title: Video-assisted thoracoscopic surgery for primary spontaneous pneumothorax in children.
abstract: OBJECTIVE
  There is controversy regarding the best way to prevent recurrences of primary spontaneous pneumothorax (PSP) in children. The purpose of this study was to evaluate the efficacy of video-assisted thoracoscopic surgery (VATS) for pediatric PSP.
  
  
  METHODS
  We retrospectively reviewed patients under 29 years of age who underwent VATS for PSP between March 2005 and February 2011. Patients were divided into 2 groups: children (under the age of 17 years) and young adults (over the age of 18 years).
  
  
  RESULTS
  Two hundred eighty-one VATS procedures in 257 patients were included in this study. The mean follow-up was 47.1 ± 20.5 months. No mortality was observed. The mean duration of pleural drainage was 3.4 ± 2.2 days. The overall recurrence rate was 6.8 %. The operative outcomes did not differ significantly. However, the recurrence rate was significantly higher in the children's group than the young adult group (10.6 vs. 3.9 %, P = 0.032). Younger age and postoperative prolonged air leak had a significantly higher risk of postoperative recurrence.
  
  
  CONCLUSIONS
  VATS is a safe and effective procedure for PSP in children. However, the risk of recurrence is increased in children and it is related to the formation of new bullae.
authors: Department of Thoracic and Cardiovascular Surgery, Uijeongbu St Mary's Hospital, The Catholic University of Korea, College of Medicine, Seoul, Korea.
authors: Si Young
authors: SY
authors: Choi
authors: Yong Hwan
authors: YH
authors: Kim
authors: Keon Hyon
authors: KH
authors: Jo
authors: Chi Kyung
authors: CK
authors: Kim
authors: Jae Kil
authors: JK
authors: Park
authors: Deog Gon
authors: DG
authors: Cho
authors: Seong Cheol
authors: SC
authors: Jeong
authors: Hyun Woo
authors: HW
authors: Jeon
authors: Chan Beom
authors: CB
authors: Park
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D015999:Multivariate Analysis; D011030:Pneumothorax / Q000601:surgery*; D012008:Recurrence; D012189:Retrospective Studies; D020775:Thoracic Surgery, Video-Assisted; D016896:Treatment Outcome; D055815:Young Adult
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