Irkutsk, Irkutsk region, Russian Federation
The article presents a literature review on the VATS treatment of spontaneous pneumothorax as a complication of bullous lung emphysema. The review considers questions of etiology, diagnostics and therapeutic tactics in VATS treat-ment of spontaneous pneumothorax with bullous emphysema. The main target of surgeons is not only elimination of spontaneous pneumothorax, but quick exposure of lung parenchyma pathology in order to predict possible reoccurrence of spontaneous pneumothorax. Video-assisted thoracoscopy in this case is a mini-invasive, less traumatic and highly efficient method of treatment of spontaneous pneumothorax. Anti-relapsing surgical interventions with pleurodesis are unanimously considered to be necessary. An integrated and differentiated approach to the treatment of spontane-ous pneumothorax as a result of bullous emphysema helps to determine diagnostic and therapeutic tactics of VATS treatment and choice of pleurodesis induction leading to improved treatment outcomes in this category of patients.
spontaneous pneumothorax, bullous emphysema, video-assisted thoracic surgery, pleurodesis
1. AkopovAL, AgishevAС (2012). Costal VATS pleu-rectomy in primary and secondary spontaneous pneu-mothorax [Videotorakoskopicheskaya kostal’naya plev-rektomiya pri per¬vichnom i vtorichnom spontannom pnevmotorakse]. Khirurgiya, (11), 15-18
2. VachevAN, Adyshirin-Zade EE, Frolova EV (2013). Optimization of surgical tactics in patients with spontane-ous pneumothorax [Optimizatsiya khirurgicheskoy taktiki pri lechenii bol’nykh so spontannym pnevmotoraksom]. Khirurgiya, (6), 26-28.
3. DesyaterikVI, EzhemenskyMA, MikhnoSP (2012). The choice of pleurodesis method in the treatment of spontaneous pneumothorax [Vybor metoda plevrodeza pri lechenii spontannogo pnevmotoraksa]. Vestnik neo-tlozhnoy i vosstanovitel’noy meditsiny,13(2), 260-262
4. EzhemenskyMA, DesyaterikVI, MikhnoSP (2013). VATS intervention in the treatment of spontaneous pneu-mothorax [Videotorakoskopicheskie vmeshatel’stva pri lechenii spontannogo pnevmotoraksa]. Vestnik neotlozh-noy i vosstanovitel’noy meditsiny, 14 (3), 336-338.
5. ZajtsevDA, MovchanKN, LishenkoVV (2015). Pos-sibilities of purposeful use of thoracoscopy in the im-provement of the results of examination and treatment of patients with spontaneous pneumothorax [Vozmozhnosti tselenapravlennogo ispol’zovaniya torakoskopii v ul-uchshenii rezul’tatov obsledovaniya i lecheniya patsien-tov so spontannym pnevmotoraksom]. Mezhdunarodnyy zhurnal prikladnykh i fundamental’nykh issledovaniy,(6-3), 440-444.
6. Clinical guidelines for the treatment of spontaneous pneumothorax: Approved at the general meeting of the Association of Russian thoracic surgeons at the IV Inter-national Congress “Actual trends of modern cardiothoracic surgery”(28.06.2014), Saint-Petersburg [Klinicheskie rekomendatsii po lecheniyu spontannogo pnevmo-toraksa: Utverzhdeny na obshchem sobranii Assotsiatsii torakal’nykh khirurgov Rossii na IV Mezhdunarodnom kongresse «Aktual’nye napravleniya sovremennoy kar-diotorakal’noy khirurgii»], 1-24.
7. KorymasovEA, BenyanAS, PushkinSY (2013). Analysis of errors and complications in the treatment of spontaneous pneumothorax [Analiz oshibok i oslozhneniy v lechenii spontannogo pnevmotoraksa]. Tol’yattinskiy meditsinskiy konsilium, (3-4), 44-51.
8. MikheevAV, BaskevichMA (2013). Aspects of the surgical treatment of patients with spontaneous pneu-mothorax [Aspekty khirurgicheskogo lecheniya patsien-tov so spontannym pnevmotoraksom]. Nauka molodykh(Eruditio Juvenium), (4), 44-51.
9. NeretinAV, Motus IY (2013). Improving the treatment strategy of patients with spontaneous pneumothorax [Sovershenstvovanie taktiki lecheniya patsientov so spontannym pnevmotoraksom]. Ural’skiy meditsinskiy zhurnal, 107(2), 80-84.
10. OlefirovAS, Adyshirin-ZadeEE, AndreevIS (2012).On the question of choice of treatment tactics for patients with a first episode of primary spontaneous pneumot-horax [K voprosu o vybore taktiki lecheniya bol’nykh s pervym epizodom pervichnogo spontannogo pnevmo-toraksa]. Materialy XI s”ezda khirurgov Rossii (Volgograd), 254-255.
11. PakhomovGL, KhudaibergenovGN, KhayalievRH(2010). On the question of tactics of surgical treatment of nonspecific spontaneous pneumothorax [K voprosu o taktike khirurgicheskogo lecheniya nespetsificheskogo spontannogo pnevmotoraksa]. Vestnik eksperimental’noy i klinicheskoy khirurgii, 3(2), 103-111
12. PichurovA A, OrzheshkovskyOV, PetrunkinA M(2013). Spontaneous pneumothorax - analysis of 1489 cases [Spontannyy pnevmotoraks - analiz 1489 sluchaev]. Vestnik khirurgii im. I.I. Grekova, 172(5), 82-88.
