Neal J F, Vargas G, Smith D E, Akl B F, Edwards W S
Am J Surg. 1979 Dec;138(6):794-7. doi: 10.1016/0002-9610(79)90298-8.
We believe that when the indications for operation for spontaneous pneumothorax are met, the procedure of choice is bilateral resection of apical blebs and pleural abrasion through a median sternotomy. This approach allows easy access to both lungs and pleural spaces for a condition that is bilateral 100 per cent of the time. The operative morbidity is minimal and it essentially eliminates both ipsilateral and contralateral recurrence of pneumothorax with an operation that is of lesser rather than greater magnitude.
我们认为，当符合自发性气胸的手术指征时，首选的手术方式是通过正中胸骨切开术进行双侧尖部肺大疱切除术和胸膜摩擦术。对于这种100%为双侧性的疾病，这种方法便于同时处理双侧肺和胸膜腔。手术 morbidity 极低，而且通过一个规模较小而非较大的手术，基本上消除了气胸同侧和对侧的复发。 （注：“operative morbidity”直译为“手术发病率”，在医学语境中可能不太准确，这里保留英文待结合具体医学背景准确理解其含义，比如可能是指手术相关的并发症发生率等类似概念）
