Introduction: Spontaneous pneumothorax (SPT) is surgically treated with two different techniques: Video Assisted
Thoracoscopy (VATS) or open thoracotomy (OT). Despite the different invasiveness of the techniques, literature gives
controversial results in correlation of the techniques to the clinical outcomes (like length of hospital stay (LOHS), recurrences of the
pneumothorax, duration, collection of the drains and etc). of our study was to analyze perioperativ The aim e clinical features in patients that
underwent SPT treatment surgically.
Materials and methods: prospectively, we evaluated data of patients treated for SPT in two-year period at the University clinic for thoracic
surgery in Skopje. Patients were divided into VATS group and OT group, according to the surgical technique used for treatment. In both groups
we analyzed demographical, laboratory data, duration of the chest drains presence, early inammatory markers and total LOHS. Patients with
recurrent pneumothorax, older than 70 years with severe cardiological impairment were excluded.
Results: The study included 42 patients, 23 patients (54.8%) underwent VATS treatment and 19 patients (45.2%) underwent OT. In both groups
more patients were male. VATS group of patients showed nonsignicant difference in postoperative laboratory and inammatory ndings, nonsignicantly lower presence of the drains in terms of days, signicantly lower drain uid collections for the rst 3 days and signicantly shorter
LOHS compared to the OT group.
Conclusion: Our study has showed that patients treated for spontaneous pneumothorax with VATS have shorter length of hospital stay, shorter
chest drain presence and overall show better outcome.