title: Thoracoscopic total parietal pleurectomy for primary spontaneous pneumothorax.
abstract: Although the management of spontaneous pneumothorax through a thoracotomy traditionally included apical pleurectomy, thoracoscopic treatment of this problem does not generally include pleurectomy. Thoracoscopy in fact allows excellent exposure to perform total parietal pleurectomy, and we hypothesize that including total pleurectomy will reduce recurrences. We describe here the technique of thoracoscopic total parietal pleurectomy and the early outcomes afterward.
authors.affiliation: Department of Surgery, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, USA.
authors.forename: Derek P
authors.initials: DP
authors.lastname: Nathan
authors.forename: Nyali E
authors.initials: NE
authors.lastname: Taylor
authors.forename: David W
authors.initials: DW
authors.lastname: Low
authors.forename: Daniel
authors.initials: D
authors.lastname: Raymond
authors.forename: Joseph B
authors.initials: JB
authors.lastname: Shrager
mesh_terms: D000328:Adult; D004210:Dissection / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D010994:Pleura / Q000601:surgery*; D018700:Pleurodesis / Q000379:methods; D011030:Pneumothorax / Q000209:etiology / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology; D012008:Recurrence; D013525:Surgical Instruments