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http://hdl.handle.net/10553/46652
Title: | Surgical treatment of primary spontaneous pneumothorax with video-assisted thoracic surgery | Authors: | Freixinet, J. Canalis, E. Rivas, J. J. Rodriguez De Castro, F. Torres, J. Gimferrer, J. M. Sanchez-Lloret, J. |
UNESCO Clasification: | 32 Ciencias médicas 3213 Cirugía 3314 Tecnología médica |
Keywords: | Pneumothorax Thoracoscopy |
Issue Date: | 1997 | Journal: | European Respiratory Journal | Abstract: | We report the results of our experience using video-assisted thoracoscopic surgery (VATS) to treat primary spontaneous pneumothorax (PSP) from January 1992 until December 1994 in a multicentered co-operative study. A total of 132 patients (110 males and 22 females, aged 13-38 yrs, mean age 26 yrs) were treated by VATS to deal with the PSP that they presented with. A standard VATS technique was used. Apical bullae were always removed, and mechanical pleural abrasion was performed, leaving a pleural drainage tube. In two cases (1.5%), a switch to thoracotomy was necessary. In eight cases (6%), air leakage persisted for 5 days after surgery, which resolved with pleural drainage. There were eight postoperative relapses (6%), which were treated with pleural drainage (n = 4), VATS (n = 3) or axillar thoracotomy (n = 1). The average postoperative stay was 5.6 days (range 2-15 days). We conclude that video-assisted thoracoscopic surgery is a viable alternative for the treatment of primary spontaneous pneumothorax. There is, however, a high relapse rate, and in a number of cases air leakage persists in the postoperative period. | URI: | http://hdl.handle.net/10553/46652 | ISSN: | 0903-1936 | DOI: | 10.1183/09031936.97.10020409 | Source: | European Respiratory Journal [ISSN 0903-1936],v. 10, p. 409-411 |
Appears in Collections: | Artículos |
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