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Objective: To compare VATS (video-assisted thoracoscopic VATS) and axillary incision surgery (subaxillary small minithoractomy SAMT) treatment of spontaneous pneumothorax surgical indications , operative time , Wai -operative bleeding and postoperative chest tube placement time , drainage, hospital stay , and recurrence rate . Methods: hospital from July 2006 to March 2009 spontaneous pneumothorax in patients 44 and to compare VATS 28 patients with the same period in line the SAMT 16 patients were followed up for 2-12 months , in order to observe the effect . Results : VATS group were hospitalized days , postoperative chest tube placement time and postoperative pain than those the SAMT group was significantly shorter , without conversion to thoracotomy . There were no complications , and death . Conclusions: VATS trauma on cardiopulmonary function , rapid postoperative recovery, for primary spontaneous pneumothorax , especially recurrent bilateral treatment of choice , but secondary spontaneous pneumothorax should selected whether thoracotomy .
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