Axillary thoracotomy versus videothoracoscopy for the treatment of primary spontaneous pneumothorax

Freixinet, J.; Canalís, Emilio; Juliá, Gabriel; Rodríguez, Pedro Marín; Santana, N.; Castro, Felipe Rodrı́guez de

doi:10.1016/j.athoracsur.2003.11.038

Cited by 57 publications

(55 citation statements)

References 16 publications

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“…The common method in the literature is bullae resection with apical pleurectomy or pleural abrasion. Bullae resection is practiced with linear stapler, endoscopic loop technique, laser coagulation, electrocoagulation or a combination of these [2]. In the past, these operations were made by thoracotomy and successful results were attained.…”

Section: Discussionmentioning

confidence: 99%

“…At the fi rst PSP attack, recurrences occur at about 20% of the treated patients and surgical intervention is recommended for the treatment of those patients [1]. The aims of the surgical treatment are to close the site of the air leak, to assure the complete expansion of the lung, and to prevent the possibility of future recurrences [2]. Video-assisted thoracoscopy (VATS) provides excellently exposure of thoracic cavity, has found a widespread utilisation range as an alternative to thoracotomy at the treatment of recurrent PSP [3].…”

Section: Introductionmentioning

confidence: 99%

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Videothoracoscopic approach to recurrence primary spontaneous pneumothorax: using of electrocoagulation in small bulla/blebs

et al. 2009

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Objective To evaluate the effectiveness of electrocoagulation of bullae/blebs and apical pleurectomy via videothoracoscopic approach.Methods We reviewed 42 patients who underwent Videoassisted thoracoscopy (VATS) procedure for recurrence primary spontaneous pneumothorax (PSP) from 2000-2006. There were 30 male and 12 female patients with a median age of 30 years. The percentage of pneumothorax was calculated median of 60% (British Thoracic Society Guideline -2003). Thirty-two (76.2%) bullae/blebs were observed with the median diameter of 15 mm (5-30).Results Bulla ablation via cauterisation and apical pleurectomy was performed in 32 patients. Ten patients underwent only apical pleurectomy/abrasion because in this group there was not any either bulla or bleb could be found. The median duration of drainage time was 3 days. There was no mortality and complications occurred in fi ve (11.9%) patients. Only two (4.76%) recurrence occurred during the 52 months (5 to 76) median follow-up period.Conclusion Videothoracoscopic bulla ablation with apical pleurectomy is a safe method for recurrence PSP. Especially, if the bulla or bleb is smaller than 20 mm the ablation via cauterisation reduces the expenses of VATS procedure by avoiding the use of stapler devices.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Videothoracoscopic approach to recurrence primary spontaneous pneumothorax: using of electrocoagulation in small bulla/blebs

et al. 2009

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“…Recurrence was detected after VATS in 4% of the patients by Bertrant et al, in 0.4 to 8.6% of the patients by Divisi et al, and in 11.4% of the patients by Chang et al [3,16,17]. There are studies reporting that recurrence rates are higher in patients operated by VATS [11,[18][19][20][21]. Although higher recurrence rates in VATS is based on the differences in pleurectomy techniques in the literature [19,22], Sedrakyan et al reported that the recurrence rate after VATS was significantly lower in the axillary thoracotomy [23].…”

Section: Discussionmentioning

confidence: 88%

Axillary thoracotomy and vats for the treatment of primary spontaneous pneumothorax

Ünal¹,

Samancılar²,

Gülmez³

et al. 2017

Curr Thorac Surg

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“…PSP'ler %25-40 oranında konservatif tedavi yöntemlerine cevap vermemekte ve cerrahi tedavi gerekebilmektedir [2]. Cerrahi girişim endikasyonları; aynı tarafın ikinci pnömotoraksında, 5-7 günden uzun süren hava kaçağında, tüp torakostomiye rağmen akciğerin ekspanse olmaması ve toraks kavitesini doldurmamasıdır .…”

Section: Introductionunclassified

Results of Mini Axillary Thoracotomy for Primary Spontaneous Pneumothorax

Yanık¹

2011

Ann Clin Anal Med

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Özet AmaçPnömotoraks sık bir klinik durum olarak bilinir. Mini aksiler torakotomi mükemmel sonuçlarla birlikte kolay apikal wedge rezeksiyon ve plörektomiye olanak vermesi nedeni ile pnömotorakslarda majör endikasyondur. Burada biz pnömotoraksta aksiller torakotomi deneyimimizi anlattık. Gereç ve Yöntemler SonuçMini aksiler torakotomi ile, hastanede kalış süresi kısa, ağrı daha az, kozmetik sonuçlar kabul edilebilirdi ve nüks yoktu. Mini aksiler torakotomi spontan primer pnömotorakslar da cerrahi gerektiği zaman hasta için mükemmel sonuçları nedeni ile iyi bir seçimdir. Anahtar KelimelerPnömotoraks, Torakotomi, Minimal İnvaziv. Abstract AimPneumothorax knows a common clinical problem. Mini axillary thoracotomy major indication is pneumothorax surgery, allowing easily apical resection and pleurectomy with excellent longterm results. Herein, we describe our experience with the axillary thoracotomy for the treatment of pneumothorax. Material and MethodsA total of 56 cases underwent mini axillary thoracotomy with the diagnosis of primary spontaneous pneumothorax in our department between 1996-2008. Fifty four of the cases were males (96.5%) and two (3.5%) were females with a mean age of 28.2 (17-43). Twenty-nine cases (51.7%) had right pneumothorax and 27 (48.3%) left pneumothorax. ResultsWe performed apical wedge resection and apical pleurectomy in 33 cases (59%), bullae ligation and apical pleurectomy in 23 cases (41%). Four patients developped morbidity. There was no mortality. Median hospital stay was 4.5 day (3-8). During 13 years follow up recurrens was not detected. ConclusionsA mini axillary thoracotomy was short hospital stay, cosmetically acceptable was not recurrence. A mini axillary thoracotomy is a good choice when a spontaneous pneumothorax requires surgery due to excellent results for the patient.

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Axillary thoracotomy versus videothoracoscopy for the treatment of primary spontaneous pneumothorax

Cited by 57 publications

References 16 publications

Videothoracoscopic approach to recurrence primary spontaneous pneumothorax: using of electrocoagulation in small bulla/blebs

Videothoracoscopic approach to recurrence primary spontaneous pneumothorax: using of electrocoagulation in small bulla/blebs

Axillary thoracotomy and vats for the treatment of primary spontaneous pneumothorax

Results of Mini Axillary Thoracotomy for Primary Spontaneous Pneumothorax

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