Kết quả phẫu thuật nội soi lồng ngực làm xước màng phổi trong điều trị tràn khí màng phổi tự phát nguyên phát

Objective: This study was to evaluate the results of thoracoscopic pleural abrasion for primary spontaneous pneumothorax (PSP). Methodsand results: From 01/2007 to 06/2013, 79 consecutive patients, 66 male and 13 female, aged 16 to 54 years (mean 28 percent 9.8) underwent thoracoscopic pleural abrasion for PSP. The indications for surgery were as follows: a first episode with persistent air leak in 20 patients (25.3 percent), a recurrent pneumothorax in 59 patients (74.7 percent). Bullae were resected in 79 patients (100 percent). Mechanical pleural abrasion was performed in all cases. There were no deaths. Intraoperative hemorrhage occurred in one patient. It was controlled via thoracoscopy. The postoperative complication rate was SOlo (4/79). Complications included prolonged air leak in three patients (3.8 percent), pleural effusion in two (1.1 percent), extrapleural hematoma in one (1.3 percent). Mean duration of drainage was 3 + or - 2.4 days (range; 1-17). Postoperatively, 79 patients were contacted, with a mean follow-up of 20.5 + or - 10.2 months. Two of them had a recurrence (2.5 percent) that did not require reoperation. Condusion: Thoracoscopic pleural abrasion associated with bullae resection is a safe and efficient treatment for PSP. Rate of recurrence in long temps is low.