S S Connolly1, C Hurson, V Lynch. 1. Thoracic Surgery Unit, St Vincent's University Hospital, Dublin, Ireland.
Abstract
BACKGROUND: Video-assisted thoracoscopic surgery (VATS) is the preferred option for the surgical management of primary spontaneous pneumothorax (PSP). AIMS: To evaluate the role of thoracoscopic blebectomy with and without chemical pleurodesis. METHODS: A retrospective study was performed on 113 consecutive cases carried out in one unit. RESULTS; One hundred and thirteen VATS procedures were performed on 108 patients. The mean age was 23 years (range 14-45). The male to female ratio was 82:26. Recurrent pneumothorax was the indication for surgery in 80%. Conversion to an open procedure was required in 10 cases (9%), most commonly due to severe adhesions. Successful endoscopic blebectomy was performed in 98 cases (87%), 48 of which had an additional chemical pleurodesis. Follow-up is currently to a mean of 28 months. Recurrence has occurred in eight cases, including only three in the group managed with additional chemical pleurodesis (6.25%). CONCLUSION: VATS with blebectomy and chemical pleurodesis is a safe and effective procedure in the management of PSP.
BACKGROUND: Video-assisted thoracoscopic surgery (VATS) is the preferred option for the surgical management of primary spontaneous pneumothorax (PSP). AIMS: To evaluate the role of thoracoscopic blebectomy with and without chemical pleurodesis. METHODS: A retrospective study was performed on 113 consecutive cases carried out in one unit. RESULTS; One hundred and thirteen VATS procedures were performed on 108 patients. The mean age was 23 years (range 14-45). The male to female ratio was 82:26. Recurrent pneumothorax was the indication for surgery in 80%. Conversion to an open procedure was required in 10 cases (9%), most commonly due to severe adhesions. Successful endoscopic blebectomy was performed in 98 cases (87%), 48 of which had an additional chemical pleurodesis. Follow-up is currently to a mean of 28 months. Recurrence has occurred in eight cases, including only three in the group managed with additional chemical pleurodesis (6.25%). CONCLUSION: VATS with blebectomy and chemical pleurodesis is a safe and effective procedure in the management of PSP.
Authors: A Maier; U Anegg; H Renner; F Tomaselli; B Fell; R Lunzer; O Sankin; H Pinter; G B Friehs; F M Smolle-Jüttner Journal: Surg Endosc Date: 2000-01 Impact factor: 4.584
Authors: S R Hazelrigg; R J Landreneau; M Mack; T Acuff; P E Seifert; J E Auer; M Magee Journal: J Thorac Cardiovasc Surg Date: 1993-03 Impact factor: 5.209