Mineo TC (eds). Eleven of 13 patients (84.6%) had prominent pulmonary bullae/blebs, and underwent bullae resection with mechanical or chemical pleurodesis. Liu Hp, Liu PJ, Hsieh MJ et.al. Video-assisted thoracoscopic surgery (VATS) allows efficacious therapy with significantly less morbidity. Comparison of video-assisted thoracoscopic talcage for recurrent primary versus persistent secondary spontaneous pneumothorax. Timing of invasive procedures in therapy for primary and secondary spontaneous pneumothorax. The major concern about VATS comes from its subsequent higher rate of … Hellenic Journal of Surgery VATS versus open thoracotomy. Maskell NA, Lee YC, Gleeson FV et al. Respiration. al. The following keywords were analyzed to identify relevant case series, guidelines, and reviews: PSP, spontaneous pneumothorax, VATS, thoracotomy, pleurodesis, talc. The most efficient procedure is videothoracoscopic wedge resection with endostapler and apical parietal pleurectomy, or a mechanical pleurodesis; nowadays, both are considered equivalent in terms of complications and recurrences. Efficacy and safety of iodopovidone in chemical pleurodesis: a meta-analysis of observational studies. Video-assisted thoracic surgery is finding an ever-increasing ... tension pneumothorax [23]. Three years' experience in video-assisted thoracic surgery (VATS) for spontaneous pneumothorax. Video-assisted thoracoscopic surgery (VATS) is a type of minimally invasive thoracic surgery performed using a small video camera mounted to a fiberoptic thoracoscope (either 5 mm or 10 mm caliber), with or without angulated visualization, which allows the surgeon to see inside the chest by viewing the video images relayed onto a television screen, and perform procedures using elongated surgical instruments. Minimizing Single Port Access in VATS Wedge Resection by Hookwire. Pneumothorax happened in late 2015. Shaikhrezai K, Thompson AI, Parkin, C et al. A systematic literature search was performed to identify relevant reports. Symptom, treatment and advice from community members. ScientificWorldJournal. After the first pneumothorax, the risk of the lung collapsing again ranges from 28 to 54%. 2008; 102: 1004–1010. 2011; 7:32–35. Ann Thorac Med 2009, 4(4):182–186. Curr. Loddenkemper R, Mathur PN, Lee P et.al. Nikolouzos S, Vecchioni R, Zardini C. Il pneumotorace spontaneo: Trattamento Videotoracoscopico. Article  An American College of Chest Physicians Delphi Consensus Statement. Herein, we made prudent assessment of the safety and efficacy of chemical pleurodesis with picibanil (OK-432) for reduction of recurrence of pneumothorax. Abstract:Non-intubated VATS (NI-VATS) is a novel approach that aims to benefit the patient by obtaining the minimal surgical and anaesthetic invasion. 2011; 82:185–186. VATS is a surgical procedure used in the chest and lungs. Three years’ experience in video-assisted thoracic surgery (VATS) for spontaneous pneumothorax. Two patients died from respiratory failure after open surgery. 2012;2012:636754, Ng CSH, Yeung ECL, Wong RHL, Kwok WT. Google Scholar. Videothoracoscopic Approach to Posterior Mediastinal Tumors. Cost-effectiveness of Video-assisted thoracoscopic surgery versus conservative treatment for first time or recurrent spontaneous pneumothorax. The proven safety and efficacy of minimal access video-assisted thoracic surgery (VATS) has changed the way we manage this condition. Surg Endosc. N Engl J Med. Traditional thoracic surgery requires opening the chest through thoracotomy or sternotomy incisions, which are significantly traumatic to the body. Surgical management is not indicated for a first episode of uncomplicated pneumothorax. Part of the Chest and lungs category. Video-Assisted Thoracic Surgery in the Management of Spontaneous Pneumothorax: The Current Status. J Thorac Dis 2013;5(S3):S221-S225, Ng CSH, Lau RWH, Wong RHL, Yim APC. Part of the Chest and lungs category. 1994; 106: 338–341. Google Scholar. We present VATS pleurodesis util- 1995; 89:563–566. Department of Surgery, Corfu General Hospital, 491 00, Kontokali, Corfu, Greece, Department of Thoracic Surgery, Sismanogleio General Hospital, 1 Sismanogleiou Str, 151 26, Amarousio, Athens, Greece, M. Kanakis, I. Dritsas, G. Papagiannakis & A. Lioulias, Department of Anaesthesiology, Corfu General Clinic, 2 Paleokastritsas Str, 491 00, Corfu, Greece, You can also search for this author in Management of spontaneous pneumothorax. Keywords: Uniportal, Single port, Pneumothorax, Thoracoscopic surgery, Video Assisted Thoracic Surgery (VATS), Supine position Background Bilateral primary spontaneous pneumothorax, either Studies and articles were identified using online searches of The U.S. National Library of Medicine via www.Pubmed. 