Document Detail

Treatment of primary spontaneous pneumothorax by videothoracoscopic talc pleurodesis under local anesthesia: a review of 133 procedures.
MedLine Citation:
PMID:  19789917     Owner:  NLM     Status:  MEDLINE    
AIM: To review our experience of treatment of primary spontaneous pneumothorax by videothoracoscopic talc pleurodesis. METHODS: From 2000 to 2008, 124 consecutive patients with primary spontaneous pneumothorax were operated; 105 were men (84.7%) and 19 were women (15.3%) with a mean age of 26.6 years (range 17-46 years). RESULTS: No mortality was recorded. Staging according to Vanderschueren's classification was as follows: stage I, 61 patients (45.9%); stage II, 39 patients (29.3%); stage III, 31 patients (23.3%); stage IV, two patients (1.5%). The overall rate of complications was 9% (12/133), corresponding to prolonged air leak in 9(6.7%) patients and hemothorax in 3(2.2%) patients. Four patients (3%) had recurrence requiring reoperation. There were no episodes of acute respiratory failure, pneumonia or subcutaneous emphysema following talc pleurodesis. CONCLUSIONS: Thoracoscopic pleural talc pleurodesis as a treatment for recurrent pneumothorax is easy, safe, and rapid, and causes minimal morbidity and mortality.
R Ramos-Izquierdo; J Moya; I Macia; F Rivas; A Ureña; G Rosado; I Escobar; J Saumench; A Cabrera; M A Delgado; R Villalonga
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Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2009-09-30
Journal Detail:
Title:  Surgical endoscopy     Volume:  24     ISSN:  1432-2218     ISO Abbreviation:  Surg Endosc     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-04-28     Completed Date:  2010-08-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8806653     Medline TA:  Surg Endosc     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  984-7     Citation Subset:  IM    
Department of Thoracic Surgery and Unit of Human Anatomy and Embryology, Servei de Cirurgia Toràcica, Hospital Universitari de Bellvitge, School of Medicine, University of Barcelona, 08907 L'Hospitalet de Llobregat, Spain.
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MeSH Terms
Anesthesia, Local / methods*
Follow-Up Studies
Middle Aged
Pleurodesis / methods*
Pneumothorax / therapy*
Retrospective Studies
Talc / administration & dosage*
Thoracic Surgery, Video-Assisted / methods*
Treatment Outcome
Young Adult
Reg. No./Substance:

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