Abstract
Objective:In the treatment of primary spontaneous pneumothorax (PSP), the influence of safety and applicability of uniportal video assisted thoracoscopic surgery (VATS) bullectomy/blebectomy and pleurectomy method were evaluated in 46 patients.Methods:Between November 2010 and January 2019, 46 patients (36 males, 10 females; mean age 24.2 years; range 16-36 years) undergoing uniportal video thoracoscopic bullectomy/blebectomy and apical pleurectomy for primary spontaneous pneumothorax were evaluated retrospectively at Canakkale Onsekiz Mart University (COMU). One patient underwent surgery for the second time after three months for contralateral pneumothorax and counted as two different patients, hence forty seven operations were performed in total. The cases were evaluated in terms of age, gender, comorbidity, duration of hospital stay, histopathological diagnosis, postoperative morbidity and mortality.Results:Right surgical intervention was performed in 20 cases (42.6%) and left surgical intervention in 27 cases (57.6%). A total of 15 (31.9%) surgical operations were performed during the first attack, 30 (63.8%) during the second attack and 2 (4.3%) during third and more attacks. There was prolonged air leakage in all patients operated during the first episode. All cases underwent wedge resection and pleurectomy with endoscopic stapes. None of the patients required thoracotomy. Postoperative drainage period was between 2-7 days (mean: 4.1) and the duration of hospitalization was between three to eight days. Postoperative pain and paraesthesia were observed in eight cases. Prolonged air leakage was observed in five cases.Conclusion:With video thoracoscopic uniportal technique, not only lung biopsy and resection but also bullectomy/blebectomy and pleurectomy operations can be performed safely in the treatment of PSP. In view of this information, minimally invasive techniques are seen as more advantageous than conventional techniques.
Highlights
Spontaneous pneumothorax is more common in adult males than females
We retrospectively evaluated the efficacy and applicability of uniportal videoassisted thoracic surgery operations increasingly preferred all over the world in primary spontaneous pneumothorax (PSP)
Uniportal video assisted thoracoscopic surgery (VATS) technique, bullectomy, and mechanical pleurodesis were found to provide a significant reduction in hospital stay, pain, and paresthesia.[5]
Summary
Spontaneous pneumothorax is more common in adult males than females. The incidence of primary spontaneous pneumothorax in young men per year is 7.4-18 / 100.000 and in young women, this rate is 1.2-6 / 100.000. Secondary spontaneous pneumothorax is a similar feature in males to 6.3/100.000 and 2/100.000 in females. It is estimated that there are 4 / 100,000 in boys and 1.1/100,000 in girls each year. Other risk factors include smoking, having a weak and long body structure.[1,2] As stated in the British
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