Thoracoscopic Resection in the Treatment of Spontaneous Pneumothorax

Mesut Demir, Melih Akın, Meltem Kaba, Şeyma Filiz, Nihat Sever, Çetin Ali Karadağ, Ali İhsan Dokucu, Mesut Demir, Melih Akın, Meltem Kaba, Şeyma Filiz, Nihat Sever, Çetin Ali Karadağ, Ali İhsan Dokucu

Abstract

Objectives: We retrospectively evaluated the patients with primer spontaneous pneumothorax (PSP) who were treated with thoracoscopic resection.

Methods: We retrospectively collected the data of the patients with a spontaneous pneumothorax who were operated with video-assisted thoracoscopic surgery (VATS) between 2010 and 2016.

Results: During the study period, 10 patients applied to our hospital with spontaneous pneumothorax. Five children (three boys, two girls) with a mean age of 16.6 (16-17) were selected with VATS. Three of the patients had bleb, one of the patients had Congenital Cystic Adenomatoid Malformation (CCAM) type 2, and the last one had chronic emphysematous tissue on pathological analyses. Post-operative follow-up time was 2.2 (1-4) years without any complication.

Conclusion: Spontaneous pneumothorax is a disease especially seen in puberty. The main reasons are apical segment bullae formation and blebs. VATS is especially advantageous to reach apical segments and for easy resections. Blebs, CCAM and emphysematous lung tissue may cause spontaneous pneumothorax.

Keywords: Bleb; primer spontaneous pneumothorax; video-assisted thoracoscopic surgery.

Copyright: © 2020 by The Medical Bulletin of Sisli Etfal Hospital.

Figures

Figure 1
Figure 1
The patient’s position.
Figure 2
Figure 2
Lung resection material.
Figure 3
Figure 3
Postoperative appearance.
Figure 4
Figure 4
CT image of the bleb.

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Source: PubMed

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