Video assisted thoracic surgery in the management of spontaneous pneumothorax: the current status

Postgraduate Medical Journal
C S H NgA P Yim

Abstract

Over the past decade, video assisted thoracic surgery (VATS) has changed the way spontaneous pneumothorax (SP) is managed. Benefits of VATS include less postoperative pain, shorter hospital stay, and attenuated postoperative inflammatory response are evident compared with open thoracic procedures. Furthermore, the increasing acceptance by patients and referring physicians is testament to its success. Recent studies and the authors decade of experience in management of SP by VATS show that it is quick, safe, and effective, with recurrence rates generally comparable to open procedures, with some exceptions. However, selecting the correct procedure and patient, as well as knowing the limitations of the surgeons and techniques are paramount for success. Even to this day, there are considerable variations in the treatment of SP and large scale controlled studies are needed to better define timing of surgery and the role of the different procedures in the treatment and prevention of SP.

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Citations

Jul 11, 2007·Postgraduate Medical Journal·Graeme P CurrieJoe S Legge
Sep 15, 2015·Expert Review of Respiratory Medicine·Hsao-Hsun Hsu, Jin-Shing Chen
Feb 16, 2016·Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia·Hideki OtaSyouji Kuriyama
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Sep 22, 2009·The Journal of Thoracic and Cardiovascular Surgery·Shah-Hwa ChouMeei-Feng Huang
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Jun 9, 2017·The Korean Journal of Thoracic and Cardiovascular Surgery·Hanna JungDeok Heon Lee
Mar 19, 2013·Jornal brasileiro de pneumologia : publicaça̋o oficial da Sociedade Brasileira de Pneumologia e Tisilogia·Nan SongWenxin He
Apr 12, 2019·Journal of Cardiothoracic Surgery·Xiaojian LiQingdong Cao
May 7, 2021·Journal of Cardiothoracic Surgery·Deena AkrasSudish Murthy

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