|Title:||Surgical treatment of primary spontaneous pneumothorax with video-assisted thoracic surgery||Authors:||Freixinet, J.
Rivas, J. J.
Rodriguez De Castro, F.
Gimferrer, J. M.
|UNESCO Clasification:||32 Ciencias médicas
3314 Tecnología médica
|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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