13. PlandovskyAV (2012). The choice of rational surgi-cal tactics for patients with spontaneous pneumothorax [Vybor ratsional’noy khirurgicheskoy taktiki u patsientov so spontannym pnevmotoraksom] Voennaya meditsina,1(22), 90-94.
14. PogodinaAN, VoskresenskiyOV, NikolayevaEB,BarminaTG, ParshinVV (2011) Current approaches to the treatment of spontaneous pneumothorax and Ham-man’s syndrome [Sovremennye podkhody k lecheniyu spontannogo pnevmotoraksa i spontannoy emfizemy sredosteniya]. Atmosfera. Pul’monologiya allergologiya,(1), 45-51.
15. SavelievVS, KonstantinovaGD (1969). Nontuber-culous spontaneous pneumothorax [Netuberkuleznyy spontannyy pnevmotoraks],136.
16. FunloerIS, ZhynzhyrovBK (2013). Bullous disease complicated by pneumothorax in conditions of Kyrgyzstan [Bulleznaya bolezn’, oslozhnennaya pnevmotoraksom, v usloviyakh Kyrgyzstana]. Vestnik Kyrgyzsko-Rossiyskogo Slavyanskogo universiteta, 13 (4), 180-184.
17. FunloerIS, ZhynzhyrovBK, YusupovTK (2011). Spontaneous pneumothorax as a result of bullous disea-se [Spontannyy pnevmotoraks kak sledstvie bulleznoy bolezni ]. Vestnik Kyrgyzsko-Rossiyskogo Slavyanskogo universiteta, 11(3), 157-161.
18. .CharyshkinAL, Melkiy DA, ElushchenkoLV (2014). Algorithm for the treatment of spontaneous pneu-mothorax [Algoritm lecheniya spontannogo pnevmo-toraksa]. Ul’yanovskiy mediko-biologicheskiy zhurnal,(3), 15-18.
19. ChikinevYV, PustovetovaME, DrobyazginEA (2013). Results of surgical treatment of refractory spontaneous pneumothorax [Rezul’taty khirurgicheskogo lecheniya refrakternogo spontannogo pnevmotoraksa]. Meditsina i obrazovanie v Sibiri, (6), 67-73.
20. ShevchenkoYL, MaltsevAA (2013). Surgical treat-ment and prevention of recurrent spontaneous pneumot-horax [Taktika khirurgicheskogo lecheniya i profilaktiki retsidiva spontannogo pnevmotoraksa].Vestnik natsiona-l’nogo mediko-khirurgicheskogo Tsentra im. N.I. Pirogova,8(1), 116-119.
21. YablonskyPK, AtyukovМА, PishchikV E (2010). Choice of therapeutic tactics and the possibilities of predicting recurrence in patients with a first episode of spontaneous pneumothorax [Vybor lechebnoy taktiki i vozmozhnosti prognozirovaniya retsidivov u bol’nykh s pervym epizodom spontannogo pnevmotoraksa]. Vestnik SPbEU, 11 (1), 118-129
22. Yablonsky PK, PetrovAS, Pishchik, AtyukovMA, OrzheshkovskiyOV (2013). Spontaneous pneumothorax (tutorial) [Spontannyy pnevmotoraks: uchebnoe poso-bie], 42
23. AminR, NooneG, RatjenF (2013). Chemical pleurodesis versus surgical intervention for persistent and recurrent pneumothoraces in cystic fibrosis (Review). The Cochrane Library, Issue 1.
24. BilleterAT, DruenD, FranklinGA et al. (2013).Video-assisted thoracoscopy as an important tool for trauma surgeons: a systematic review. Langenbecks Arch. Surg., 398 (4), 515-523.
25. ChenJS, Hsu HH, HuangPM et al. (2012). Thora-coscopic pleurodesis for primary spontaneous pneumot-horax with high recurrence risk: a prospective randomized trial. Ann. Surg., 255 (3), 440-445.
26. ForoulsCN, AnastasiadisK, CharokoposN et al. (2012). A modified two-port thoracoscopic technique versus axillary minithoracotomy for the treatment or recurrent spontaneous pneumothorax: a prospective randomized study. Surg. Endosc., 12 (3), 607-614.
27. IsmailT, AnsharMF, HowSH et al. (2010). Survey on the initial management of spontaneous pneumothorax. Med. J. Malaysia, 65 (3), 187-191.
28. KarangelisD, Nagarakis GI, DaskalopoulosM et al. (2010). Intrapleural instillation of autologous blood for persistent air leak in spontaneous pneumothorax is it as effective as it is safe. J. Cardiothorac. Surg., 17, 702-704.
29. MuramatsuT, NishiiT, TakeshitaS et al. (2010). Preventing recurrence of spontaneous pneumothorax after thoracoscopic surgery: a review of recent results. Surg. Today., 40 (8), 696-699.
30. NwaejikeN, AldamP, PulmoodT et al. (2012). A case of recurrent spontaneous pneumothorax during pregnancy treated with video assisted thoracoscopic surgery. BMJ Case Rep., 13, 610-612.
31. VodickaJ (2011). Are there any news in the man-agement of spontaneous pneumothorax. Rozhl. Chir., 90 (11), 625-630.
32. WakaiA, SullivanR, McCabeG (2013). Simple aspiration versus intercostals tube drainage for primary spontaneous pneumothorax in adults (Review). The Cochrane Library, 2, 1-19