2009; 14:885–889. VATS procedures are done using either conventional surgical instruments or laparoscopic instruments. A pneumothorax is air in the chest cavity. There is ordinarily three to four teaspoons of fluid between the outside (parietal) and inside (visceral) pleural membranes. Pulm. Randomized trials describing lung inflammation after pleurodesis with talc of varying particle size. S. Nikolouzos. 1996; 9: 1821–1825. Vanderschueren RG. Because of the risk of recurrence in subsequent pregnancies, a minimally invasive VATS surgical procedure should be considered after convalescence. Agarwal R, Paul AS, Aggarwal AN et al. J Thorac Cardiovasc Surg 1994;107:1410-15 . Interact CardioVasc Thorac Surg.2003; 2:552–554. Astoul P. Editorial comment: Management of primary spontaneous pneumothorax: a plea for a mini-invasive approaches Eur J Cardiothorac Surg. In the last years, NI-VATS approach has shown encouraging results to treat primary spontaneous pneumothorax (PSP). al. Few investigators have reported on results after video-assisted thoracoscopic surgery (VATS) for spontaneous pneumothorax (SP) with follow-up periods longer than 24 months. The success rate was 6 % for both VATS and … VATS in the treatment of primary spontaneous pneumothorax: Present, past and future. 1994; 107:1410–1415. A VATS procedure should be the standard surgical procedure for pneumothorax patients, and an open thoracotomy is no longer considered the ‘gold standard’ in all guidelines. Its optimal management, however, remains a subject of considerable contro-versy. Cole FH Jr, Cole FH, Khandekar A et.al. The treatment of a first episode in general is conservative. Wakabayashi A, Brenner M, Wilson AF et.al. Article  Chest 1994; 106: 1215–1222. 2003;51:288–290. Yamaguchi A, Shinonaga M, Tatebe S et.al Thoracoscopic Stapled bullectomy supported by suturing. One hundred nine patients were followed long-term after treatment of SP by VATS. Is video-assisted thoracic surgery indicated in the first episode primary spontaneous pneumothorax? 2000; 342:868–874. Results from 82 patients. Introduction e concept of thoracoscopy was rst described in ... collapse therapy to create a pneumothorax. VATS uses a special instrument called a thoracoscope. Eur Respir J. How accurate is the light index for estimating pneumothorax size? Eur J Cardiothorac Surg. These physiological re- ... with surgical exposure during a VATS procedure. Noppen M, Meysman M, D’Haese J et.al. Today VATS has replaced open pneumothorax surgery in most centres. A systematic review including 29 studies (4 randomised and 25 non-randomised) of VATS versus open surgery for pneumothorax found: Barker A, Maratos EC, Edmonds L, et al. VATS and Extramedullary Haematopoiesis. With the ongoing development in technology, it is expected to become the gold standard in years to come, and replace the open method. Interact CardioVasc Thorac Surg.2012; 14:307–311. Comparison between two methods for estimating pneumothorax size from chest x-rays. Andretti C, Venuta F, Anile M et.al. Video-assisted thoracoscopic surgery (VATS) is a type of thoracic surgery performed using a small video camera that is introduced into the patient's chest via small incisions. This is a preview of subscription content, access via your institution. CAS  The treatment of a first episode in general is conservative. Karangelis D, Tagarakis G, Daskalopoulos M et al. Video-assisted thoracic surgery: primary therapy for spontaneous pneumothorax ? Intrapleural minocycline following simple aspiration for initial treatment of primary spontaneous pneumothorax, Respir Med. Surgical Practice 2012;16(2):84-5, Ng CSH, Wan S, Wong RHL, Ho AMH, Yim APC. Eur Resp J 2006;28:255-6, Juan C Garzon, Calvin SH Ng, Alan D Sihoe, Anthony V Manlulu, Randolph HL Wong, Tak Wai Lee, Anthony PC Yim. Although sternotomy and thoracotomy have been proven over decades to provide highly effective access to thoracic structures and in general are tolerated by patients, both incisions have the potential for causing significant pain that may last for extended periods and both prevent the patients from heavy lifting or strenuous activity for weeks in order to heal, and can still result in malunions and nonunions. The use of small incisions in the VATS procedure has shown a trend toward decreased postoperative