title: [Spontaneous recurrent pneumothorax in young patients. Treatment by bilateral one stage apical pleurectomy by axillary approach].
abstract: The quality of the surgical and respiratory functional results of one-stage bilateral apical pleurectomy for alternating or successive bilateral pneumothorax was evaluated in 30 patients operated upon from 1970 to 1984. These 4 women and 26 men represented 15% of the 194 patients surgically treated for pneumothorax during the same period. Among early results figure absence of mortality, moderate blood loss (295 +/- 130 ml) and short stay in hospital (11 +/- 3 days). Late results could be assessed in 23 patients with a mean post-operative follow-up of 50 +/- 21 months; 7 patients were lost sight of. No clinical or radiological recurrence of pneumothorax was observed. No dyspnoea associated by post-operative ventilatory restriction was demonstrated in our 23 patients. Among the 12 patients subjected to a total of 16 spirographic examinations, 4 out of 10 examined after 6 months showed slight restriction. These good functional results are confirmed by the literature which only gives the results of unilateral pleurectomy.
mesh_terms: D000328:Adult; D001365:Axilla; D005260:Female; D006801:Humans; D008297:Male; D010994:Pleura / Q000601:surgery*; D011030:Pneumothorax / Q000503:physiopathology / Q000601:surgery*; D011184:Postoperative Period; D012008:Recurrence; D013147:Spirometry
vernacular_title: Pneumothorax spontané et récidivant du sujet jeune. Traitement par pleurectomie apicale bilatérale en un temps par voie axillaire.