Treatment of Primary Spontaneous Pneumothorax by Videothoracoscopic Talc Pleurodesis Under Local Anesthesia: A Review of 133 Procedures

Surg Endosc. 2010 May;24(5):984-7. doi: 10.1007/s00464-009-0707-9. Epub 2009 Sep 30.

Abstract

Aim: To review our experience of treatment of primary spontaneous pneumothorax by videothoracoscopic talc pleurodesis.

Methods: From 2000 to 2008, 124 consecutive patients with primary spontaneous pneumothorax were operated; 105 were men (84.7%) and 19 were women (15.3%) with a mean age of 26.6 years (range 17-46 years).

Results: No mortality was recorded. Staging according to Vanderschueren's classification was as follows: stage I, 61 patients (45.9%); stage II, 39 patients (29.3%); stage III, 31 patients (23.3%); stage IV, two patients (1.5%). The overall rate of complications was 9% (12/133), corresponding to prolonged air leak in 9(6.7%) patients and hemothorax in 3(2.2%) patients. Four patients (3%) had recurrence requiring reoperation. There were no episodes of acute respiratory failure, pneumonia or subcutaneous emphysema following talc pleurodesis.

Conclusions: Thoracoscopic pleural talc pleurodesis as a treatment for recurrent pneumothorax is easy, safe, and rapid, and causes minimal morbidity and mortality.

Publication types

  • Comparative Study

MeSH terms

  • Adolescent
  • Adult
  • Anesthesia, Local / methods*
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Pleurodesis / methods*
  • Pneumothorax / therapy*
  • Retrospective Studies
  • Talc / administration & dosage*
  • Thoracic Surgery, Video-Assisted / methods*
  • Treatment Outcome
  • Young Adult

Substances

  • Talc