VATS or simple talc poudrage under medical thoracoscopy for recurrent spontaneous pneumothorax

Jm, Tschopp; Jm, Schnyder; Froudarakis, Marios; Astoul, P.

doi:10.1183/09031936.00127008

Cited by 7 publications

(4 citation statements)

References 12 publications

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“…Unfortunately, talc has been prohibited for the sake of safety in Taiwan since 2000. However, recent clinical trials have proved the safety and minimal adverse effects of talc pleurodesis in the management of patients with pneumothorax (Hunt et al, 2007;Tschopp et al, 2009).…”

Section: Diagnostic Approaches To Pspmentioning

confidence: 99%

Diagnosis and treatment of primary spontaneous pneumothorax

Luh

2010

J. Zhejiang Univ. Sci. B

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Primary spontaneous pneumothorax (PSP) commonly occurs in tall, thin, adolescent men. Though the pathogenesis of PSP has been gradually uncovered, there is still a lack of consensus in the diagnostic approach and treatment strategies for this disorder. Herein, the literature is reviewed concerning mechanisms and personal clinical experience with PSP. The chest computed tomography (CT) has been more commonly used than before to help understand the pathogenesis of PSP and plan further management strategies. The development of video-assisted thoracoscopic surgery (VATS) has changed the profiles of management strategies of PSP due to its minimal invasiveness and high effectiveness for patients with these diseases.

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Section: Diagnostic Approaches To Pspmentioning

confidence: 99%

Diagnosis and treatment of primary spontaneous pneumothorax

Luh

2010

J. Zhejiang Univ. Sci. B

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“…Simple thoracoscopy pleurodesis costs 3 times less than VATS or thoracotomy with bullectomy and pleural abrasion in patients with PSP [25]. The rationale for not resecting blebs and/or bullae is that the presence of blebs and/or bullae has never been proved to be a real risk factor of PSP occurrence [4,26,27]. The need for a phase III randomized study comparing surgical procedures to simple thoracoscopy talc pleurodesis is warranted to definitively select the best management of patients with PSP [26,27].…”

Section: Challenges In Pathophysiology and Treatment Of Pleural Diseasesmentioning

confidence: 99%

New Challenges in Medical Thoracoscopy

Froudarakis

2011

Respiration

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Thoracoscopy is currently the gold standard for the diagnosis and treatment of pleural diseases. Its diagnostic yield is 95% in patients with malignant pleural disease, with approximately 90% successful pleurodesis for malignant pleural effusion and 95% for pneumothorax. At the same time, thoracoscopy constitutes an important tool in the research of pleural pathophysiology and molecular biology. The improvement of technology has provided important tools to thoracoscopy, such as autofluorescence, narrow band imaging, and infrared light, used in clinical and basic research in many disorders involving the pleura. For these reasons, training in thoracoscopy should be considered equally important as training in bronchoscopy for residents in respiratory medicine.

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“…Simple thoracoscopic pleurodesis costs three times less than VATS or thoracotomy with bullectomy and pleural abrasion in patients with PSP (30). The rationale for sparing lung parenchyma is that the presence of blebs and/or bullae has never been proved to be a real risk factor for PSP occurrence (4,31,32). The need for a phase III randomised study comparing surgical procedures with simple thoracoscopy talc pleurodesis is warranted to definitively select the best management of patients with PSP (31,32).…”

Section: Research In the Understanding And Treatment Of Pleural Diseasesmentioning

confidence: 99%

Research in Thoracoscopy (Pleuroscopy)

Froudarakis¹

2013

Plev Bult

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Thoracoscopy (pleuroscopy) is the gold standard in the diagnosis and treatment of pleural diseases. With the development of novel devices, thoracoscopy has become very popular among pulmonologists, since it solves diagnostic and therapeutic problems in pleural disease. Its diagnostic yield is 95% in patients with malignant pleural disease. Its main therapeutic application is pleurodesis with talc poudrage, achieving a success rate of 90% for malignant pleural effusion and 95% for pneumothorax. In recent years, beside its diagnostic and therapeutic utility, thoracoscopy has become an important tool in the research of pleural pathophysiology and molecular biology, with the development of new devices in combination with novel molecular techniques and concepts. Collaboration between clinicians and researchers is crucial in further studying pleural diseases and thoracoscopy is certainly a means towards better understanding and treating these disorders. Therefore, young pulmonologists should be trained in thoracoscopy in the same way as they are in bronchoscopy.

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VATS or simple talc poudrage under medical thoracoscopy for recurrent spontaneous pneumothorax

Cited by 7 publications

References 12 publications

Diagnosis and treatment of primary spontaneous pneumothorax

Diagnosis and treatment of primary spontaneous pneumothorax

New Challenges in Medical Thoracoscopy

Research in Thoracoscopy (Pleuroscopy)

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