Awake thoracic surgery versus chemical pleurodesis for intractable secondary spontaneous pneumothorax

Surgery Today
Masafumi NodaYoshinori Okada

Abstract

To compare the outcomes and efficacy of awake video-assisted thoracic surgery (VATS) with those of chemical pleurodesis for intractable secondary spontaneous pneumothorax (SSP). We analyzed, retrospectively, 60 consecutive patients who underwent awake VATS (n = 22) or chemical pleurodesis (n = 38) for SSP. Using propensity score matching, we identified comparable patient groups (n = 12 each): the awake VATS group and the chemical pleurodesis group. We compared hematologic data on postoperative day 1, postoperative complications including respiratory complications, and the maximum score on the verbal rating scale (VRS) between the groups. Next, we identified comparable patient groups (n = 8 each) for those with controlled air leak after treatment, but not for those with a prolonged air leak. We analyzed data about the day of air leak control, intra-thoracic drainage, and hospital stay to compare awake VATS vs. chemical pleurodesis. After propensity score matching, the rates of recurrent pneumothorax and prolonged air leaks after conservative or surgical treatment were not significantly different. The C-reactive protein level and the VRS score were significantly lower in the awake VATS group. The duration of prolonged air leak, a...Continue Reading

References

Nov 1, 1992·American Journal of Surgery·M A Wait, A Estrera
Jan 10, 2002·The Journal of Thoracic and Cardiovascular Surgery·Eugene H Blackstone
Feb 27, 2007·The Journal of Thoracic and Cardiovascular Surgery·Eugenio PompeoTommaso Claudio Mineo
Aug 28, 2010·Thorax·Andrew MacDuffUNKNOWN BTS Pleural Disease Guideline Group
Dec 21, 2010·The Journal of Thoracic and Cardiovascular Surgery·Masafumi NodaTakashi Kondo
Nov 23, 2011·The Journal of Thoracic and Cardiovascular Surgery·Masafumi NodaTakashi Kondo
May 15, 2013·Interactive Cardiovascular and Thoracic Surgery·Ken OnoderaTakashi Kondo

❮ Previous
Next ❯

Citations

Feb 27, 2018·Expert Review of Respiratory Medicine·Rachel M MercerNajib M Rahman
Apr 1, 2020·General Thoracic and Cardiovascular Surgery·Tetsuya FukuiTadashi Matsukura
May 29, 2021·Revue des maladies respiratoires·P ChauvinS Jouneau

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

The Korean Journal of Thoracic and Cardiovascular Surgery
Min-Seok KimSanghoon Jheon
The Annals of Thoracic Surgery
Pierre-Benoit PagèsEpithor Project (French Society of Thoracic and Cardiovascular Surgery)
European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
Christophe DoddoliPierre Fuentes
Respiration; International Review of Thoracic Diseases
Fengshi ChenKoji Chihara
© 2022 Meta ULC. All rights reserved