Thoracoscopy for Spontaneous Pneumothorax.
José M PorcelPyng LeePublished in: Journal of clinical medicine (2021)
Video-assisted thoracic surgery (VATS) is the treatment of choice for recurrence prevention in patients with spontaneous pneumothorax (SP). Although the optimal surgical technique is uncertain, bullous resection using staplers in combination with mechanical pleurodesis, chemical pleurodesis and/or staple line coverage is usually undertaken. Currently, patient satisfaction, postoperative pain and other perioperative parameters have significantly improved with advancements in thoracoscopic technology, which include uniportal, needlescopic and nonintubated VATS variants. Ipsilateral recurrences after VATS occur in less than 5% of patients, in which case a redo-VATS is a feasible therapeutical option. Randomized controlled trials are urgently needed to shed light on the best definitive management of SP.
Keyphrases
- thoracic surgery
- patient satisfaction
- postoperative pain
- end stage renal disease
- randomized controlled trial
- ejection fraction
- newly diagnosed
- chronic kidney disease
- copy number
- prognostic factors
- patients undergoing
- healthcare
- radiation therapy
- patient reported outcomes
- decision making
- dna methylation
- acute kidney injury
- aortic valve replacement
- clinical trial
- coronary artery disease
- combination therapy
- rectal cancer
- aortic stenosis
- locally advanced