Recurrence Rates After Video-Assisted Thoracoscopic Surgery for Spontaneous Pneumothorax

• DOI: 10.1089/lap.2021.0335
• Publication Date: 2021-11-08T17:11:05Z
• Authors: Kelli N. Patterson; Amy E. Lawrence; Tariku J. Beyene; Jennifer H. Aldrink; Marc Michalsky; Peter C. Minneci
• Keywords: Pleurectomy; Pleurodesis

Background: Video-assisted thoracoscopic surgery (VATS) with pulmonary apical wedge resection is the mainstay procedure performed for spontaneous pneumothorax (sPTX). However, there variability in adjunctive techniques, including pleurectomy or mechanical pleurodesis, used to prevent recurrences. The objectives of this study were determine sPTX recurrence rates after initial VATS and compare efficacy adjunct versus pleurodesis. Methods: Patients 11-21 years old who experienced underwent from December 2011 2020 identified at a single institution. Descriptive analyses statistical tests identify factors associated ipsilateral surgery. Results: Fifty-six patients (48 males) 58 VATS. majority white (82.1%), male (85.7%), nonsmokers (78.6%). Pleurectomy was 27 (46.5%) cases, pleurodesis 25 (43.1%), 6 (10.3%). Overall, 15 (25.9%) postoperative recurrence, which 8 (13.8%) required intervention. Recurrences occurred between 7 800 days index procedure. There no significant difference overall pleurectomy, [7/27 (25.9%); 7/25 (28.0%); 1/6 (16.7%): P = .99] recurrences requiring intervention three techniques (5/27; 3/25; 0/6: .66). Conclusion: Over 25% experience Recurrence similar whether performed. Further multi-institutional prospective studies are needed establish optimal strategy limit pediatric sPTX.