{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T04:18:44Z","timestamp":1772165924741,"version":"3.50.1"},"reference-count":13,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,4,30]],"date-time":"2021-04-30T00:00:00Z","timestamp":1619740800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,4,30]],"date-time":"2021-04-30T00:00:00Z","timestamp":1619740800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Surg"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Due to improvements in operative techniques and medical equipment, video-assisted thoracoscopic surgery has become a mainstay of thoracic surgery. Nevertheless, in multiport thoracoscopic surgery, there have been no substantial advances related to the improvement of the esthetics of the site of the chest tube kept for postoperative drainage of intrathoracic fluid and decompression of air leak after thoracoscopic surgery. Leakage of fluid and air around the site of the chest tube can be extremely bothersome to patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>From March 2019 to April 2020, we used a modified technique of closing the port site in 67 patients and the traditional method in 51 patients undergoing multiport thoracoscopic surgery due to lung disease or mediastinal disease. We recorded patients\u2019 age, gender, body mass index, surgical method, postoperative drainage time, and postoperative complications.The NRS pain scale was used to score the pain in each patient on the day of extubation.The PSAS and the OSAS were used for the assessment of scars one month after surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In the modified technique group, only one patient (1.49%) had pleural effusion leakage, compared with five patients (9.80%) in the traditional method group (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.05). There were no significant differences in the pain of extubating and wound dehiscence between the two groups. However,the incidence rates of wound dehiscence in the modified technique group were lower than in the traditional method group. There were no post-removal pneumothorax and wound infection in either of the groups. Significant differences in the PSAS and OSAS were observed between the groups,where the modified technique group was superior to the traditional method group.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The modified technique of port site closure is a leak-proof method of fixation of the chest tube after multiport thoracoscopic surgery. Moreover, it is effective and preserves the esthetic appearance of the skin.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12893-021-01220-4","type":"journal-article","created":{"date-parts":[[2021,4,30]],"date-time":"2021-04-30T04:03:09Z","timestamp":1619755389000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Modified technique of closing the port site after multiport thoracoscopic surgery using the shingled suture technique: a single centre experience"],"prefix":"10.1186","volume":"21","author":[{"given":"Haitao","family":"Xu","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shuai","family":"Ren","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tianyu","family":"She","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jingyu","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lianguo","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Teng","family":"Jia","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qingguang","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,4,30]]},"reference":[{"issue":"3","key":"1220_CR1","doi-asserted-by":"publisher","first-page":"514","DOI":"10.1510\/icvts.2010.256222","volume":"12","author":"D Gonzalez","year":"2011","unstructured":"Gonzalez D, Paradela M, Garcia J, Dela Torre M. Single-port video-assisted thoracoscopic lobectomy. Interact Cardiovasc Thorac Surg. 2011;12(3):514\u20135.","journal-title":"Interact Cardiovasc Thorac Surg"},{"issue":"3","key":"1220_CR2","doi-asserted-by":"publisher","first-page":"962","DOI":"10.1016\/j.athoracsur.2018.08.023","volume":"107","author":"ADL Sihoe","year":"2019","unstructured":"Sihoe ADL. Uniportal lung cancer surgery: state of the evidence. Ann Thorac Surg. 2019;107(3):962\u201372.","journal-title":"Ann Thorac Surg"},{"issue":"6","key":"1220_CR3","doi-asserted-by":"publisher","first-page":"813","DOI":"10.1093\/icvts\/ivv034","volume":"20","author":"JH Chung","year":"2015","unstructured":"Chung JH, Choi YS, Cho JH, Kim HK, Kim J, Zo JI, Shim YM. Uniportal video-assisted thoracoscopic lobectomy: an alternative to conventional thoracoscopic lobectomy in lung cancer surgery? 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The patient and observer scar assessment scale: translation for Portuguese language, cultural adaptation, and validation. Int Wound J. 2019;16(6):1513\u201320.","journal-title":"Int Wound J"},{"issue":"4","key":"1220_CR8","doi-asserted-by":"publisher","first-page":"591","DOI":"10.1093\/ejcts\/ezt051","volume":"44","author":"E Taioli","year":"2013","unstructured":"Taioli E, Lee DS, Lesser M, Flores R. Long-term survival in video-assisted thoracoscopic lobectomy vs open lobectomy in lung-cancer patients: a meta-analysis. Eur J Cardiothorac Surg. 2013;44(4):591\u20137.","journal-title":"Eur J Cardiothorac Surg"},{"issue":"5","key":"1220_CR9","doi-asserted-by":"publisher","first-page":"369","DOI":"10.1007\/s00595-018-1746-4","volume":"49","author":"R Oda","year":"2019","unstructured":"Oda R, Okuda K, Osaga S, Watanabe T, Sakane T, Tatematsu T, Yokota K, Haneda H, Nakanishi R. 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Written consent was given by the patients for their information to be stored in the hospital database and used for research.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"223"}}