Primary spontaneous pneumothorax: one-stage treatment by bilateral videothoracoscopy

Lang-Lazdunski, Loı̈c; Kérangal, Xavier de; Pons, François; Jancovici, R

doi:10.1016/s0003-4975(00)01552-6

Cited by 45 publications

(39 citation statements)

References 22 publications

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“…Parietal pleural abrasion is a less invasive option for intraoperative pleurodesis with good consensus [21]. However, recent studies demonstrated postoperatively prolonged air leak in 10–15% of patients with PSP treated by additional pleural abrasion [22,23,24]. The rate of postoperative air leak-related complications in those studies was almost the same as in our study.…”

Section: Discussionsupporting

confidence: 72%

Position of a Chest Tube at Video-Assisted Thoracoscopic Surgery for Spontaneous Pneumothorax

Chen

Yamada²,

Aoyama³

et al. 2006

Respiration

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Background:Video-assisted thoracoscopic surgery (VATS) is a good therapeutic option for young patients with primary spontaneous pneumothorax (PSP), but there sometimes exists unexpected prolonged hospital stay due to air leak after the operation. Objectives: The goal of this retrospective study was to clarify if the position of the chest tube placed at VATS for PSP affected the periods of postoperative hospital stay. Methods: Seventy-one cases with PSP under age 40 who undertook VATS from January 1994 to February 2001 were examined for several factors. They were classified into two groups by the location of the tip of the chest tube placed at VATS as follows: upper medial pleural space (group I) and outside of there (group II). Results:Fifty-three of the 71 cases (75%) were classified in group I and 18 (25%) were in group II. Between the two groups, there were no differences as to preoperative characteristics of the patients and intraoperative findings of blebs or bullae. On the other hand, postoperative air leak-related complications were more frequent in group II than in group I (p = 0.004). Mean postoperative hospital stay was 5.1 ± 1.9 days in group I and 8.4 ± 4.3 days in group II (p < 0.0001). Conclusions:Patients with the tip of the chest tube in the upper medial pleural space at VATS could be discharged earlier than the other patients. The chest tube placement is one of the important factors for the outcome of VATS for PSP.

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Section: Discussionsupporting

confidence: 72%

Position of a Chest Tube at Video-Assisted Thoracoscopic Surgery for Spontaneous Pneumothorax

Chen

Yamada²,

Aoyama³

et al. 2006

Respiration

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“…Patients who underwent simultaneous bilateral VATS (bleb resection and pleurodesis) for bilateral SP had similar recovery and recurrence rates compared with patients who had staged bilateral VATS (39). In addition, a separate study found the simultaneous VATS procedure to be both effective and safe, with excellent long term results (40). Therefore, simultaneous bilateral VATS should be considered in selected patients requiring bilateral surgery for pneumothorax, instead of staged bilateral VATS, bilateral thoracotomy or median sternotomy.…”

Section: Current Resultsmentioning

confidence: 97%

Video‐Assisted Thoracic Surgery in Spontaneous Pneumothorax

Wan

Lee

et al. 2002

Canadian Respiratory Journal

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“…There is some controversy regarding the development of chest pain after pleural abrasion. Lang-Lazdunski and colleagues [8,16] reported a small chance of developing pain after pleural abrasion, whereas Horio and colleagues [17] reported no difference in pain compared with bullectomy alone. We attribute the controversy to patient subjectivity.…”

Section: Commentmentioning

confidence: 99%

Mechanical Pleurodesis Does Not Reduce Recurrence of Spontaneous Pneumothorax: A Randomized Trial

Xiao

Huang

Yang

et al. 2014

The Annals of Thoracic Surgery

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Primary spontaneous pneumothorax: one-stage treatment by bilateral videothoracoscopy

Cited by 45 publications

References 22 publications

Position of a Chest Tube at Video-Assisted Thoracoscopic Surgery for Spontaneous Pneumothorax

Position of a Chest Tube at Video-Assisted Thoracoscopic Surgery for Spontaneous Pneumothorax

Video‐Assisted Thoracic Surgery in Spontaneous Pneumothorax

Mechanical Pleurodesis Does Not Reduce Recurrence of Spontaneous Pneumothorax: A Randomized Trial

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