Document Detail

Axillary thoracotomy versus videothoracoscopy for the treatment of primary spontaneous pneumothorax.
MedLine Citation:
PMID:  15276488     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: A prospective, randomized study was carried out on patients with primary spontaneous pneumothorax, with the aim of determining if video-assisted thoracoscopy is superior to axillary thoracotomy in the surgical treatment of this condition. METHODS: Patients were randomly assigned to two groups; video-assisted thoracoscopy (group A; n = 46) and axillary thoracotomy (group B; n = 44). All fit the established criteria for surgical indication (relapse or persistent air leakage after pleural drainage). In all cases the treatment consisted of apical segmentectomy of the blebs or dystrophic complex and pleural mechanical abrasion. The study evaluated the following factors: postoperative blood loss, respiratory function (maximum inspiratory and expiratory pressures, forced expiratory volume in the first second and forced vital capacity), postoperative pain (analog visual scale), supplementary doses of analgesics, postoperative complications, hospital stay, and resumption of normal activity. Relapses were evaluated for the minimum period of time of two years. RESULTS: No significant differences were found in any of the factors studied in either group. CONCLUSIONS: Video-assisted thoracoscopy and axillary thoracotomy offer similar results in the surgical treatment of primary spontaneous pneumothorax. The rate of complication is low and the level of pain is acceptable without long-term sequelae.
Jorge L Freixinet; Emilio Canalís; Gabriel Juliá; Pedro Rodriguez; Norberto Santana; Felipe Rodriguez de Castro
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  78     ISSN:  1552-6259     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2004 Aug 
Date Detail:
Created Date:  2004-07-27     Completed Date:  2005-05-24     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  417-20     Citation Subset:  AIM; IM    
Thoracic Surgery and Respiratory Services, Hospital de Gran Canaria Dr. Negrín, Barranco de la Ballena s/n, 35020 Las Palmas de Gran Canaria, Spain.
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MeSH Terms
Analgesics / therapeutic use
Axilla / surgery
Chest Tubes
Length of Stay / statistics & numerical data
Pain, Postoperative / drug therapy,  epidemiology
Pneumothorax / surgery*
Postoperative Complications / epidemiology
Surgical Mesh
Surgical Stapling
Surgical Wound Infection / epidemiology
Thoracic Surgery, Video-Assisted*
Thoracotomy / methods*
Treatment Outcome
Reg. No./Substance:

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