The Journal of the Japanese Association for Chest Surgery
Online ISSN : 1881-4158
Print ISSN : 0919-0945
ISSN-L : 0919-0945
Long-term assessment of needle VATS for spontaneous pneumothorax
Emiko TomitaAkinori AkashiKenjirou HukuharaShigeru Nakane
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2008 Volume 22 Issue 5 Pages 741-745


From January 1997 to March 2001, we treated 159 cases with a spontaneous pneumothorax, 81 cases by normal video-assisted thoracic surgery (VATS), and 78 cases by Nd: YAG laser through a needle thoracoscope (mini-VATS). All cases underwent chest CT for preoperative examination. Normal VATS was performed for patients with bullae > 2 cm on chest CT. Mini-VATS was performed for the other patients. Recurrence occurred in 8 cases after mini-VATS (8/78, 9.8 %) and in 12 cases after normal VATS (10/78, 12.5 %). The recurrence rate was acceptable as it was similar to that in the 1990's. However, it is higher than that for thoracotomy. For better results, both mini and normal VATS require some additional techniques, for example, covering with something, reconsidering the appropriate method for the bullae condition, and so on.

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© 2008 The Japanese Association for Chest Surgery
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