{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,10]],"date-time":"2025-11-10T08:11:42Z","timestamp":1762762302254,"version":"build-2065373602"},"reference-count":0,"publisher":"Annali Italiani di Chirurgia","issue":"11","license":[{"start":{"date-parts":[[2025,11,10]],"date-time":"2025-11-10T00:00:00Z","timestamp":1762732800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Ann. Ital. Chir."],"abstract":"<jats:p>AIM: Pneumothorax is a prevalent thoracic disorder, with management strategies primarily consisting of conservative treatment and minimally invasive surgery. However, their long-term efficacy remains controversial. This study conducted a systematic review and meta-analysis to compare clinical outcomes between these two approaches. METHODS: A comprehensive search was conducted in PubMed, Embase, Web of Science, and the Cochrane Library for randomized controlled trials (RCTs) and non-randomized controlled trials published between 1 January 2000 and 31 January 2025. Studies comparing total complications, recurrence rate during hospitalization, and overall recurrence rate between treatment groups were included. Fixed- or random-effects models were applied for meta-analysis. Begg's test was applied to assess publication bias, and sensitivity analysis was performed to evaluate model robustness. RESULTS: A total of nine studies were included in the meta-analysis. Compared to conservative treatment, video-assisted thoracoscopic surgery (VATS) significantly reduced the recurrence rate during hospitalization [odds ratio (OR) = 0.23, 95% CI (0.12\u20130.43), p &lt; 0.00001] and the overall recurrence rate [OR = 0.16, 95% CI (0.08\u20130.31), p &lt; 0.00001]. However, no statistically significant difference was found between the groups in terms of complication rate (p = 0.79). Additionally, Begg's test confirmed no significant publication bias (p &gt; 0.05). Subgroup analysis indicated that pneumothorax type may contribute to the observed heterogeneity. CONCLUSIONS: VATS reduces both the short-term recurrence rate during hospitalization and the overall recurrence rate in patients with pneumothorax, offering a clinical advantage in preventing early relapse. Individualized treatment strategies tailored to patient characteristics and pneumothorax type remain essential. Additional high-quality studies are needed to clarify its long-term efficacy.<\/jats:p>","DOI":"10.62713\/aic.4262","type":"journal-article","created":{"date-parts":[[2025,11,10]],"date-time":"2025-11-10T08:06:12Z","timestamp":1762761972000},"source":"Crossref","is-referenced-by-count":0,"title":["Long-Term Efficacy of Conservative Management Versus Minimally Invasive Surgery for Pneumothorax: A Systematic Review and Meta-Analysis"],"prefix":"10.62713","volume":"96","author":[{"given":"Bo","family":"Zhang","sequence":"first","affiliation":[{"name":"Department of Thoracic Surgery, The First People's Hospital of Wenling (Taizhou University Affiliated Wenling Hospital), School of Medicine, Taizhou University, 317500 Wenling, Zhejiang, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Weilin","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Neurology, The First People's Hospital of Wenling (Taizhou University Affiliated Wenling Hospital), School of Medicine, Taizhou University, 317500 Wenling, Zhejiang, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deshuang","family":"Xiao","sequence":"additional","affiliation":[{"name":"Department of General Surgery, The First People's Hospital of Wenling (Taizhou University Affiliated Wenling Hospital), School of Medicine, Taizhou University, 317500 Wenling, Zhejiang, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"48935","published-online":{"date-parts":[[2025,11,10]]},"container-title":["Annali Italiani di Chirurgia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.annaliitalianidichirurgia.it\/journal\/AIC\/96\/11\/10.62713\/aic.4262","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,10]],"date-time":"2025-11-10T08:07:18Z","timestamp":1762762038000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.annaliitalianidichirurgia.it\/journal\/AIC\/96\/11\/10.62713\/aic.4262"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,10]]},"references-count":0,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2025]]}},"alternative-id":["S0003-469X(25)00068-0"],"URL":"https:\/\/doi.org\/10.62713\/aic.4262","relation":{},"ISSN":["0003-469X","2239-253X"],"issn-type":[{"value":"0003-469X","type":"print"},{"value":"2239-253X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,10]]},"article-number":"1441"}}