed, and the absence of air leaks and other bullae was confirmed. A drainage tube was placed in the chest with negative pressure and then quickly pulled out, and the reserved suture line was knotted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>All patients were male, and their mean age was 19.07\u2009\u00b1\u20092.43 years. The mean intraoperative hemorrhage volume and postoperative pain score were significantly lower in the areola-port than single-port group. The mean operative time and mean postoperative hospital stay were also shorter in the areola-port group, but without statistical significance. The incidence of complications and the 1-year postoperative recurrence rate were 0% in both groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Our method is clinically feasible and inexpensive, has a traceless effect, and is especially suitable for adolescents.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/03000605231154394","type":"journal-article","created":{"date-parts":[[2023,2,21]],"date-time":"2023-02-21T03:28:33Z","timestamp":1676950113000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Thoracoscopic treatment of primary spontaneous pneumothorax without a drainage tube in male patients"],"prefix":"10.1177","volume":"51","author":[{"given":"Honghao","family":"Fu","sequence":"first","affiliation":[{"name":"Department of General Thoracic Surgery, Jining First People\u2019s Hospital, Jining, Shandong, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Defeng","family":"Jin","sequence":"additional","affiliation":[{"name":"Department of General Thoracic Surgery, Jining First People\u2019s Hospital, Jining, Shandong, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6532-8002","authenticated-orcid":false,"given":"Yutao","family":"Wei","sequence":"additional","affiliation":[{"name":"Department of General Thoracic Surgery, Jining First People\u2019s Hospital, Jining, Shandong, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,2,20]]},"reference":[{"key":"bibr1-03000605231154394","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200003233421207"},{"key":"bibr2-03000605231154394","doi-asserted-by":"publisher","DOI":"10.1097\/PEC.0b013e31824d9a65"},{"key":"bibr3-03000605231154394","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2008.08.041"},{"key":"bibr4-03000605231154394","doi-asserted-by":"publisher","DOI":"10.1136\/thx.58.suppl_2.ii39"},{"key":"bibr5-03000605231154394","doi-asserted-by":"publisher","DOI":"10.1177\/1753466620986390"},{"key":"bibr6-03000605231154394","doi-asserted-by":"publisher","DOI":"10.1136\/thx.2010.136986"},{"key":"bibr7-03000605231154394","doi-asserted-by":"publisher","DOI":"10.1016\/j.rmed.2018.03.009"},{"key":"bibr8-03000605231154394","first-page":"92","volume":"3","author":"Nakanish 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