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document
[ Advantages of video assisted thoracic surgery in the treatment of spontaneous pneumothorax ] . Spontaneous pneumothorax ( SP ) is a disabling condition mostly affecting young , thin and otherwise healthy males . It is usually caused by ruptured pleural blebs . The first treatment is the insertion of a chest tube ( ICT ) but in a great number of patients there is recurrence of the disease . We believe that the video assisted thoracoscopy ( VATS ) is the best treatment possible because it allows us to treat the ruptured bleb radically avoiding any recurrence . In order to prove it , 40 patients admitted in a five-year period , with a SP , were randomly assigned to be treated by ICT or VATS . The ICT patients were in the hospital a mean time of 7.5 ( 4 to 15 ) days and the VATS patients , 5.3 ( 2 to 7 ) days ( P < .05 ) . ICT patients required analgesic drugs during 76.8 +/- 31 hours and VATS patients 38.4 +/- 13 hours ( p < .05 ) . From the ICT group , 8 ( 53 % ) patients had recurrence of the disease and 6 ( 40 % ) had a prolonged air leak , while none of the patients of the VATS group had any complication ( < .001 ) . Cost of ICT and VATS were $ 850 and $ 1730 , respectively . According to these results , VATS should be the treatment of choice in SP patients . It treats the cause of the disease . It also reduces the hospitalization time , the use of analgesic drugs post surgery , decreases recurrence of the disease and the cost of the treatment . Moreover , the patients were back to work in less than 10 days .
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Intervention_Surgical
video assisted thoracic surgery
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Intervention_Surgical
insertion of a chest tube ( ICT )
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Intervention_Surgical
video assisted thoracoscopy ( VATS )
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Intervention_Surgical
ICT
6230
Intervention_Surgical
VATS
6231
Intervention_Surgical
ICT
6232
Intervention_Surgical
VATS
6233
Intervention_Surgical
ICT
6234
Intervention_Surgical
VATS
6235
Intervention_Surgical
ICT
6236
Intervention_Surgical
VATS
6237
Intervention_Surgical
ICT
6238
Intervention_Surgical
VATS
6239
Intervention_Surgical
VATS
6240
Outcome_Other
mean time
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Outcome_Other
analgesic drugs
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Outcome_Physical
recurrence of the disease
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Outcome_Physical
air leak
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Outcome_Adverse-effects
complication
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Outcome_Other
Cost of ICT and VATS
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Outcome_Other
hospitalization time
6247
Outcome_Physical
recurrence of the disease
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Outcome_Other
cost of the treatment
6249
Participant_Condition
spontaneous pneumothorax ]