Outcome of Video-assisted Thoracoscopic Surgery for Spontaneous Secondary Pneumothorax
The Korean Journal of Thoracic and Cardiovascular Surgery
; : 225-228, 2011.
Article
in English
| WPRIM (Western Pacific)
| ID: wpr-177226
Responsible library:
WPRO
ABSTRACT
BACKGROUND:
Conventional treatment (i.e. chest tube insertion and chemical pleurodesis) still remains standard for patients with secondary spontaneous pneumothorax because the risk of surgical bullectomy is deemed high in this subset. However, it has been suggested that surgical treatment using thoracoscopy may expedite postoperative recovery and, thus, may reduce hospital stay. MATERIALS ANDMETHODS:
Retrospective review of 61 patients with secondary spontaneous pneumothorax, who underwent conventional treatment (n=39) or video-assisted thoracoscopic surgery (VATS) (n=22) between January 2007 and December 2009, was performed. Talc was used for chemical pleurodesis in both groups.RESULTS:
Hospital stay of conventional treatment group and VATS group was 14.2+/-14.2 days (4~58 days) and 10.6+/-5.8 days (5~32 days), respectively, with statistically significant difference (p=0.033). Recurrence rate of conventional treatment group was also significantly higher (12/39, 30%) compared to VATS group (1/22, 4.5%) (p=0.016).CONCLUSION:
In selected patients with secondary spontaneous pneumothorax with continuous air leak or inadequate lung expansion, thoracoscopic surgery with chemical pleurodesis using talc results in shorter hospital stay and lower recurrence rate compared to conventional approach.
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Pneumothorax
/
Recurrence
/
Talc
/
Thoracoscopy
/
Chest Tubes
/
Retrospective Studies
/
Pleurodesis
/
Thoracic Surgery, Video-Assisted
/
Length of Stay
/
Lung
Type of study:
Observational study
Limits:
Humans
Language:
English
Journal:
The Korean Journal of Thoracic and Cardiovascular Surgery
Year:
2011
Document type:
Article