Non-intubated VATS for the management in primary spontaneous pneumothorax

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Single-staged uniportal VATS in the supine position for simultaneous bilateral primary spontaneous pneumothorax

BACKGROUND Simultaneous bilateral primary spontaneous pneumothorax (SBPSP) is rare, but requires surgery on both sides, in patients with definite bilateral bullae to prevent life-threatening conditions. Recently, uniportal video-assisted thoracoscopic surgery (VATS) has been widely accepted as a less invasive technique for the treatment of pneumothorax. Thus, we introduced single-staged uniport...

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An open and shut case for early VATS treatment of primary spontaneous pneumothorax in children.

BACKGROUND Treatment of primary spontaneous pneumothorax (SP) involves thoracostomy tube (TT) drainage, with surgery reserved for persistent or recurrent air leaks. We hypothesized that the advent of video-assisted thoracic surgery (VATS) would change indications and outcomes for surgical treatment of SP in our centre. METHODS We performed a retrospective (1993-2003) review of children treate...

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Can chest ultrasonography assess pleurodesis after VATS for spontaneous pneumothorax?

OBJECTIVE Thoracic echography easily detects the sign of 'pleural sliding', due to the movement of the visceral pleura on the parietal pleura. This sign is absent when pleurodesis is present. This study was designed to test thoracic echography in the assessment of difference in pleurodesis obtained after abrasion or pleurectomy performed for spontaneous pneumothorax, mainly based on the presenc...

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Ambulatory management of large primary spontaneous pneumothorax.

In a recent issue of the European Respiratory Journal, MASSONGO et al. [1] reported the results of a prospective study dealing with ambulatory management of primary spontaneous pneumothorax (PSP) using a pigtail catheter with one-way valve in a series of 60 consecutive patients. The authors reported a success rate of 83%, a 1-year recurrence rate of 17% and full outpatient management in 50% of ...

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How VATS has changed the management of spontaneous pneumothorax in the 21st century.

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ژورنال

عنوان ژورنال: Video-Assisted Thoracic Surgery

سال: 2019

ISSN: 2519-0792

DOI: 10.21037/vats.2019.09.02