Thoracoscopic Resection in the Treatment of Spontaneous Pneumothorax

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

doi:10.14744/SEMB.2018.88310

Thoracoscopic Resection in the Treatment of Spontaneous Pneumothorax

Sisli Etfal Hastan Tip Bul. 2020 Mar 25;54(1):94-97. doi: 10.14744/SEMB.2018.88310. eCollection 2020.

Authors

Mesut Demir¹, Melih Akın¹, Meltem Kaba¹, Şeyma Filiz¹, Nihat Sever¹, Çetin Ali Karadağ¹, Ali İhsan Dokucu¹

Affiliation

¹ Department of Pediatric Surgery, Sisli Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey.

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.