%0 Journal Article
%T Expert consensus on spontaneous ventilation video-assisted thoracoscopic surgery in primary spontaneous pneumothorax (Guangzhou)
%A Ahmed G. Elkhouly
%A Benedetta Bedetti
%A Calvin S. H. Ng
%A Chao Cheng
%A Chengchu Zhu
%A Congcong Chen
%A Diego Gonz¨¢lez-Rivas
%A Eugenio Pompeo
%A Fei Cui
%A Guangsuo Wang
%A Hanyu Yang
%A Haoda Huang
%A Hecheng Li
%A Hengrui Liang
%A Hong Ma
%A Huankai Zhang
%A Hui Liu
%A Jiang Jin
%A Jianxing He
%A Jinfeng Ding
%A Jing Ye
%A Jingpei Li
%A Jun Liu
%A Junqiang Fan
%A Kaican Cai
%A Kaiming He
%A Keng Ang
%A Kun Qiao
%A Lixia Liang
%A Mahmoud Ismail
%A Mingfei Ma
%A Qiming Shen
%A Qinglong Dong
%A Raja M. Flores
%A Rusong Yang
%A Shun Xu
%A Shunjun Jiang
%A Siyang Feng
%A Tianyang Dai
%A Tonghai Huang
%A Wei Wang
%A Wenfei Tan
%A Wenhua Liang
%A Xia Feng
%A Xiang Liu
%A Xusen Zou
%A Yali Li
%A Yang Sun
%A Yaron Shargall
%A Yingfen Li
%A Yu Jiang
%A Yulin Liu
%A Zhaohua Xia
%A Zhenguo Liu
%A Zhexue Hao
%A Zhifeng Zhang
%A Zhongxin Duan
%J SCIE-indexed Journal
%D 2019
%R 10.21037/atm.2019.10.08
%X Primary spontaneous pneumothorax (PSP) has an estimated incidence ranging from 17¨C24/100,000 and 1¨C6/100,000 among males and females, respectively (1,2). It usually occurs in tall thin individuals between 10¨C30 years of age, especially smokers (3). Common symptoms include chest pain and mild dyspnea (4). Besides, PSP is highly recurrent with rates ranging from 17% to 54% within 1¨C6 years (2). In particular, patients can experience contralateral PSP with a reported rate ranging from 5% up to 27% with the highest rates reported in patients with contralateral bullae at the high-resolution-computed-tomography (HRCT) scans (5). HRCT has shown that more than 50% of patients with unilateral PSP have pulmonary bullae in the contralateral lung (6). Surgical treatment of PSP is indicated in patients with recurrent or persistent lung collapse, hemopneumothorax, bilateral pneumothorax, and/or failed clinical observation or conservative treatment with simple thoracic drainage (7). Several studies have suggested the superiority of video-assisted thoracoscopic surgery (VATS) over a thoracotomy in the treatment of PSP due to lower postoperative pain and morbidity, and shorter hospital stay (8-11)
%U http://atm.amegroups.com/article/view/30137/html