title: [The influence of difference of surgical procedure for the young spontaneous pneumothorax to the recurrence rate after surgery].
abstract: BACKGROUND
  In spontaneous pneumothorax (SP) in patients under the age of 30, we studied the postoperative recurrence rate due to differences in the surgical procedures and the patient's age.
  
  
  METHODS
  Between October 2003 and September 2012, 351 operations were performed for the young(30 years or younger)SP in our hospital. The recurrence rate was calculated in 2 age groups( under 20 or older) with different surgical procedures which were classified into 5 groups on the basis of the combination of the covering site with the polyglycol acid (PGA) seat and the presence or absence of ligation at both ends of staple-line.
  
  
  RESULTS
  The mean age of all patients was 21.0±4.4, 320 were male. The recurrence rate of all was 8.8%.The group 20 years or younger in comparison with the group 21 years or older had significantly high recurrence rate after surgery(11.9% v.s. 5.1%;p=0.034).However, covering the staple-line with ligation of both ends and covering the staple-line and the bullae common site were both significantly lower recurrence rate compared with the group with covering only to the staple-line in 20 years or younger group(0% v.s. 23.8%;p=0.041, 4.9% v.s. 23.8%;p=0.041).
  
  
  CONCLUSIONS
  The results suggest that we need to choose the appropriate procedure of the surgery for SP considering the patient's age. The recurrence rate in the patient 20 years or younger can be reduced by covering the bullae common site and/or the ligating both ends of staple-line in addition to covering the staple-line.
authors: Department of Thoracic Surgery, Tohoku Pharmaceutical University Hospital, Sendai, Japan.
authors: Hiroshi
authors: H
authors: Yabuki
authors: Toshiharu
authors: T
authors: Tabata
authors: Takafumi
authors: T
authors: Sugawara
authors: Ken
authors: K
authors: Fukaya
authors: Shigefumi
authors: S
authors: Fujimura
mesh_terms: D000293:Adolescent; D000367:Age Factors; D002648:Child; D005260:Female; D006801:Humans; D008026:Ligation; D008297:Male; D011030:Pneumothorax / Q000601:surgery*; D012008:Recurrence; D019616:Thoracic Surgical Procedures / Q000379:methods; D055815:Young Adult