Simultaneous Bilateral Primary Spontaneous Pneumothorax: A Case Report and a Review of the Literature

Table 2

Summary of the reported cases of simultaneous bilateral primary spontaneous pneumothorax treated with surgical intervention.

First author	Year	N	Mean age (Years)	Male (%)	Surgical intervention	Mean follow-up (months)	Recurrence (n)
Akcam [1]	2018	5	22.4	5 (100)	Single-staged VATS	N/A	3
Aye [5]	2002	4	21.5	4 (100)	Single-staged VATS	N/A	0
Chen [6]	2008	4	22.1	4 (100)	Single-staged VATS	45.6	1^¥
Cho [7]	2017	25^£	16.3	24 (96)	Single-staged VATS	62	11
Hatzigeorgiadis [8]	2014	1	20	1 (100)	Single-staged VATS	36	0
Kim [9]	2017	2	17, 18	2 (100)	Single-staged VATS	24, 19	0
Guo [10]	2016	4	N/A	N/A	Single-staged VATS	N/A	N/A
Lang-Lazdunski [11]	2003	3	N/A	N/A	Single-staged VATS	N/A	N/A
Lee [12]	2008	13	20.9	13 (100)	Single-staged VATS	44.4	2
Okubo [13]	2014	1	16	1 (100)	Single-staged VATS	N/A	0
Sachithanandan [14]	2012	2	26, 17	2 (100)	Single-staged VATS	N/A	1
Soccorso [15]	2015	5	N/A	N/A	Single-staged VATS	N/A	N/A
Watanabe [16]	2004	1	23	1 (100)	Single-staged VATS	N/A	0
Yueng [17]	2016	11	N/A	N/A	Single-staged VATS	N/A	N/A

VATS: video-assisted thoracoscopic surgery
: Two patients had unilateral VATS and tube thoracostomy on the other side. The other patient had unilateral VATS without any intervention on the other lung. All recurrence occurred in the un-operated lung.
¥: Prolonged air-leakage (>7 days) post-operation
£: Eleven patients underwent ipsilateral transmediastinal approach instead of bilateral sequential approach
: Five recurrences were from the ipsilateral transmediastinal approach group while the other six recurrences were fromthe traditional bilateral sequential approach group