id	metarevistapublica_asoneumocito_revistacolombianadeneumologia_28_article_785
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spelling	Management of recurrent primary spontaneous pneumothorax by open surgery was considered the treatment of choiceuntil recently. The mayor drawbacks of this management are the prolonged postoperative pain and cosmetic results. Inthe last decade, video-assisted thoracoscopy surgery has replaced the routine use of open surgery. The aim of thisstudy was to compare the outcome of minithoracotomy and VAST with emphasis on patients long –term, subjectiveperspective and satisfaction. Medical records of patients with recurrent primary spontaneous pneumothorax wereretrospectively reviewed. Patients who underwent surgical treatment by limited thoracotomy or VAST more than 3 yearsago were enrolled. Hospital medical charts were used to compare the early postoperative results. There was nomortality or mayor morbidity in either group, and hospitalization time was similar. Patients in the thoracotomy groupneeded significantly higher doses of narcotic analgesia for a longer period. There were 3% cases of recurrence in thevast group.78% of patients in the VAST group and 21% in the thoracotomy group classified their pain as insignificant amonth following the operation. Three years following surgery,97% of the VAST group patients considered themselvescompletely recovered from operation compared with only 79% in the thoracotomy group (p&lt; 0.05). 90% of the thoracotomyand 3% of the VAST suffered from chronic or intermittent pain necessitating analgesics. We recommend video-assistedsurgery as the first –line surgical treatment for patients with recurrent primary spontaneous pneumothorax. Thisrecommendation is based on its somewhat favorable early postoperative course, the superior long-term, and patientsatisfaction. Lucena Olavarrieta, Jorge Ramón Coronel, Paúl Orellana, Ysabelen Useche Izarra, César Video-Assisted Thoracoscopic Surgery Recurrent Spontaneous Pneumothorax Toracoscopia cirugía torácica video asistida recurrencia neumotórax espontáneo primario 20 1 Artículo de revista Journal article 2008-03-03T00:00:00Z 2008-03-03T00:00:00Z 2008-03-03 application/pdf Asociación Colombiana de Neumología y Cirugía de Tórax Revista Colombiana de Neumología 0121-5426 2538-9513 https://revistas.asoneumocito.org/index.php/rcneumologia/article/view/785 https://revistas.asoneumocito.org/index.php/rcneumologia/article/view/785 spa https://creativecommons.org/licenses/by-nc-nd/4.0 Revista Colombiana de Neumología - 2023 Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-SinDerivadas 4.0. 10 15 https://revistas.asoneumocito.org/index.php/rcneumologia/article/download/785/635 info:eu-repo/semantics/article http://purl.org/coar/resource_type/c_6501 http://purl.org/coar/resource_type/c_dcae04bc http://purl.org/redcol/resource_type/ARTREV info:eu-repo/semantics/publishedVersion http://purl.org/coar/version/c_970fb48d4fbd8a85 info:eu-repo/semantics/openAccess http://purl.org/coar/access_right/c_abf2 Text Publication
institution	ASOCIACION COLOMBIANA DE NEUMOLOGIA Y CIRUGIA DE TORAX
thumbnail	https://nuevo.metarevistas.org/ASOCIACIONCOLOMBIANADENEUMOLOGIAYCIRUGIADETORAX/logo.png
country_str	Colombia
collection	Revista Colombiana de Neumología
description_eng	Management of recurrent primary spontaneous pneumothorax by open surgery was considered the treatment of choiceuntil recently. The mayor drawbacks of this management are the prolonged postoperative pain and cosmetic results. Inthe last decade, video-assisted thoracoscopy surgery has replaced the routine use of open surgery. The aim of thisstudy was to compare the outcome of minithoracotomy and VAST with emphasis on patients long –term, subjectiveperspective and satisfaction. Medical records of patients with recurrent primary spontaneous pneumothorax wereretrospectively reviewed. Patients who underwent surgical treatment by limited thoracotomy or VAST more than 3 yearsago were enrolled. Hospital medical charts were used to compare the early postoperative results. There was nomortality or mayor morbidity in either group, and hospitalization time was similar. Patients in the thoracotomy groupneeded significantly higher doses of narcotic analgesia for a longer period. There were 3% cases of recurrence in thevast group.78% of patients in the VAST group and 21% in the thoracotomy group classified their pain as insignificant amonth following the operation. Three years following surgery,97% of the VAST group patients considered themselvescompletely recovered from operation compared with only 79% in the thoracotomy group (p&lt; 0.05). 90% of the thoracotomyand 3% of the VAST suffered from chronic or intermittent pain necessitating analgesics. We recommend video-assistedsurgery as the first –line surgical treatment for patients with recurrent primary spontaneous pneumothorax. Thisrecommendation is based on its somewhat favorable early postoperative course, the superior long-term, and patientsatisfaction.
author	Lucena Olavarrieta, Jorge Ramón Coronel, Paúl Orellana, Ysabelen Useche Izarra, César
spellingShingle	Lucena Olavarrieta, Jorge Ramón Coronel, Paúl Orellana, Ysabelen Useche Izarra, César Video-Assisted Thoracoscopic Surgery Recurrent Spontaneous Pneumothorax Toracoscopia cirugía torácica video asistida recurrencia neumotórax espontáneo primario
author_facet	Lucena Olavarrieta, Jorge Ramón Coronel, Paúl Orellana, Ysabelen Useche Izarra, César
topic	Video-Assisted Thoracoscopic Surgery Recurrent Spontaneous Pneumothorax Toracoscopia cirugía torácica video asistida recurrencia neumotórax espontáneo primario
topic_facet	Video-Assisted Thoracoscopic Surgery Recurrent Spontaneous Pneumothorax Toracoscopia cirugía torácica video asistida recurrencia neumotórax espontáneo primario
topicspa_str_mv	Toracoscopia cirugía torácica video asistida recurrencia neumotórax espontáneo primario
citationvolume	20
citationissue	1
publisher	Asociación Colombiana de Neumología y Cirugía de Tórax
ispartofjournal	Revista Colombiana de Neumología
source	https://revistas.asoneumocito.org/index.php/rcneumologia/article/view/785
language	spa
format	Article
rights	https://creativecommons.org/licenses/by-nc-nd/4.0 Revista Colombiana de Neumología - 2023 Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-SinDerivadas 4.0. info:eu-repo/semantics/openAccess http://purl.org/coar/access_right/c_abf2
type_driver	info:eu-repo/semantics/article
type_coar	http://purl.org/coar/resource_type/c_6501
type_version	info:eu-repo/semantics/publishedVersion
type_coarversion	http://purl.org/coar/version/c_970fb48d4fbd8a85
type_content	Text
publishDate	2008-03-03
date_accessioned	2008-03-03T00:00:00Z
date_available	2008-03-03T00:00:00Z
url	https://revistas.asoneumocito.org/index.php/rcneumologia/article/view/785
url_doi	https://revistas.asoneumocito.org/index.php/rcneumologia/article/view/785
issn	0121-5426
eissn	2538-9513
citationstartpage	10
citationendpage	15
url2_str_mv	https://revistas.asoneumocito.org/index.php/rcneumologia/article/download/785/635
_version_	1811200739825942528

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