Percutaneous parietal pleurectomy for recurrent spontaneous pneumothorax

Levi, J. F.; Kleinmann, P.; Riquet, Marc; Debesse, B

doi:10.1016/0140-6736(90)93351-o

Cited by 65 publications

(33 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…(18)(19)(20)(21) Limited axillary thoracotomy has been compared with mini-thoracotomy through the auscultatory triangle, (5,6) and partial pleurectomy has been balanced against pleural abrasion with or without bullectomy. (22)(23)(24) Many authors have reported low morbidity rates and practically no mortality, as was the case in our study. The mean rate of PSP recurrence is below 5%.…”

Section: Discussionsupporting

confidence: 61%

“…(25) In 1990, some authors were the first to describe the use of VATS in the treatment of PSP recurrence. (22) Subsequently, there have been various publications involving large samples of patients treated by VATS and in which, as in our study, the safety of the procedure, percentage of conversion, length of hospital stay and shortterm results were evaluated. (7,8,11,13) Those studies, similarly to ours, confirm the advantages of minimally invasive techniques, as does a comparative article, (23) published in 1997, in which the authors showed that patients who undergo VATS report lower pain intensity, recover more rapidly and require shorter hospital stays than do those undergoing other types of surgery.…”

Section: Discussionmentioning

confidence: 99%

“…The psychological and economic consequences of prolonged pain and debility should be avoided as much as possible. (22) At three years after the intervention, more than 25% of the thoracotomy group patients evaluated in the present study continued to receive pain medication, and only 63% considered themselves completely recovered from the operation.…”

Section: Post-operative Carementioning

confidence: 99%

See 2 more Smart Citations

Expectativas y satisfacción en el tratamiento del neumotórax espontáneo primario recurrente tratado por toracotomía o cirugía torácica video-asistida

Olavarrieta

Coronel

2009

J. bras. pneumol.

View full text Add to dashboard Cite

Objective: To compare the outcomes of thoracotomy and video-assisted thoracoscopic surgery (VATS) in the treatment of recurrence of primary spontaneous pneumothorax. Methods: Medical records of patients presenting recurrence of primary spontaneous pneumothorax were retrospectively reviewed. Patients were divided into two groups: those who underwent conservative thoracotomy (n = 53, thoracotomy group); and those who underwent VATS (n = 47, VATS group). Results: Although there were no deaths in either group and the length of hospital stays was similar between the two, there was greater morbidity in the thoracotomy group. Patients in the thoracotomy group required more pain medication for longer periods than did those in the VATS group (p < 0.05). In the thoracotomy group, the rate of recurrence was 3%. Pain was classified as insignificant at one month after the operation by 68% of patients in the VATS group and by only 21% of those in the thoracotomy group (p < 0.05). At three years after the surgical procedure, 97% of the VATS group patients considered themselves completely recovered from the operation, compared with only 79% in the thoracotomy group (p < 0.05). Chronic or intermittent pain, requiring the use of analgesics more than once a month, was experienced by 90% of the thoracotomy group patients and 3% of the VATS group patients. In addition, 13% of the thoracotomy group patients required clinical pain management. Conclusions: We recommend VATS as the first-line surgical treatment for patients with recurrent primary spontaneous pneumothorax.Keywords: Thoracoscopy; Thoracic surgery, video-assisted; Recurrence; Pneumothorax. ResumenObjetivo: Comparar los resultados de la toracotomía con la video-assisted thoracoscopic surgery (VATS, cirugía torácica video-asistida) en el tratamiento de las recurrencias del neumotórax espontáneo primario. Métodos: Se revisaron los expedientes clínicos de los pacientes con neumotórax primario recurrente dividiéndose en dos grupos: pacientes sometidos a toracotomía (n = 53, grupo toracotomía) y pacientes sometidos a VATS (n = 47, grupo VATS). Resultados: La morbilidad fue mayor en el grupo A. Sin mortalidad en ninguno de los dos grupos. La duración de la hospitalización fue similar. Los pacientes del grupo toracotomía necesitaron más dosis de narcóticos durante períodos más largos de tiempo que los del grupo VATS (p < 0.05). Se presentó una recurrencia en el grupo toracotomía (3%). El 68% de los pacientes del grupo VATS y el 21% del grupo toracotomía clasificaron su dolor como insignificante transcurrido un mes de la cirugía (p < 0.05). A los tres años, el 97% de los sometidos a VATS se consideraron totalmente recuperados comparado con el 79% del grupo de toracotomía (p < 0.05). El 90% del grupo toracotomía y el 3% del grupo VATS se quejaban de dolor necesitando analgésicos por más de una vez al mes, 13% de los sometidos a toracotomía requirieron la asistencia de la clínica del dolor. Conclusiones: La VATS es la primera elección en el tratamiento de la recidiva del neum...

