Immediate and long-term results after surgical treatment of primary spontaneous pneumothorax by VATS

Patrick C. Bertrand, Jean Francois Regnard, Lorenzo Spaggiari, Jean Francois Levi, Pierre Magdeleinat, Lionel Guibert, Philippe Levasseur

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Abstract

Background. Video-assisted thoracic surgery has recently evolved as a viable alternative to thoracotomy for spontaneous pneumothorax. Methods. A series of 163 patients with primary spontaneous pneumothorax were treated by video-assisted thoracic surgery. Seventy patients were treated for a recurrent episode, 64 patients for a persistent primary spontaneous pneumothorax, 24 patients for a contralateral episode, and 5 patients for a bilateral primary spontaneous pneumothorax. Stapling of bullae with an Endo- GIA stapler (Auto-Suture, Elencourt, France) was performed in 90% of the cases and parietal pleural abrasion was performed in each case. Results. One revisional lateral limited thoracotomy was required for bleeding. Six patients had a prolonged air leak; 2 of them were reoperated on by lateral limited thoracotomy. Two patients have had an incomplete reexpansion of the lung and required a reoperation. The duration of hospitalization was 6.9 ± 3 days. With a mean follow-up of 24.5 months, three recurrences requiring a reoperation occurred; 3 other patients had a partial recurrence and healed by rest without drainage. The mean time to return to the occupational activity of the patients was 42 ± 34 days. These results were compared with those of a previous series of 87 patients operated on by lateral limited thoracotomy. Conclusions. With the development of surgical technique and video equipment, video-assisted thoracic surgery will probably become the treatment of choice of primary spontaneous pneumothorax.

Original languageEnglish
Pages (from-to)1641-1645
Number of pages5
JournalAnnals of Thoracic Surgery
Volume61
Issue number6
DOIs
Publication statusPublished - Jun 1996

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ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

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