{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T03:28:14Z","timestamp":1788406094960,"version":"build-2803163510"},"reference-count":30,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2019,4,1]],"date-time":"2019-04-01T00:00:00Z","timestamp":1554076800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"published-print":{"date-parts":[[2019,4,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>There is a lack of pediatric-specific guidelines for the workup and management of primary spontaneous pneumothorax (PSP) in children. The aim of this study was to describe current practices among North American pediatric surgeons.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>An online survey comprising 18 questions was sent out through the American Pediatric Surgical Association Outcomes and Clinical Trials Committee to all members. Bivariate analysis was performed using Chi-square analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      A total of 287 surveys were completed (33% response rate). For a first episode of PSP, 57% of surgeons opt for chest tube drainage, 4% for upfront video-assisted thoracoscopic surgery (VATS), 3% for needle aspiration, and 29% for only oxygen administration. Eighty-one percent of surgeons report that the size of the pneumothorax influences management. However, neither practice setting (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.87) nor years in practice (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.11) correlated with initial management strategy. For patients with a persistent air leak after chest tube placement, there is wide variation in duration of observation before performing VATS, with 40% operating after 3 days, but 21% waiting at least 5 days. The use of chest computed tomography (CT) is also highly variable. Eighty-two percent of respondents perform surgery only after the second episode of PSP. Most perform a stapled apical blebectomy and mechanical pleurodesis for both initial and recurrent PSP.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>There is significant variation among pediatric surgeons in the management of spontaneous pneumothorax, including the use of CT, timing of operation, and duration of observation for air leak before performing surgery. Prospective data are needed to better inform guidelines and standardize practice.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/lap.2018.0629","type":"journal-article","created":{"date-parts":[[2018,12,28]],"date-time":"2018-12-28T12:41:29Z","timestamp":1546000889000},"page":"551-556","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":40,"title":["Current Practice in the Management of Spontaneous Pneumothorax in Children"],"prefix":"10.1177","volume":"29","author":[{"given":"Kibileri","family":"Williams","sequence":"first","affiliation":[{"name":"Department of Surgery, Howard University Hospital, Washington, District of Columbia."},{"name":"Division of Pediatric Surgery, Ann &amp; Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren","family":"Baumann","sequence":"additional","affiliation":[{"name":"Division of Pediatric Surgery, Ann &amp; Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois."},{"name":"Department of Surgery, University of Cincinnati, Cincinnati, Ohio."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia","family":"Grabowski","sequence":"additional","affiliation":[{"name":"Division of Pediatric Surgery, Ann &amp; Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois."},{"name":"Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timothy B.","family":"Lautz","sequence":"additional","affiliation":[{"name":"Division of Pediatric Surgery, Ann &amp; Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois."},{"name":"Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,4,15]]},"reference":[{"key":"e_1_3_3_2_2","first-page":"1379","article-title":"Incidence of spontaneous pneumothorax in Olmsted County, Minnesota: 1950 to 1974","volume":"120","author":"Melton LJ","year":"1979","unstructured":"Melton LJ3rd, , Hepper NG, , Offord KP. Incidence of spontaneous pneumothorax in Olmsted County, Minnesota: 1950 to 1974. 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