Mini axillary thoracotomy experience in spontaneous pneumothorax

Abstract

AimPneumothorax is a frequent disorder which is needed urgent attemption since life threatening condition. It’s usually treated by tube thoracostomy or minimally invasive procedures. We aimed to share our experience in mini-axillary thoracotomy due to spontaneous pneumothorax (SP).MethodsMini-axillary thoracotomy were performed in 7 patients between June 2009 and July 2010. Age and sex of the patients, type, side and localisation of pneumothorax, pre and post-operative tube duration, duration of hospitalisation, presence of bullae and bleb, morbidity were evaluated.ResultsSix of the patients were male and one patient was female. Median value of age was 20 years. Primary SP were detected in 6 patients and SP secondary to tuberculosis was detected in one patient. Surgery performed due to prolonged air leak in 6 patients and developing of bilateral SP within 7 days.Wedge resection (lineer stappler), partial pleurectomy and pleural abrassion were performed to 4 patients, bullae ligation, partial pleurectomy and pleural abrassion were performed to 2 patients and wedge resection and pleural tend were performed to 1 patient considered as tuberculosis. Median hospitalisation duration was 10 day. Median pre and post-operative drainage duration were 7 and 3 days respectively.ConclusionWhen it’s compared to posterolateral thoracotomy, mini-axillary thoracotomy lets to apical wedge resection, bullae ligation, pleurectomy, abrasion and it’s practical in SP in consequence of muscle protection, less pain, less duration of hospitalisation, and minimal incision scar. Mini-axillary thoracotomy is an alternative procedure in SP if VATS is unavailable and surgical intervention is needed.

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