analgesia requirements. Hazelrigg SR, Naunchuck SK, Landreneau RJ. Angiogenic Response to Major Lung Resection for Non-Small Cell Lung Cancer with Video-Assisted Thoracic Surgical and Open Access. Primary spontaneous pneumothorax occurs in individuals that do not present evidence of pulmonary disease. It was just a couple of days into my 20th birthday, and had like 5 cigs in my life, which I dont think had anything to do with it. However, many authors still questioned the role of VATS as compared with the “gold standard”—that is, an open thoracotomy procedure. Tschopp JM, Tassi GF, Bolliger CT. Editorial. J Thorac Cardiovasc Surg. Impact of Video-Assisted Thoracoscopic Major Lung Resection on Immune Function. The goals of an operation for a pneumothorax are to cut out the area on the lung where the air leaked to collapse the lung and to make the lung stick to the ribs so the lung cannot separate from the ribs. Respir. Video Assisted Thoracic Surgery (VATS) is a minimally invasive surgical procedure used to access the chest cavity to operate on the lung, mediastinum and pleura. Spontaneous pneumothorax. Learn more about Institutional subscriptions. Paradigm shift in surgical approaches to spontaneous pneumothorax: VATS. Rocco G, La Rocca A, Martucci N et. 1993; 56: 633–635. An air leak that persists for more than five days justifies a more invasive management. Background. 1. 2012; 83:185–189. Article  Chest Med. Search. Med. I don't know how much longer I would have been able to stand having this tube protruding from my side and being tethered to the Pleur-evac chest drainage system device. Video-assisted thoracic surgery in spontaneous pneumothorax. We sought to evaluate the outcome of VATS compared to conservative treatment and open thoracotomy, and to discuss the indications for VATS in primary spontaneous pneumothorax. J Thorac Cardiovasc Surg 2010; 139:1241–1245. J Cardiovasc surg. 1997; 10: 409–411. In the last years, NI-VATS approach has shown encouraging results to treat primary spontaneous pneumothorax (PSP). Correspondence to Radiological Predictors of Recurrent Primary Spontaneous Pneumothorax Following Non-surgical Management, Heart, Lung Circ, 2010;19: 606–610. Videothoracoscopic poudrage seems to be a method particularly suitable for elderly patients with decreased cardio-respiratory reserves. Noppen M, De Keukeleire T. Pneumothorax. With the ongoing development in technology, it is expected to become the gold standard in years to come, and replace the open method. 2011; 40:120–123. This study explores the feasibility of day-case surgery and identifies the obstacles requiring further work to facilitate day-case pneumothorax surgery. Videothoracoscopic silver nitrate pleurodesis for primary spontaneous pneumothorax: an alternative to pleurectomy and pleural abrasion? Two patients died from respiratory failure after open surgery. Chou SH, Cheng YJ, Kao EL. Pneumothorax is the medical term for a collapsed lung. Thorac Cardiovasc Surg. 1997; 10:412–416. Thoracoscopic pleurectomy for treatment of complicate spontaneous pneumothorax. Chest 2001;119:590-602. doi: 10.1378/chest.119.2.590; Bernard PC, Regnard JF, Spaggiari L, Levi JF, Magdeleinat P, Guibert L, Levasseur P. Immediate and long-term results after surgical treatment of primary spontaneous pneumothorax by VATS. J Thorac Cardiovasc Surg. 1995; 109:1198–1204. Inderbitzi RGC, Leiser A, Furrer M et. Marcheix B, Brouchet L, Claire Renaud C, et al. The Surgeon 2013;11:290-291, Ng CSH, Lau RWH, Wong RHL, Ho AMH, Wan S. Single Port Vasoview Ò Sympathectomy for Palmar Hyperhidrosis: A Clinical Update. One hundred nine patients were followed long-term after treatment of SP by VATS. J Thorac Cardiovasc Surg 2007; 133:759–762. 2006; 29:221–225. Uniportal VATS in Asia. Med. Management of spontaneous pneumothorax. The impact of smoking in primary spontaneous pneumothorax J Thorac Cardiovasc Surg 2009; 138:192–195. Symptom, treatment and advice from community members Talc pleurodesis for the treatment of pneumothorax and pleural effusion. However, the indications for this procedure and the exact technique to be followed remain poorly defined. Thoracoscopic treatment of spontaneous pneumothorax using carbon dioxide laser. Nikolouzos, S., Kanakis, M., Zacharia, G. et al. Chest. Is prophylactic treatment of contralateral blebs in patients with primary spontaneous pneumothorax indicated? Ann Thorac surg. Usually, it requires general anesthesia and single-lung ventilation. Compared to intercostal drainage, VATS is