Evaluation of the Nonstapling Bullectomy by Manual Suturing for Young Men With Primary Spontaneous Pneumothorax

This retrospective study evaluated using nonstapling bullectomy via manual suturing as an alternative to traditional staple bullectomy in reducing the recurrence rate of primary spontaneous pneumothorax (PSP) in young male patients. The authors utilized hybrid VATS (hVATS) with a one-port-one-window approach for manual suturing. The study included 259 male patients aged 25 years old or less. Blood loss, hospitalization duration, operative time, and postoperative recurrence were measured for staple bullectomy (S+) and manually sutured bullectomy (S−). The results showed longer mean operating times for the S- group, but less blood loss. The median hospitalization for both groups was four days, however, recurrence rates were lower in theS- group (7.1 percent versus 12.2 percent). Therefore, manual suturing as an alternative to staple bullectomy can potentially reduce PSP recurrence.