show abstract

Section: Discussionsupporting

confidence: 61%

Section: Discussionmentioning

confidence: 99%

Section: Post-operative Carementioning

confidence: 99%

See 1 more Smart Citation

Expectativas y satisfacción en el tratamiento del neumotórax espontáneo primario recurrente tratado por toracotomía o cirugía torácica video-asistida

Olavarrieta

Coronel

2009

J. bras. pneumol.

View full text Add to dashboard Cite

show abstract

“…Its usefulness has been demonstrated in procedures which are usually performed through thoracotomy: staging of lung cancer [16], pleurectomy [6], resection of lung blebs [15], and sympathectomy [1]. The feasibility of dissecting the esophagus through thoracoscopy opens prospects in several esophageal fields: preoperative staging [14], esophagectomy in some carcinomas [5], removal of some benign esophageal or paraesophageal tumors (an operation we have performed twice in the human), myotomy, and thoracic truncal vagotomy.…”

Section: Discussionmentioning

confidence: 99%

Thoracoscopic dissection of the esophagus: an experimental study

et al. 1992

View full text Add to dashboard Cite

In order to reduce the respiratory morbidity of thoracotomy in esophageal surgery, several methods have been used, such as blunt dissection and endoscopic dissection through mediastinoscopy. It seems that the latter reduces drastically the morbidity but does not allow full visualization of the esophageal wall, a disadvantage in some circumstances. We describe a thoracoscopic dissection of the esophagus which gives a large and magnified view of the pleural cavity, of the mediastinum, and of the esophagus.

show abstract

“…Regarding the optimal method for pleurodesis, no consensus has been reached, either for open surgery or for thoracoscopy. Thoracoscopic partial pleurectomy has been described [16] but has not gained popularity. It is known from previous experience in open surgery that pleurectomy leads to increased morbidity, mainly related to postoperative hemorrhagic complications [18].…”

Section: Discussionmentioning

confidence: 99%

Results of thoracoscopic pleural abrasion for primary spontaneous pneumothorax

et al. 2004

View full text Add to dashboard Cite

A 73-year-old woman with a 1-month history of dyspnea on exertion and a history of hypertension and hyperlipide-mia was referred for the evaluation of a left pleural effusion of unknown etiology. She had no history of malignancy. Diagnostic thoracoscopy under local anesthesia using a semi-rigid scope (LTF-240; Olympus, Tokyo, Japan) revealed numerous black tumors of varying size throughout the parietal and visceral pleura and the diaphragm surface (PictureA) and a large black-pigmented pleural tumor (PictureB). After a biopsy, a histopathological analysis of the mass and nod-ules revealed malignant cells with melanin-filled cytoplasm, indicating malignant melanoma. She was then referred to a dermatologist for systemic chemotherapy. Despite a thorough evaluation, no primary lesions were detected. Therefore , the most likely diagnosis was primary pleural mela-noma. Intrathoracic metastasis from melanoma is common, whereas primary pleural melanoma is extremely rare. Our patient had a pleural tumor diagnosed via thoracoscopy under local anesthesia showing massive black tumors spreading throughout the pleura. The authors state that they have no Conflict of Interest (COI).

show abstract

Percutaneous parietal pleurectomy for recurrent spontaneous pneumothorax

Cited by 65 publications

References 7 publications

Expectativas y satisfacción en el tratamiento del neumotórax espontáneo primario recurrente tratado por toracotomía o cirugía torácica video-asistida

Expectativas y satisfacción en el tratamiento del neumotórax espontáneo primario recurrente tratado por toracotomía o cirugía torácica video-asistida

Thoracoscopic dissection of the esophagus: an experimental study

Results of thoracoscopic pleural abrasion for primary spontaneous pneumothorax

Contact Info

Product

Resources

About