Original article: general thoracicVideothoracoscopic bleb excision and pleural abrasion for the treatment of primary spontaneous pneumothorax: long-term results
Section snippets
Patient characteristics
Between July 1991 and December 1997, 182 patients with primary spontaneous pneumothorax have been treated by videothoracoscopy at our institution. Twelve patients were female (7%) and 170 were male (93%). All patients had a preoperative chest computed tomography (CT) to determine the number and location of blebs or bullae. The indications for operation are reported in Table 1. The mean age at operation was 25.1 ± 4.9 years (range, 16 to 37 years). Seventy-eight patients (43%) had a history of
Results
All patients had preoperative chest CT allowing for preventive surgical procedures on the contralateral lung in selected patients. All patients but 19 had blebs or bullae diagnosed on chest CT. Indications for operation are reported in Table 1. Ninety-three procedures were performed on the right side and 71 on the left side; 7 patients had a single-stage bilateral procedure and 11 patients had a staged bilateral procedure. All patients but 8 had at least one bullous area excised. The mean
Comment
There is now compelling evidence that VATS is a viable alternative to limited lateral thoracotomy (LLT) for the treatment of primary spontaneous pneumothorax 6, 7, 8, 9, 10, 11, 12, 13, 14. Videothoracoscopic procedures result in short hospital stay, low morbidity, high patient acceptance, and mid-term rates of recurrence slightly higher than those reported after open procedures 6, 7, 8, 9, 10, 11, 12, 13, 14. Moreover, VATS has been reported to reduce postoperative pain, reduce shoulder
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2018, Annals of Thoracic SurgeryThree Hundred Fifty-One Patients With Pneumothorax Undergoing Uniportal (Single Port) Video-Assisted Thoracic Surgery
2017, Annals of Thoracic SurgeryPleurectomy versus pleural abrasion for primary spontaneous pneumothorax in children
2017, Journal of Pediatric SurgeryCitation Excerpt :While some studies have shown equivalent outcomes between these two techniques [11], others have mirrored our finding of a reduced risk of PSP recurrence in patients undergoing pleurectomy [12,13]. Interestingly, our recurrence rate following pleurectomy (8.8%) was similar to other series, while our recurrence rate following pleural abrasion (40%) was significantly higher than most published series [12,14–16]. The reason behind the divergence from published recurrence rates following pleural abrasion in our study remains unclear.
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