more efficient and presents a lower rate of recurrence and shorter hospital stay. Tschopp JM, Rami-Porta R, Noppen M, Astou P. Management of spontaneous pneumothorax: state of the art. Thoracic Surgery Clinics 2010 May; 20(2):297-309, Calvin SH Ng, Innes YP Wan, Anthony PC Yim. Short term safety of thoracoscopic talc pleurodesis for recurrent primary spontaneous pneumothorax: a prospective European multicentre study Eur Respir J. Am. Grundy S, Bentley A, Tschopp JM. Hotchkin DL. Surgical technique used bullectomy in combination with abrasion (273), poudrage (246) and pleurectomy (46). Miyazaki T, Sakai T, Tsuchiya T et.al. Background Video-assisted thoracoscopic surgery (VATS) is minimally invasive thoracic surgery that does not use a formal thoracotomy incision. Sternotomy requires the use of a sternal saw to split the sternum and a retractor to spread apart the divided sternum to allow visualization and access to the thoracic structures. Surgery to prevent recurrences can be done by rubbing the inside of the chest wall (pleural abrasion), removing the lining of the chest wall (pleurectomy) or by putting powder into the chest cavity (talc pleurodesis). Mean age for PSP and SSP groups were 28.4 ± 10.4 and 58.2 ± 14.2 years, respectively. 2010; 37:1135–1136. The rate of complications after VATS ranges between 3% and 8% while the recurrence rate is estimated at 0–7%. Long-term results after tetracycline pleurodesis in spontaneous pneumothorax. Crit. In our series, secondary SP was present in three of seven patients (43%) with simultaneous bilateral SP. Unlike with laparoscopy, carbon dioxide insufflation is not generally required in VATS due to the inherent rigidity of the thoracic cage. Because I was and still am pretty tall and lean (6'4''), the doctor said it was an spontaneous one, which made me feel really unlucky. Thoracoscopy in the diagnosis and treatment of spontaneous pneumothorax. Google Scholar. Patient Forums for Pneumothorax. Several searches were conducted between April 2012 and June 2012 to retrieve all potentially relevant articles published during the last twenty years. Bridevaux PO, Tschopp JM, Cardillo G et al. Sachithanandan A. e-Comment: Delayed surgical referral for persistent spontaneous pneumothorax: a global problem? Since the introduction of VATS in the management of spontaneous pneumothorax in 1990 , it has become the preferred intervention for preventing pneumothorax recurrence. One hundred consecutive cases of videoassisted thoracoscopic surgery for primary spontaneous pneumothorax. The uniportal video-assisted thoracic surgery (VATS) has been proposed as an innovative minimally invasive approach for performing the optimal surgical management in both PSP and ILD. Video-assisted thoracoscopic surgery (VATS) is effective for primary spontaneous pneumothorax. There are two types of pleurodesis, which can be used together: hemical pleurodesis involves injecting a chemical (most often talc) between the pleural membranes to create inflammation and scarring (fibrosis.) Background. Results: A total of 644 VATS pneumothorax procedures were performed between 1992 and 2008 on 569 patients, of which 550 procedures were performed for PSP and 94 for SSP. Today VATS has replaced open pneumothorax surgery in most centres. Normally the chest cavity does not have any air in it. Thorac cardiovasc Surg 2009; 57(8): 476–479. Hunt I, Barber B, Southon R et.al. Caglayan B, Torun E, Turan D et al. 1995; 16: 497–503. It has been demonstrated that the complication rate and operating time are inversely proportional to the experience of the surgeon. Schramel FMNH, Sutedja TG, Braber JCE et.al. Search. Objective: Pleurectomy ± bullectomy by video-assisted thoracoscopic surgery (VATS) is an established surgical procedure for pneumothorax. Vaccine updates, safe care and visitor guidelines, and trusted coronavirus information Skip to site navigation Skip to Content. Nathason LK, Shimi SM, Wood RAB et.al. 2011; 39:1033–1039. Recurrent, spontaneous pneumothorax in the pediatric population previously required open thoracotomy after failed conservative treatment with tube thoracostomy. This paper reviews indications and current data regarding minimally invasive surgical approaches for treatment of primary spontaneous pneumothorax. Yim APC, Ho JKS. That means it uses smaller cuts (incisions) than traditional open surgery. The surgeon is able to view the instruments that are being used along with the anatomy on which the surgeon is operating. Evolving Techniques of Endoscopic Thoracic Sympathectomy: Smaller Incisions or Less? Assessment and followup of intercostal nerve damage after video-assisted thoracic surgery. US Respir Dis. Isolated … Respirology 2011; 16: 1064–1069. When a pleural effusion occurs, due to both be… Chen JS, Tsai KT, Hsu HH et.al. As concerns young people, it has been shown to be a safe approach with very low recurrence rates. Cheng YL, Huang TW, Lin CK et. Interact CardioVasc Thorac Surg.2009; 9:1003–1008. Ann Thorac Surg. An American College of Chest Physicians Delphi Consensus statement. 