Multidisciplinary team approach for complicated pneumothorax

Sano, Atsushi

doi:10.21037/jtd.2018.06.94

Cited by 3 publications

(4 citation statements)

References 14 publications

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“…The increased severity of COVID-19 in these patients may have increased the likelihood of pneumothorax. Malnutrition was associated with a higher risk of pneumothorax, which may result from poor healing which can produce prolonged air leakage in the pleural cavity ( 24 , 25 ). Pre-existing lung conditions can also be risk factors for pneumothorax.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and patient risk factors for pneumothorax in COVID-19 and in influenza pneumonia: a nationwide comparative analysis

Chandna,

Raj,

Agrawal

et al. 2024

J Thorac Dis

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Section: Discussionmentioning

confidence: 99%

Prevalence and patient risk factors for pneumothorax in COVID-19 and in influenza pneumonia: a nationwide comparative analysis

Chandna,

Raj,

Agrawal

et al. 2024

J Thorac Dis

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“…To date, reports on the outcomes following surgery for secondary spontaneous pneumothorax (SSP) are limited in the literature. Although surgery is associated with low rates of recurrence, high rates of morbidity and mortality after surgical treatment have been reported [ 5 , 6 ].…”

Section: Discussionmentioning

confidence: 99%

“…For complicated SSP (persistent air leak following chest tube treatment, or recurrence), the current guidelines recommend VATS for the surgical treatment of operable cases [ 1 , 3 , 4 ]. However, high morbidity rates have been reported after surgery for SSP [ 5 , 6 ]. The high rates of morbidity depend not only on the underlying pulmonary disease, but also on the surgical technique used.…”

Section: Introductionmentioning

confidence: 99%

Postoperative Pain and Clinical Outcome Following Two- and Three-Port Video-Assisted Thoracoscopic Surgery for Secondary Spontaneous Pneumothorax

Fung

Jaber

Kivilis

et al. 2022

JCM

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Background: Two-port (2P) and three-port (3P) video-assisted thoracoscopic surgery (VATS) are well-established surgical methods for the treatment of complicated spontaneous pneumothorax (SP). However, a comparison between both techniques, in terms of clinical outcomes in patients with secondary spontaneous pneumothorax (SSP), is unreported. The aim of this study was to evaluate and compare postoperative pain, as well as clinical outcome, following 2P and 3P VATS for SSP in our institution. Methods: Between January 2008 and December 2020, we retrospectively analyzed the data of 115 SSP patients treated by VATS in our institution. Fifty-two patients underwent 2P-VATS, while 63 patients were treated by 3P-VATS. The total dose of analgesic use per stay (opioid and non-opioid), length of hospital stay (LOS), operation time, total area of pleurectomy, recurrence rates and postoperative complications were compared between both groups. Results: The 3P-VATS group had a significantly higher total dose of analgesic use compared with the 2P-VATS patients. The LOS and mean operation time were significantly shorter in the 2P-VATS group. A larger area of pleurectomy was resected using 3P-VATS compared to 2P-VATS. The postoperative complications and recurrence of SSP during a median follow-up period of 76.5 months were similar in both groups. Conclusion: 2P-VATS is a safe surgical technique. It is associated with a short LOS and less postoperative pain, and, thus, low analgesic use.

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“…In most cases, surgery is recommended for persistent air leak after CT drain placement and for patients with recurrent disease. However, due to the underlying clinical disease, patients with SSP are more likely to experience treatment failure and in-hospital mortality even after surgery [ 7 , 8 ].…”

Section: Introductionmentioning

confidence: 99%

Video-Assisted Thoracoscopic Surgery with Bullectomy and Partial Pleurectomy versus Chest Tube Drainage for Treatment of Secondary Spontaneous Pneumothorax—A Retrospective Single-Center Analysis

et al. 2022

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Background and objective: Current guidelines recommend chest tube (CT) drainage as the initial treatment of secondary spontaneous pneumothorax (SSP). Surgery should be considered in cases of persistent air leak or recurrent disease. Video-assisted thoracoscopic surgery (VATS) is nowadays an established surgical treatment for complicated spontaneous pneumothorax. However, reports on VATS-bullectomy with partial pleurectomy (VBPP) for treatment of secondary spontaneous pneumothorax (SSP) are limited. The primary aim of this study was to evaluate and compare the clinical outcomes of patients with secondary pneumothorax treated either by VBPP or CT drainage in our institution. Secondly, we assessed underlying clinical parameters to identify potential risk factors for SSP recurrence. Materials and Methods: Eighty-two patients were included in this study. Long-term recurrence rates and potential risk factors for SSP recurrence were analyzed. Results: Thirty-six patients (43.9%) underwent VBPP, whereas 46 (56.1%) patients subsequently underwent CT treatment. During a median follow-up period of 76.5 months, VBPP patients experienced a significantly low recurrence rate compared to CT patients (VBPP vs. CT: 16.7% vs. 41.3%; p = 0.016). However, VBPP was associated with a higher complication rate and significantly longer length of hospital stay (LOS). Male sex (male vs. female: p = 0.021) and CT treatment (VBPP vs. CT: p < 0.001) were identified as potential risk factors for SSP recurrence. Conclusions: VBPP is a suitable surgical treatment for SSP. However, prolonged LOS and possible complications should be discussed prior to VBPP.

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Multidisciplinary team approach for complicated pneumothorax

Abstract: Recently, single-stage thoracoscopic bilateral lung resection for lung cancer has been reported (14,15). Although many patients who undergo single-stage thoracoscopic

Cited by 3 publications

References 14 publications

Prevalence and patient risk factors for pneumothorax in COVID-19 and in influenza pneumonia: a nationwide comparative analysis

Prevalence and patient risk factors for pneumothorax in COVID-19 and in influenza pneumonia: a nationwide comparative analysis

Postoperative Pain and Clinical Outcome Following Two- and Three-Port Video-Assisted Thoracoscopic Surgery for Secondary Spontaneous Pneumothorax

Video-Assisted Thoracoscopic Surgery with Bullectomy and Partial Pleurectomy versus Chest Tube Drainage for Treatment of Secondary Spontaneous Pneumothorax—A Retrospective Single-Center Analysis

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