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Surgery for primary spontaneous pneumothorax.

I read with great interest the innovative technical article published recently in Journal of Thoracic and Cardiovascular Surgery by Lin et al . (1). The authors of the above mentioned article propose to access the pleural space in order to perform bullectomy/pleurodesis for primary spontaneous pneumothorax (PSP) through two small periareolar incisions with the patient in a semi-sitting position.