Spontaneous versus mechanical ventilation during video-assisted thoracoscopic surgery for spontaneous pneumothorax: A randomized trial

Spontaneous ventilation (SV) versus mechanical ventilation (MV) during video-assisted thoracoscopic surgery (VATS) for primary spontaneous pneumothorax (PSP): A non-inferior randomized controlled trial (RCT). This multicenter, non-inferiority, RCT showed that SV-VATS blebectomy is a safe and feasible technique in PSP patients. The primary outcome showed that intra- and postoperative complication rates were similar between the SV-VATS group and the MV-VATS group, which suggests that SV-VATS could be an option for blebectomy in selected PSP patients.