Optimal timing of video-assisted thoracoscopic surgery for primary spontaneous pneumothorax in children
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Read the article on jpedsurg.org ↗Article · Dec 2017 · 1 min read
In brief
In brief
Retrospective study of 46 pediatric patients (ages 12-21) with primary spontaneous pneumothorax comparing outcomes between chest tube drainage, observation, and VATS. Analysis examines predictive factors for surgical intervention, recurrence rates, and healthcare utilization across different management approaches to guide optimal timing of definitive surgical treatment.
Written by the GCMD Library team from the article.
Purpose
There is no consensus in the pediatric surgical community about when to recommend video-assisted thoracoscopic surgery (VATS) for patients with primary spontaneous pneumothorax (PSP). We aimed to identify factors that predict the likelihood of requiring VATS, and to compare recurrence rates and healthcare utilization among different management approaches to PSP.
Methods
A retrospective chart review and a telephone survey were conducted on all patients 12–21years who were diagnosed with PSP from 2007 to 2015. Data were extracted on patient demographics, initial management, hospital length of stay (LOS), and subsequent admissions, procedures, and recurrences.
Results
A total of 46 patients were included with a mean age of 16.1years (+/− 1.2). Most patients were male (41, 89%) and white (16, 44%). Initial management comprised chest tube drainage alone in 28 (61%), no intervention in 8 (17%), and VATS in 10 (22%). Total LOS was 6days (IQR 4–7) and was longer in patients who underwent VATS (p