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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
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.
ISSN: 0903-1936
DOI: 10.1183/09031936.97.10020409
Source: European Respiratory Journal [ISSN 0903-1936],v. 10, p. 409-411
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