Bilateral primary spontaneous pneumothorax in an otherwise-healthy overweight young man

Hatzigeorgiadis, Anestis; Boulas, Konstantinos A.; Barettas, Nikolaos

doi:10.1093/jscr/rju076

Cited by 2 publications

(1 citation statement)

References 8 publications

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“… 7 , 8 However, most such support has arisen from small-sample studies of patients with bilateral pneumothorax with limited statistical power and generalizability. 7 – 10 Furthermore, few investigations of single-stage sequential thoracic surgery for bilateral pulmonary masses have been performed, and all such studies have lacked comparisons with two-stage bilateral thoracic surgery. 11 – 13 In addition, the decision to perform single-stage sequential bilateral thoracic surgery is usually made from a surgical point of view and seldom from a comprehensive evaluation.…”

Section: Introductionmentioning

confidence: 99%

Comparison of single-stage and two-stage bilateral video-assisted thoracic surgery

et al. 2020

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Objective Single-stage sequential bilateral video-assisted thoracoscopic surgery (VATS) is a controversial procedure. In the present study, we retrospectively compared the outcomes of single-stage and two-stage VATS. Methods This study involved patients who underwent single-stage sequential bilateral VATS (SS-VATS group) or two-stage VATS at a 3-month interval (TS-VATS group) for treatment of non-small cell lung cancer from 2010 to 2018. The major outcome was the comparison of intraoperative changes. Results The inspiratory peak pressure was higher, the incidences of intraoperative hypoxia and unstable hemodynamics were higher, the surgical time was longer, and the durations of the intensive care unit stay and postoperative hospitalization were longer in the SS-VATS group than in the TS-VATS group. However, the chest tube duration, incidence of postoperative mechanical ventilation, and clinical complications were not different between the two groups. Conclusions Compared with two-stage VATS, single-stage sequential bilateral VATS can be performed for successful treatment of bilateral pulmonary lesions with a shorter total time and higher cost-effectiveness in terms of anesthesia and hospitalization but with a higher incidence of intraoperative adverse effects and a longer hospital stay.

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Section: Introductionmentioning

confidence: 99%

Comparison of single-stage and two-stage bilateral video-assisted thoracic surgery

et al. 2020

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Simultaneous Bilateral Primary Spontaneous Pneumothorax: A Case Report and a Review of the Literature

Kewcharoen

Morris

Kanitsoraphan

et al. 2019

Case Reports in Pulmonology

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Background. Simultaneous bilateral primary spontaneous pneumothorax (SBPSP) is an extremely rare and potentially fatal condition. Patients usually have no relevant medical conditions. Some cases, however, may have certain risk factors such as smoking, being young, and male gender. We reported a case of a healthy young male who presented with BPSP. Case Presentation. A 21-year-old man with a past medical history of well-controlled intermittent asthma presented with acute worsening shortness of breath overnight. Chest X-ray performed showed bilateral large pneumothorax with significantly compressed mediastinum. Chest tubes were placed bilaterally with immediate clinical improvement. However, the chest tubes continued to have an air leak without full lungs expansion. Computed tomography scan without contrast of the chest revealed subpleural blebs in both upper lobes. The patient underwent bilateral video-assisted thoracoscopic surgery (VATS) with apical bleb resection, bilateral pleurectomy, and bilateral doxycycline pleurodesis. Biopsy of the apical blebs and parietal pleura of both lungs were negative for any atypical cells suspicious for malignancy or Langerhans cell histiocytosis. The patient had been doing well six months following surgery with no recurrence of pneumothorax. Conclusion. SBPSP is a rare and urgent condition that requires prompt intervention. In a young patient without any underlying disease, surgical intervention, such as VATS, is relatively safe and can be considered early.

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Bilateral primary spontaneous pneumothorax in an otherwise-healthy overweight young man

Cited by 2 publications

References 8 publications

Comparison of single-stage and two-stage bilateral video-assisted thoracic surgery

Comparison of single-stage and two-stage bilateral video-assisted thoracic surgery

Simultaneous Bilateral Primary Spontaneous Pneumothorax: A Case Report and a Review of the Literature

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