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KMID : 0191119990140020147
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Journal of Korean Medical Science
1999 Volume.14 No. 2 p.147 ~ p.152
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Video-assisted thoracoscopy versus open thoracotomy for spontaneous pneumothorax
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Al-Qudah A
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Abstract
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This retrospective study was designed to compare the contribution of the video-assisted thoracoscopic
surgery (VATS) and open thoracotomy in the management of spontaneous pneumothorax (SP). The medical
records of 100 patients with recurring or persisting (SP) treated were reviewed. The patients were
divided into two groups: group I treated by thoracotomy while in group II (VATS) was used. There
were 96 men and 6 women aged from 16 to 75 years. Indications for operation and sex distribution
were comparable. The mean age for group I was 35 years and for group II was 45 years. Hospital
stay was identical in both groups. The amount of narcotic requirements was lesser in group II
than in group I as well as the postoperative respiratory dysfunction. There have been no recurrence
to date (mean follow-up 6 years for the group I and 3 years for the group II). VATS have been shown
to produce results comparable to those obtained following open thoracotomy with reduction of
postoperative pain, respiratory dysfunction, catabolic response to trauma and decrease in wound
related complications. VATS is a valid alternative to open thoracotomy for primary (SP) but it
should be used with caution for the management of secondary pneumothorax.
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