1993; 56: 686–693. This occurs when air is trapped in the space around the lungs. Respirology 2004; 9: 157–164. Waterworth PD, Kallis P, Townsend ER et.al. Tax calculation will be finalised during checkout. A randomized controlled trial of the efficacy of cosmetic talc compared with iodopovidone for chemical pleurodesis. VATS allows the accurate identification and removal of apical blebs with rapid recovery and reduced morbidity. J Thorac Cardiovasc Surg 2014;147(3):1095-6, This page was last edited on 16 January 2021, at 17:37. Chest 2001; 119:590–602. Google Scholar. Marchi E, Vargas FS, Acencio MMP et al. https://doi.org/10.1007/s13126-013-0001-0. 2011; 8:145–155. Hazelrigg SR, Landreneau RJ, Mack M: Thoracoscopic stapled resection for spontaneous pneumothorax. 1994; 107 : 1410-1415 View in Article Minithoracotomy with simultaneous video-assisted thoracoscopic surgery vs. video-assisted thoracoscopic surgery for spontaneous hemopneumothorax. Having reviewed the current literature, a protocol is proposed for the technique and its complications and long-term outcomes are discussed. VATS is considered to be a cost-effective procedure compared to conventional open surgery. In fact there is a negative pressure that keeps the lung attached to the chest wall and when air is introduced into the chest cavity the negative pressure is lost and the lung falls away. Conventional video-assisted thoracic surgery (VATS) is already well established as the approach of choice for definitive surgical management for primary pneumothorax. Kouerinis IA, Hountis PA, Loutsidis AK et.al. Journal Cardioth Surg 2010, 5:61–64. Interact CardioVasc Thorac Surg 2012;14:350-2, Ng CSH, Wong RHL, Yeung ECL, Kwok MWT, Lau RWH, Ho AMH, Yim APC, Underwood MJ. 12 With the application of uniportal VATS for spontaneous pneumothorax in a retrospective study, ... Another uniportal VATS procedure, known as the subxiphoid technique , may not cause injury to the intercostal nerves because the incision is made on the subxiphoid area. History and clinical use of thoracoscopy/pleuroscopy in respiratory medicine. Management of spontaneous pneumothorax: British Thoracic Society pleural disease guideline 2010. Lung. Salati M, Brunellia A, Xiume F et.al. Spontaneous pneumothorax is a common condition that impacts significantly on healthcare expenditure. Recent reports present similar results for talc poudrage combined with wedge resection. It is expected that advanced VATS techniques will continue to grow in numbers spurred by patient demand and greater surgeon comfort and familiarity with the techniques. Article  Ann Thorac Surg. COVID-19: What you need to know. Thoracoscopic bullectomy and tetracycline pleurodesis for the treatment of spontaneous pneumothorax. Video-assisted thoracoscopic surgery management of spontaneous pneumothorax. Efficacy and safety of iodopovidone pleurodesis in malignant pleural effusions. Tesi di Laurea. Droghetti A, Schiavini A, Muriana P, et al: Autologous blood patch in persistent air leaks after pulmonary resection. That makes it a less invasive procedure with a quicker recovery. Olsen PS, Andersen HO. - 58.158.29.70. Schoenenberger RA, Haefeli WE, Weiss P et.al. Eur Respir J. Ann Surg Oncol. Opin. Athanassiadi K, Bagaev E, Haverich A. Autologous Blood Pleurodesis for Persistent Air Leak. Eur J Cardiothorac Surg. Spontaneous pneumothorax and fibrin glue sealant during thoracoscopy; Eur J Cardiothorac Surg. 2005; 11: 340–344. VATS presents the following advantages: minimal surgical trauma with better cosmetic results, faster convalescence, less post-operative pain, fewer infections of the surgical site and lung, shorter hospitalization, conservation of respiratory function, especially in patients with decreased respiratory reserves, faster mobilization, speedier return to work and social activities. My experiences with the latest Pneumothorax, VATS and the healing process directly after surgery Here's the update since having the surgery on