TY - JOUR AU - Łochowski, Mariusz AU - Brzeziński, Daniel AU - Pryt, Łukasz AU - Rębowski, Marek AU - Kozak, Józef PY - 2017 TI - Thoracoscopic pleural abrasion vs . apical pleurectomy in treatment of spontaneous pneumothorax JF - Video-Assisted Thoracic Surgery; Vol 2 (May 2017): Video-Assisted Thoracic Surgery Y2 - 2017 KW - N2 - Background: To compare the efficacy and safety of partial apical pleurectomy and mechanical pleural abrasion in the treatment of spontaneous pneumothorax by performing video thoracoscopy. Methods: The analysis included 123 patients with spontaneous pleural pneumothorax treated with the thoracoscopic technique in 2006–2015. During the procedure affected lung parenchyma was removed with a stapler and a partial pleurectomy (42 cases) or mechanical abrasion of the pleura (81 cases) were performed. The selection of techniques depended on the surgeon’s preference. Results: Patients for whom pleurectomy was used had a greater post-operative drainage than patients after pleural abrasion (on average 323.8 vs . 199.3 mL, P=0.068). In no case a conversion or re-operation were necessary. The average time of drainage in both groups was similar (4.3 vs . 4.0 days, P=0.27). Post-operative complications occurred in 8 patients (6%). Three relapses were observed (2.4%): in one of the patients after pleurectomy and two after pleural abrasion (time of observation from 1 to 10 years). Conclusions: The procedure of pleurectomy is characterised by a greater blood loss than the procedure of pleural abrasion. Both techniques show the same efficacy and low rate of complications in the treatment of spontaneous pneumothorax. UR - https://vats.amegroups.org/article/view/3810