The results of 188 thoracoscopic operations for spontaneous pneumothorax (SP) were studied, in 47 from them videothoracoscopic technique was used. It was established that radical videothoracoscopic procedures, such as subsegmental resection of the lung combined with coagulation pleurodesis in primary pneumothorax, are almost untraumatic and highly effective both just after the procedure and in far off period. Palliative operations could be recommended in secondary spontaneous pneumothorax and at definite stages of surgical aid in primary SP.
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