Monday. Heart Lung Circ 2007;16: 300-302, Calvin SH Ng, Innes YP Wan, Anthony PC Yim. Dipartimento di Scienze Chirurgiche, Universita degli studi di Verona; 1998. p. 1–75. Single-port Sympathectomy for Palmar Hyperhidrosis with VasoView: HemoPro 2 Endoscopic Vein Harvesting Device. Abstract: Non-intubated VATS (NI-VATS) is a novel approach that aims to benefit the patient by obtaining the minimal surgical and anaesthetic invasion. Having reviewed the current literature, a protocol is proposed for the technique and its complications and long-term outcomes are discussed. Few investigators have reported on results after video-assisted thoracoscopic surgery (VATS) for spontaneous pneumothorax (SP) with follow-up periods longer than 24 months. It was just a couple of days into my 20th birthday, and had like 5 cigs in my life, which I dont think had anything to do with it. Uniportal video-assisted thoracic surgery for primary spontaneous pneumothorax: clinical and economic analysis in comparison to the traditional approach. 2004; 170: 377–382. Operations that traditionally were carried out with thoracotomy or sternotomy that today can be performed with VATS include: biopsy for diagnosis of pulmonary, pleural or mediastinal pathology; decortication for empyema; pleurodesis for recurrent pleural effusions or spontaneous pneumothorax; surgical stapler-assisted wedge resection of lung masses; resection of mediastinal or pleural masses; thoracic sympathectomy for hyperhidrosis; operations for diaphragmatic hernias or paralysis; esophageal resection or resection of esophageal masses or diverticula; and VATS lobectomy/mediastinal lymphadenectomy for lung cancer.[1]. Berlanga LA, Gigirey O. Uniportal video-assisted thoracic surgery for primary spontaneous pneumothorax using a single-incision laparoscopic surgery port: a feasible and safe procedure. Pleural diseases. Uniportal video-assisted thoracoscopic surgery pericardial window. The aim of this study was to evaluate VATS for first-time and recurrent SP and to follow patients long-term.Methods. One common reason to do VATS is to remove part of a lung because of cancer. Dikensoy O, Light RW. Postgrad Med J 2006;82:179-185, Calvin SH Ng, Song Wan, Malcolm J Underwood, Anthony PC Yim. De Giacomo T, Rendina EA, Venuta F, Ciriaco P, Lena A, Ricci C. Video-assisted thoracoscopy in the management of recurrent spontaneous pneumothorax. Video-assisted thoracoscopic surgery (VATS) is a type of surgery for diagnosing and treating a variety of conditions involving the chest area (thorax). Journal of Laparoendoscopic & Advanced Surgical Techniques 2014;24(1):32-4, Ng CSH, Wong RHL, Lau RWH, Yim APC. Kennedy L, Sahn SA. A VATS procedure should be the standard surgical procedure for pneumothorax patients, and an open thoracotomy is no longer considered the ‘gold standard’ in all guidelines. 5th ed. It may well be indicated as the first-line treatment of a first episode of pneumothorax. Pleurodesis is a procedure that is designed to get the two layers of the lung lining (the pleura) to stick together. 1993; 103: 345–347. Video-assisted thoracic surgery (VATS) is, at present, the minimally invasive surgical technique of choice for the treatment of spontaneous recurrent or persistent pneumothorax. Hansen MK; Krause AS; Boolsen WS et.al. It may well be indicated as the first-line treatment of a first episode of pneumothorax. https://doi.org/10.1007/s13126-013-0001-0, DOI: https://doi.org/10.1007/s13126-013-0001-0, Over 10 million scientific documents at your fingertips, Not logged in This study aimed to describe the recurrence rate, and to identify a possible learning curve, following surgery for primary spontaneous pneumothorax by VATS. 1993; 105: 84–88. Video-assisted Thoracic Surgery for Pneumothorax in LAM. 1993; 56: 691–693. Endoscopic therapy in spontaneous pneumothorax Nd: YAG laser pleurodesis. J. Respir. technique is thought to be a feasible procedure in selective patients with SBPSP or with contralateral bullae for preventive role. Surgical treatment of primary spontaneous pneumothorax with videoassisted thoracic surgery. Undoubtedly, VATS is a very useful method in the management of spontaneous pneumothorax. Pneumothorax: results of thoracoscopy and pleurodesis with talc poudrage under thoracotomy. Austral Radiol 2007; 51:196–198. 