Staple Line Coverage After Bullectomy for Primary Spontaneous Pneumothorax: A Randomized Trial

Postoperative predictors of ipsilateral and contralateral recurrence in patients with primary spontaneous pneumothorax

“…Therefore, Lee at al. proposed that visceral pleural coverage by cellulose mesh and fibrin glue after thoracoscopic bullectomy was not inferior to mechanical pleurodesis (28). Muramatsu et al demonstrated a significantly reduced recurrence rate after thoracoscopic bullectomy with fleece-coated fibrin glue (TachoComb) (24).…”

Video-Assisted Thoracoscopic Surgery for the Treatment of First-Time Spontaneous Pneumothorax versus Conservative Treatment

“…(4,9,13) Many authors verified that, video-assisted thoracoscopy (VATS) can be effectively used in the treatment of PSP, where pleurodesis is created by a partial parietal pleurectomy; and the bullae can be resected by endostapler. (5,(16)(17)(18) In the video assisted thoracoscopy group of the present series, resections of the apical blebs, with apical pleurectomy were done.…”

Association between postoperative bulla neogenesis at the staple line and resected lung weight for primary spontaneous pneumothorax: a retrospective study using the inverse-probability of treatment weighted method in patients grouped according to age

“…Fibrin glue and absorbable sheet, both of which have been evaluated for use in reinforcement of the staple line, are thought to be effective in preventing POBN (7). In a study by Lee et al, it was shown that the use of fibrin glue and absorbable cellulose mesh for re-enforcement of the staple line after VATS bullectomy was comparable to mechanical pleurodesis in terms of prevention of postoperative PSP recurrence (4). Another study by Nakanishi revealed that the combined use of fibrin glue and an absorbable sheet in stapled VATS bullectomy reduced the 5-year recurrence rate of postoperative PSP (5).…”

“…In a modification of the original surgical technique, the staple line is reinforced with an absorbable sheet and/or fibrin glue to prevent POBN. Several reports have demonstrated the utility of this reinforcement technique in reducing the postoperative PSP recurrence rate (4,5,7). However, the use of fibrin glue involves the risk of exposure to infectious agents (8).…”

“…Thus, the reduction of post-therapy recurrence rate is of particular importance. For surgical treatment of PSP, bullectomy, using autosutures under video-assisted thoracoscopic surgery (VATS), is the standard procedure at present (1)(2)(3)(4)(5)(6).…”