Thoracoscopic management of XXXX .

@entity1 @entity5229 @entity86 @entity158 @entity456
@entity5229 is defined as that which appears in @entity1 without history of previous pathology that could explain the event. Management includes @entity456 with or without pleurodesis and surgical resection of affected lung tissue with pleurodesis. Thoracoscopic approach has proved to be useful with low morbidity and mortality as well as low recurrence rate. This paper describes the experience with thoracoscopic management of @entity5229 with pulmonary wedge resection of affected tissue, parietal pleurectomy, and @entity456 of remaining parietal and diaphragmatic pleura. Fifty-five @entity1 have been submitted to this approach (24 female, 31 male). Fifty-three @entity1 had past history of at least one previous pneumothorax (second event, n=41; third event, n=9; fourth event or more, n=3). Computed tomography was abnormal in 19 @entity1 . Operative time was 57 minutes (+/-17). There were no transoperative complications. Macroscopic findings were presence of small type I bullae in the lung apex in 48; three more had apical @entity456 . None of the @entity1 presented @entity86 . Chest tubes were removed after 24-48 hours on average. @entity158 control was achieved in 51 @entity1 ; 4 @entity1 presented mild chronic @entity158 for 3-5 months. Median follow-up was 48 months (range 6-72); no recurrence has been observed. @entity5229 can be managed thoracoscopically; management should include wedge resection of affected lung, apical pleurectomy, and @entity456 of remaining parietal and diaphragmatic pleura.