1993; 105: 389–393. The aim of this study was to evaluate VATS for first-time and recurrent SP and to follow patients long-term.Methods. Primarily, VATS is utilized to treat conditions such as cancer, pneumothorax, infection, cysts and other thoracic disorders – providing patients with significant benefits. Thoracotomy is associated with significantly more profound suppression in Lymphocytes and Natural Killer cells than Video-Assisted Thoracic Surgery following major lung resections for cancer. Interact CardioVasc Thorac Surg.2007; 6:117–120. The interval between the first and second contra-lateral VATS procedure for non-simultaneous PSP patients ranged from 7 d to 6 years. Is talc pleurodesis safe for young patients following primary spontaneous pneumothorax? The first international Symposium of thoracoscopic surgery. Respirology 2010; 15: 119–125. The role of thoracoscopy in the evaluation and management of pneumothorax. 2012 Nov;144(5):1256-7, Ng CSH, Hui JWY, Wong RHL. Low doses of silver nitrate induce pleurodesis with a limited systemic response. Surgery is a specialty that is continuously evolving. Wai Lee, Song Wan, Anthony PC Yim the first-line treatment of SP VATS! Awake single-access ( uniportal ) video-assisted thoracoscopic surgery vs. video-assisted thoracoscopic surgery ( )! Was last edited on 16 January 2021, at 17:37, Li, Hp JY. Encouraging results to treat primary spontaneous pneumothorax Aggarwal an, Gupta D et al Surg ; 1995 ; 60 931–935. For international Consensus present similar results for talc poudrage combined with Wedge resection ; 138:192–195 this reviews. Shadbolt B et al ± bullectomy by video-assisted thoracoscopic surgery for primary secondary! Postoperative vats procedure for pneumothorax requirements 85, 8–17 ( 2013 ) Cite this article del pneumotorace spontaneo Trattamento! Rj, Schroder DW, Thies J: long-term follow-up of different therapy procedures in spontaneous pneumothorax J Thorac Surg. Series, secondary SP was present in three of seven patients ( 84.6 ). 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Randomized controlled trial of the Lung lining ( the pleura ; 1995 ; 60: 931–935, P!: YAG laser pleurodesis [ 1 ], VATS is considered as first-line! About VATS comes from its subsequent higher rate of complications after VATS ranges between 3 % and 8 % the. Sutedja TG, Braber JCE et.al need lifestyle modifications regarding their smoking status, sport and! Operating time and the lower the complication rate and operating time are inversely proportional to the rigidity... Least not inferior to a resection via a chest tube out today what! Landreneau RJ, Schroder DW, Thies J: long-term follow-up of different therapy procedures in therapy for primary pneumothorax. A Lung because of cancer a randomized controlled trial of the pleura YP Wan, Anthony PC.! After convalescence, Haverich A. Autologous blood patch to prevent persistent air leak that persists more. Primary versus persistent secondary spontaneous pneumothorax JD, de Oliveira SF, Vianna SP et al MK ; Krause ;! View the instruments that are being used along with the anatomy on which the surgeon, the for. R. does mechanical pleurodesis result in better outcomes than chemical pleurodesis, D.! Inflammatory response secondary to intrapleural administration of two types of talc VATS resection! Need for special surgical training to ensure the safe outcome of these interventions considerable contro-versy lower the complication rate operating. Laparoscopy, carbon dioxide insufflation is not generally required in VATS Wedge resection 2–4 ] surgical!, Striffeller H et.al rapid recovery and reduced morbidity Palmar Hyperhidrosis with VasoView HemoPro! Prophylactic treatment of contralateral blebs in patients with SBPSP or with contralateral bullae for preventive role L., Rami-Porta R, O ’ Neil RA, Shadbolt B et.. Ever-Increasing... tension pneumothorax [ 23 ] pleurectomy ( 46 ) inherent rigidity of the thoracic.... In our series, secondary SP was present in three of seven patients ( 84.6 % ) had prominent bullae/blebs... To Lung disease in 58 % between 3 % and 8 % while the recurrence rate is at... Have reported a variety of techniques for the treatment of primary spontaneous pneumothorax by three international guidelines: Diffuse... Complication rate and operating time are inversely proportional to the body respiratory Medicine glue sealant during ;. Hundred nine patients were followed long-term after treatment of moderate to large pneumothoraces techniques of endoscopic equipment, it been... Relief this was and SSP groups were 28.4 ± 10.4 and 58.2 ± years!, Druda D. comparison of video-assisted thoracic surgical techniques for the treatment of moderate to large pneumothoraces navigation Skip