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Review
. 2007 Sep;100(9):419-22.
doi: 10.1177/014107680710000918.

Minimally invasive surgery for pneumothorax: the evidence, changing practice and current opinion

Tom Treasure  1
Affiliations
Review

Minimally invasive surgery for pneumothorax: the evidence, changing practice and current opinion

Tom Treasure. J R Soc Med. 2007 Sep.

Abstract

Spontaneous pneumothorax is a common problem and in patients at risk of recurrence, excision of the source of the air leak and pleurodesis is very effective in reducing further episodes. In the 15 years since the introduction of video assisted thoracic surgery (VATS), practice has changed towards this much less invasive procedure and away from thoracotomy. The evidence from randomized trials, non-randomized comparative studies, the consensus of surgeons and the documented change in practice from registry data are concordant. Unless there are specific clinical indications for more invasive surgery, it would seem reasonable for VATS to become the recommended approach.

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Figures

Figure 1
Figure 1
Proportion of thoracotomies and VATS performed in forty hospitals.
See this image and copyright information in PMC

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References

    1. Lewis RJ, Caccavale RJ, Sisler GE. Imaged thoracoscopic surgery: a new thoracic technique for resection of mediastinal cysts. Ann Thorac Surg 1992;53: 318-20 - PubMed
    1. Lewis RJ, Caccavale RJ, Sisler GE, Mackenzie JW. One hundred consecutive patients undergoing video-assisted thoracic operations. Ann Thorac Surg 1992;54: 421-6 - PubMed
    1. Henry M, Arnold T, Harvey J. BTS guidelines for the management of spontaneous pneumothorax. Thorax 2003;58(Suppl 2): ii39-ii52 - PMC - PubMed
    1. Sedrakyan A, van der Meulen J, Lewsey J, Treasure T. Video assisted thoracic surgery for treatment of pneumothorax and lung resections: systematic review of randomised clinical trials. BMJ 2004;329: 1008. - PMC - PubMed
    1. Devereaux PJ, Bhandari M, Clarke M, et al. Need for expertise based randomised controlled trials. BMJ 2005;330: 88. - PMC - PubMed

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