+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Stapler blebectomy and pleural abrasion by video-assisted thoracoscopy for spontaneous pneumothorax



Stapler blebectomy and pleural abrasion by video-assisted thoracoscopy for spontaneous pneumothorax



Journal of Cardiovascular Surgery 43(2): 259-262



This study aims to evaluate the efficacy of video-assisted thoracoscopic surgery (VATS) pleurodesis in the treatment of spontaneous pneumothorax with particular reference to the postoperative period and the rate of recurrence after pleural abrasion. One hundred and thirty-three patients who underwent VATS management of primary spontaneous pneumothorax were retrospectively reviewed. They were 113 males and 20 females with median age of 26 (range 12-37). Among these patients, 114 underwent VATS for recurrent pneumothorax and 19 for persistent air-leakage at the first episode. During surgical procedure, in 78% of cases, parenchymal blebs were identified and resected by stapler resection. All patients were submitted to pleural abrasion. No intra- or postoperative deaths occurred. Postoperative complications were persistent air-leak for more than 7 days in 6 patients (4.3%) bleeding in 3 patients (2.2%). The median chest-tube duration and hospital stay were 2 (range 2-11) and 3 (range 3-12) days, respectively. Median follow-up period of 53 (range 6-96) months was complete for all patients. Five episodes of recurrent pneumothorax were encountered and 4 of them, because of major entity, required re-do VATS with stapler resection and pleural abrasion: their postoperative period and residual follow-up was uneventful. The goal in the surgical management of spontaneous pneumothorax, which often affects "apparently healthy" young patients, is to secure the less recurrence rate with no mortality and quite null morbidity and functional impairment. VATS stapler resection and pleural abrasion is a safe procedure allowing a good management of the disease with low complication rate, short chest-drain duration, hospital stay and recurrence rate quite similar to those referred for other procedures such as pleural poudrage or limited pleurectomy.

Please choose payment method:






(PDF emailed within 1 workday: $29.90)

Accession: 047430888

Download citation: RISBibTeXText

PMID: 11887067


Related references

Primary spontaneous pneumothorax. Is video-assisted thoracoscopy stapler resection with pleural abrasion the gold-standard?. European Journal of Cardio-Thoracic Surgery 20(4): 897-898, 2001

Modified needlescopic video-assisted thoracic surgery for primary spontaneous pneumothorax : the long-term effects of apical pleurectomy versus pleural abrasion. Surgical Endoscopy 20(5): 757-762, 2006

Four-year experience with pleural abrasion using a rotating brush during video-assisted thoracoscopy. Surgical Endoscopy 14(1): 75-78, 2000

Cause and management of recurrent primary spontaneous pneumothorax after thoracoscopic stapler blebectomy. Asian Journal of Surgery 34(2): 69-73, 2011

Video-assisted thoracoscopy for spontaneous pneumothorax after pneumonectomy. Heart Lung and Circulation 18(4): 299-301, 2009

Video-assisted thoracoscopy in the management of recurrent spontaneous pneumothorax. European Journal of Surgery 161(4): 227-230, 1995

Video-assisted thoracoscopy for diagnosis and treatment of spontaneous pneumothorax. European Respiratory Journal Suppl. 9(23): 364S, 1996

Motor-propelled rotating brush for pleural abrasion during video-assisted thorascopy for pneumothorax. European Respiratory Journal 7(Suppl. 18): 127S, 1994

Video-assisted thoracoscopy versus open thoracotomy for spontaneous pneumothorax. Journal of Korean Medical Science 14(2): 147-152, 1999

Prognostic factors in patients with spontaneous pneumothorax treated with video-assisted thoracoscopy. Diagnostic and Therapeutic Endoscopy 2(1): 1-5, 1995

Video-assisted thoracoscopy in the management of recurrent spontaneous pneumothorax in the pediatric population. Jsls 3(2): 113-116, 1999

Thoracic retraction after chemical pleurodesis by video-assisted thoracoscopy for spontaneous juvenile pneumothorax. Archivos de Bronconeumologia 39(11): 531-532, 2003

Video-Assisted Thoracoscopy is Superior to Standard Computer Tomography of the Thorax for Selection of Patients With Spontaneous Pneumothorax for Bullectomy. Diagnostic and Therapeutic Endoscopy 2(2): 89-92, 1995

Video-assisted thoracic surgery versus pleural drainage in the management of the first episode of primary spontaneous pneumothorax. American Journal of Surgery 210(1): 68-73, 2015

Pleural drainage vs video-assisted minimally invasive surgery in the treatment of spontaneous pneumothorax. A retrospective study. Minerva Chirurgica 50(11): 973-977, 1995