Video-assisted thoracoscopic bullectomy and talc poudrage for spontaneous pneumothoraces: effect on short-term lung function

The Journal of Thoracic and Cardiovascular Surgery
Luc Dubois, Richard A Malthaner

Abstract

We measured lung function before and after video-assisted thoracoscopic apical bullectomy and talc poudrage in patients with spontaneous pneumothoraces. Seventy-two patients were prospectively followed up for 12 months. The indications for surgery were recurrent pneumothoraces (n = 58), bilateral pneumothoraces (n = 8), and persistent air leak (n = 6). There were 46 males and 26 females with mean age of 29 years (range 15-61 years). The results were analyzed using paired t tests. There were no recurrences. There were 4 complications (5.6%): 1 wound infection, 1 case of pneumonia, and 2 persistent air leaks each lasting 1 week. There were no conversions to open surgery. Preoperative and 6-month pulmonary function test results were available on 41 patients, and 35 patients completed 12-month pulmonary function tests. Twelve-month values (mean percent ± SD) were as follows: Forced expiratory volume in 1 second fell from 95 ± 19 to 89 ± 16 (P = .02); forced expiratory volume in 1 second/forced vital capacity ratio was unchanged, 95 ± 12 versus 94 ± 13 (P = .9); total lung capacity fell from 106 ± 19 to 98 ± 12 (P = 0.002); vital capacity fell from 100 ± 22 to 96 ± 16 (P = .05); residual volume fell from 126 ± 32 to 107 ± 29 (P = .0...Continue Reading

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Citations

Sep 15, 2015·Expert Review of Respiratory Medicine·Hsao-Hsun Hsu, Jin-Shing Chen
Apr 22, 2014·Journal of the Formosan Medical Association = Taiwan Yi Zhi·Cheng-Hung HowHong-Shiee Lai
Nov 26, 2013·Journal of the Formosan Medical Association = Taiwan Yi Zhi·Cheng-Hung HowJin-Shing Chen
May 24, 2014·Current Opinion in Pulmonary Medicine·Jin-Shing ChenPan-Chyr Yang
Nov 15, 2018·Canadian Respiratory Journal : Journal of the Canadian Thoracic Society·Wei-Liang LiLi-Hui Lv
Dec 21, 2019·Interactive Cardiovascular and Thoracic Surgery·Paolo MendogniEmanuele Russo
Mar 17, 2020·Expert Review of Respiratory Medicine·Ke-Cheng ChenJin-Shing Chen
Aug 15, 2017·International Review of Psychiatry·Edgar Jones

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