SURGERY OF PNEUMOTHORAX: WHAT IS THE MISSING ARC?

Background:Pneumothorax is a global disease. Management options include conservative and interventional options either immediate as needle aspiration, small catheter or chest tube and invasive surgical treatment via open surgery or VATS. The missing arc! There is general agreement in superiority of VATS over thoracotomy in surgery for spontaneous pneumothorax. Surgery of pneumothorax still have different points which varying in different guidelines available or not listed at all. There is no consensus about different VATS options in guidelines. In this review we try to analyze new evidence and practice emerging since the last guidelines for managing pneumothorax Conclusion:With advancement in VATS since last guidelines make new one is a need.