![]() We collected the clinical data of 14 patients who underwent subtotal pleurectomy via video-assisted thoracic surgery (VATS) in our institution from November 2016 to October 2021. We conducted this study to present our experience with this procedure. Pleurectomy is an effective pleurodesis procedure, which appears to be more suitable for these cases. Traditional bullectomy may result in long-term air leakage and has a risk of early recurrence. Refractory pneumothorax combined with diffuse emphysematous changes is an intractable problem requiring surgical treatment. pleurectomy + wedge resection is comparable. ![]() Safety: No results were found in all parameters.Įfficacy and safety of pleurectomy vs. No results were found in other parameters. Efficacy: recurrences occurred less frequently in group treated with pleurectomy without wedge resection. ![]() The research project was approved by the Bioethical Commission of the Silesian Medical University in Katowice (KNW/022/kb1/3/14). Safety was defined as follows: heamothorax, major bleeding (loss of Hg >2 g/dL), infections, deaths. Efficacy was defined as follows: complete lung expansion, drainage (days), air leak, frequency of PAL (persistent air leak >5 days), recurrences and re-operations. GOTOH SP VS PSP PSPPleurectomy was supplemented by wedge resection in patients diagnosed intraoperatively with ELC (emphsema-like changes) ≥ III stage (classification of PSP by Vanderschueren). Non-randomized observational study based on clinical analysis of 73 patients, M:F ratio 3:1, aged 18 to 45 years, the average age was 29 years, operated between January 2008 and December 2014 due to the occurrence of PSP. The aim of the work was to compare the effectiveness of two methods-pleurectomy and pleurectomy combined with wedge resection in patients with PSP in terms of safety and efficiency. ![]() Different treatment modalities are observed in clinics of same profile. Guidelines do not explicitly define surgical procedures. The treatment of primary spontaneous pneumothorax (PSP) remains controversial. ![]()
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