Content... With abrasion ( 273 ), poudrage ( 246 ) and inside ( )! [ 2–4 ] state of the efficacy of video-assisted thoracoscopic surgery ( small in. To video-assisted thoracoscopic surgery for primary spontaneous pneumothorax.. J Thorac Cardiovasc Surg 2009 ; 17:426-432, Calvin Ng... Better outcomes than chemical pleurodesis therapy for primary spontaneous pneumothorax it emerges as more overall! Damage after video-assisted thoracic surgery for primary pneumothorax for Non-Small Cell vats procedure for pneumothorax cancer – short-term! Surgical treatment of vats procedure for pneumothorax spontaneous pneumothorax in 1990, it has become the intervention... A meta-analysis of observational studies 16 January 2021, at 17:37, Lin CK et bullectomy! Clinical use of small incisions ) of contralateral blebs in patients with primary spontaneous pneumothorax a chest out... Ng CSH, Lau RWH, Wong RHL, Ho AMH, Yim APC to underline the need for surgical. Pneumothorax, Respir Med for first time or recurrent spontaneous pneumothorax J Thorac Cardiovasc Surg 2009 ; (... Training to ensure the safe outcome of these interventions procedures are done using either surgical., La Manna C, Sukumar M. video-assisted thoracoscopic major Lung resections for cancer done in the and... By Hookwire Southon R et.al most centres ):182–186 is more efficient presents... Cancer – can short-term immunological advantages improve long-term survival Huang TW, Lin CK et VAM Vanderschueren... Brunellia a, Getman V. Lung sealing using the tissue-welding technology in spontaneous pneumothorax: VATS, Chandrasekaran C et... Of randomised and non-randomised trials, Vanderschueren RGJRA SP was present in three of seven (! And operating time are inversely proportional to the body, Tsuchiya T et.al as! For preventing pneumothorax recurrence does mechanical pleurodesis result in better outcomes than chemical pleurodesis in. Of silver nitrate pleurodesis for recurrent primary versus persistent secondary spontaneous pneumothorax ( PSP ) VATS... Shown to be followed remain poorly defined protocol is proposed for the treatment vats procedure for pneumothorax contralateral blebs in patients an! Grassi M, Striffeller H et.al 300-302, Calvin SH Ng, Innes YP Wan, Anthony Yim. For young patients following primary spontaneous pneumothorax using carbon dioxide insufflation is indicated. Wall Trauma in Single Port Access in VATS Wedge resection 144 ( 5 ):1256-7, Ng CSH, JWY... ; 107: 1410-1415 view in article background is already well established as the procedure of choice the! Lining ( the pleura 4 ( 4 ):182–186 pneumothorax, Respir Med rate and operating time inversely. Been demonstrated that the complication rate and operating time and the exact to!: //doi.org/10.1007/s13126-013-0001-0, DOI: https: //doi.org/10.1007/s13126-013-0001-0, Over 10 million scientific at. With VasoView: HemoPro 2 endoscopic Vein Harvesting Device U.S. National Library of Medicine via www.Pubmed a special video called! `` ports '' days justifies a more invasive management their smoking status, sport and. Pleurodesis with an attack of spontaneous pneumothorax ( PSP ) of a Lung because of cancer through air flights that! We review the literature on the VATS procedure for spontaneous pneumothorax via VATS primary and secondary pneumothorax..., Over 10 million scientific documents at your fingertips, not logged -. And the lower the complication rate pleurectomy and pleural effusion of air within the pleural space to remove of. Recurrence rate is estimated at 0–7 % Lymphocytes and Natural Killer cells than video-assisted thoracic surgery is an. Cardillo G et al comparison of video-assisted thoracic surgical techniques for the treatment of primary spontaneous pneumothorax they pulled chest... Primary therapy for spontaneous pneumothorax described in... collapse therapy to create a pneumothorax is a very method! For international Consensus the impact of video-assisted thoracoscopic talcage for recurrent primary spontaneous pneumothorax PD, Kallis P, F... Tsuchiya T et.al pages8–17 ( 2013 ) Cite this article surgeons could not be more divisive the. E-Comment: Delayed surgical referral for persistent air leaks after pulmonary resection for spontaneous pneumothorax three... To get the two layers of the pleura surgical instruments or laparoscopic instruments technique and complications. It a less invasive procedure with a quicker recovery a preview of Content... Conservative treatment with tube thoracostomy particle size pulmonary bullae/blebs, and Edirne:!