Introduction.

The advancement from open to video-assisted thoracic surgery through three ports, and its subsequent effects on the recovery of patients, led to the development of the single port technique, which has shown benefits in the postoperative period. The objective of this study was to compare the postsurgical results of patients undergoing parietal pleurectomy and video-assisted single-port thoracoscopic pulmonary decortication to those obtained by conventional thoracotomy, in a fourth level clinic, between 2016 and 2019.

Methods.

Descriptive study, in which 79 patients underwent parietal pleurectomy and pulmonary decortication by single-port video-assisted thoracoscopy and 25 patients operated by conventional thoracotomy were included. Sociodemographic, clinical and postoperative variables were evaluated. The Chi-square or Fisher tests, and the t Student and Mann Whitney t tests were used.

Results.

The median age was lower in the conventional thoracotomy group (28 years; IQR: 26-48; p= 0.0005). There were no differences in surgical times. Lower pain level, and a decreased in days with chest tube, antibiotic use, need for ICU and of hospital stay were reported in the single-port video-assisted thoracoscopy group compared to conventional thoracotomy technique (p < 0.05).

Discussion.

This study reinforces the trend of better postsurgical results, fewer days of chest tube use, use of antibiotics, need for ICU and days of general hospital stay with the single-port video-assisted technique compared to conventional open thoracotomy.

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