Related Experiment Video
Updated: May 3, 2026

Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
Published on: May 26, 2023
Video-assisted thoracoscopic surgery for postoperative recurrent primary spontaneous pneumothorax
Shah-Hwa Chou1, Hsien-Pin Li2, Yen-Lung Lee2
1Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan ; ; Department of Respiratory Therapy, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.
Objectives:
Postoperative recurrent primary spontaneous pneumothorax (PSP) is a troublesome complication and an important issue to be discussed. This study is to determine whether Re-video assisted thoracoscopic surgery (VATS) should be performed for postoperative recurrent PSP (PORP).
Materials And Methods:
Patients who had underwent needlescopic VATS for PSP between Jan. 2007 and Dec. 2011 were reviewed.
Results:
VATS was initially performed on 239 patients with PSP in total. Eleven patients were found to have PORP during a follow-up period of 36.95 months. Nine patients received Re-VATS and only two patients receiving conservative treatment had no further recurrence. No conversion to thoracotomy, blood transfusion and prolong air leak were recorded.
Conclusions:
Even for smaller size cases, Re-VATS, which is technically feasible, safe and effective with better cosmetics and minor postoperative pain, should be a strong contender as priority treatment.
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