Surgery for primary spontaneous pneumothorax

Foroulis, Christophoros N.

doi:10.21037/jtd.2016.12.31

Cited by 9 publications

(5 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Parietal pleurectomy is a surgical procedure that involves the removal or stripping of the parietal pleura, which is the outer layer of the membrane that surrounds the lungs. It is often performed as part of the treatment for PSP, a condition characterized by the sudden collapse of a lung without any apparent cause 6 . Research and clinical evidence have shown that parietal pleurectomy can be an effective method to prevent the recurrence of PSP.…”

Section: Introductionmentioning

confidence: 99%

“…It is often performed as part of the treatment for PSP, a condition characterized by the sudden collapse of a lung without any apparent cause. 6 Research and clinical evidence have shown that parietal pleurectomy can be an effective method to prevent the recurrence of PSP. By removing or stripping the parietal pleura, the surgical procedure aims to eliminate the potential spaces where air can accumulate, leading to a collapsed lung.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Uniportal thoracoscopic bullectomy with improved parietal pleurectomy for primary spontaneous pneumothorax

Kang,

Zheng,

et al. 2023

Clinical Respiratory J

View full text Add to dashboard Cite

IntroductionParietal pleurectomy with bullectomy has been established as an effective method for preventing the recurrence of primary spontaneous pneumothorax (PSP). Our center introduced enhanced technical measures in uniportal thoracoscopic parietal pleurectomy with bullectomy for patients with PSP, aiming to document our initial experience and assess the procedure's effectiveness in preventing the recurrence of PSP.MethodsWe analyzed the clinical data of 86 patients with PSP who underwent the improved uniportal thoracoscopic parietal pleurectomy with bullectomy between July 2019 and August 2022. During the procedure, the parietal pleura above the second intercostal space was stripped but not removed. Instead, it was retained in the thoracic cavity using a piece of pedunculated pleura. Subsequently, the stumps of the lung were covered by the preserved parietal pleura.ResultsThe results of the study showed that the mean operative time was 59.87 ± 16.93 min, and the postoperative drainage duration averaged 3.94 ± 2.17 days. The mean intraoperative blood loss was 24.33 ± 48.91 ml, and the mean postoperative drainage volume was 289.00 ± 170.03 ml. Prolonged air leakage for more than 5 days was observed in five patients (5.81%), but no other postoperative complications were recorded. During the follow‐up, one patient (1.16%) experienced a recurrence of pneumothorax.ConclusionsThe perioperative results of bullectomy with the improved pleurectomy technique are deemed satisfactory. The various technical steps attempted at our center are found to be feasible and safe, and they may contribute to reducing the rates of recurrence in PSP.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Uniportal thoracoscopic bullectomy with improved parietal pleurectomy for primary spontaneous pneumothorax

Kang,

Zheng,

et al. 2023

Clinical Respiratory J

View full text Add to dashboard Cite

show abstract

“…Surgery is specified to disease process and may involve surgical pleurectomy, pleurodesis, bullectomy, and lung resection through video-assisted thoracoscopic surgery (VATS), axillary mini-thoracotomy (AMT) and formal anterolateral or posterolateral thoracotomy [ 12 , 17 ].…”

Section: Introductionmentioning

confidence: 99%

A left lung with four lobes: a new discovery during the thoracotomy for recurrent primary spontaneous pneumothorax

Mehrabi

Tanideh

Hosseinpour

et al. 2021

J Cardiothorac Surg

View full text Add to dashboard Cite

Background The right and left lung anatomy are similar but asymmetrical. The right lung consists of three lobes, and the left lung consists of two lobes. Our study is unique because of discovering a very rare morphological feature of the left lung which has not been reported yet. By the way, we compared two different available chemical agents for pleurodesis (talc and bleomycin) according to side effects, complications, and pneumothorax recurrence. Case presentation We reported a case of bilateral primary spontaneous pneumothorax, who underwent talc slurry and bleomycin pleurodesis at right and left side retrospectively, and then complicate with left-sided recurrent spontaneous pneumothorax, so underwent open thoracotomy and was surprisingly and accidentally found to have 4 lobes and 3 fissures in left lung. Conclusion In our case report, there were one main oblique fissure and two accessory fissures which divided the lung into 4 separated lobes, and this discovery in human’s and other animals’ lung anatomy has not been previously reported. In our case study, the talc slurry was more effective in preventing spontaneous pneumothorax recurrence, but with more side effects than bleomycin. We could hypothesize that the morphological variation of the lung might affect spontaneous pneumothorax development and recurrence.

show abstract

“…Спонтанный пневмоторакс является актуальной проблемой в современной неотложной хирургии. Частота его возникновения составляет от 6 до 12 % среди всех пациентов, обратившихся в отделения торакальной хирургии [1][2][3][4]. В большинстве случаев больному, поступившему в стационар, выполняется дренирование плевральной полости с целью расправления легкого.…”

Section: Introductionunclassified

The Quality of Life Assessment in Patients After Dual-Port Videothoracoscopic Surgery for Bullous Pulmonary Emphysema

Drobyazgin¹,

Chikinev²,

Khusainov³

et al. 2021

SMV

View full text Add to dashboard Cite

The article analyzes the quality of life of 28 patients with bullous pulmonary emphysema, operated on from the dual-port approach at the State Novosibirsk Regional Clinical Hospital over the period from 2017 to 2020. The assessment was performed using the SF-36 nonspecific questionnaire and the San Diego University Shortness of Breath Questionnaire (UCSD-SOBQ). The study revealed a significant improvement in the quality of life of patients operated on from a redual-port approach.

show abstract

Surgery for primary spontaneous pneumothorax

Cited by 9 publications

References 16 publications

Uniportal thoracoscopic bullectomy with improved parietal pleurectomy for primary spontaneous pneumothorax

Uniportal thoracoscopic bullectomy with improved parietal pleurectomy for primary spontaneous pneumothorax

A left lung with four lobes: a new discovery during the thoracotomy for recurrent primary spontaneous pneumothorax

The Quality of Life Assessment in Patients After Dual-Port Videothoracoscopic Surgery for Bullous Pulmonary Emphysema

Contact Info

Product

Resources

About