Video‐assisted thoracic surgery for spontaneous haemopneumothorax

Luh, Shi‐Ping; Tsao, Thomas Chang-Yao

doi:10.1111/j.1440-1843.2006.01008.x

Cited by 30 publications

(37 citation statements)

References 21 publications

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“…We began to perform VATS for PSP in 1994. Good results were obtained in terms of less postoperative pain, a short hospital stay and a low recurrence rate (Luh et al, 2004).…”

Section: Discussionmentioning

confidence: 74%

“…The primary spontaneous pneumothorax (PSP), which is defined as a pneumothorax without underlying lung disease, mostly affects young and thin males, and is usually caused by ruptured pleural blebs (Abdala et al, 2001). The secondary spontaneous pneumothorax (SSP) usually occurred in aged people and is combined with other pulmonary diseases such as COPD or tuberculosis (Luh et al, 2004). SP can occur bilaterally, either simultaneously or sequentially, in around 7.8% to 20% of patients surgically treated for SP (Baumann and Strange, 1997;Ikeda et al, 1988;Lang-Lazdunski et al, 2003;Liu et al, 1999;McCarthy et al, 1997;Watanabe et al, 2004).…”

Section: Introductionmentioning

confidence: 99%

“…Video-assisted thoracoscopic surgery (VATS) has been used for the re-section of bullae since the 1990s, and has gradually become the standard treatment for PSP (Melvin et al, 1992;Cardillo et al, 2000;Luh et al, 2004;Liu et al, 1999). Bilateral VATS for patients with simultaneously bilateral PSP is usually indicated.…”

Section: Introductionmentioning

confidence: 99%

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Video-assisted thoracoscopic surgery (VATS) for bilateral primary spontaneous pneumothorax

Chen

Luh

Hsu

et al. 2008

J. Zhejiang Univ. Sci. B

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Abstract:Objective: To review our experience of the treatment of bilateral primary spontaneous pneumothorax (PSP) by video-assisted thoracoscopic surgery (VATS). Materials and methods: Retrospective chart review was followed by an on-clinic or telephone interview. Patients were cared for by one thoracic surgeon in four medical centers or community hospitals in Northern and Central Taiwan. Thirteen patients with bilateral PSP underwent bilateral VATS simultaneously or sequentially from July 1994 to December 2005. Results: Twelve males and one female, with age ranging from 15 to 36 years (mean 23.1 years), were treated with VATS for bilateral PSP, under the indications of bilateral pneumothoracis simultaneously (n=4) or sequentially (n=9). The interval between the first and second contra-lateral VATS procedure for non-simultaneous PSP patients ranged from 7 d to 6 years. Eleven of 13 patients (84.6%) had prominent pulmonary bullae/blebs, and underwent bullae resection with mechanical or chemical pleurodesis. The mean operative time was (45.6±18.3) min (range 25~96 min) and (120.6±28.7) min (range 84~166 min) respectively for the non-simultaneous (second VATS for the recurrence of contralateral side after first VATS) and simultaneous (bilateral VATS in one operation) procedures. There was no postoperative mortality. However, prolonged air leakage (>7 d) occurred in one patient (7.7%) who recovered after conservative treatment. The mean duration of chest tube drainage was 3.1 d and the median follow up period was 3.4 years. Conclusions: VATS is a safe and effective procedure in the treatment of bilateral PSP. Bilateral VATS is only recommended for patients with simultaneously bilateral PSP, because the incidence of recurrence, even with visible bullae, was not so high in my group and in some previous literature. Bilateral VATS in a supine position should only be used in selective cases, because of possible pleural adhesion or hidden bullae on the posterior side.

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“…We began to perform VATS for PSP in 1994. Good results were obtained in terms of less postoperative pain, a short hospital stay and a low recurrence rate (Luh et al, 2004).…”

Section: Discussionmentioning

confidence: 74%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Video-assisted thoracoscopic surgery (VATS) for bilateral primary spontaneous pneumothorax

Chen

Luh

Hsu

et al. 2008

J. Zhejiang Univ. Sci. B

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“…There are many VATS procedures options for treating SP (Luh et al, 2004;Loubani and Lynch, 2000;Casadio et al, 2002;Sugamura et al, 2002;Horio et al, 2002). The major components of surgical intervention in SP include resection or ligation of blebs or bullae and obliteration of the pleural space.…”

Section: In Pneumothoraxmentioning

confidence: 99%

Video-assisted thoracic surgery—The past, present status and the future

Luh

Liu

2006

J. Zhejiang Univ. - Sci. B

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“…12 The clinical symptoms associated with SSP are more severe than those associated with PSP. Dyspnea is most prominent clinical feature in SSP.…”

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confidence: 99%

Clinical profile and treatment outcome of patients with spontaneous pneumothorax

et al. 2017

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Background: The burden of Spontaneous Pneumothorax has been recorded as alarming health problem in medical sciences and is adversely influenced by environmental factors. Objectives of the study were to determine the incidence of spontaneous pneumothorax and to assess the clinical profile and outcome of patients of spontaneous pneumothorax admitted in Government tertiary health care centre.Methods: A hospital based cross-sectional study was conducted in year 2014-15 in the department of Pulmonary Medicine, Government Medical College, Miraj, Maharashtra, India. A total of 2142 patients were admitted with chest complaints during study period were enrolled as study subjects, of which 50 were diagnosed as spontaneous pneumothorax and treated as cases under study. The data were elicited by utilizing structured proforma includes clinical and outcome indicators of Spontaneous Pneumothorax. Qualitative information was computed in tabular and graphical form and analyzed into frequency percentage.Results: Incidence rate of Spontaneous Pneumothorax was 2.33% with higher proportion of cases were belonged male gender (78%) as compared to female (22%). Maximum cases were found in age group, 25-34 years with case ratio of 1:4 for Primary to secondary Spontaneous Pneumothorax. The most common lung disease in secondary spontaneous pneumothorax observed was tuberculosis. Max. 48% cases showed full expansion of lungs followed by 32% with partial expansion with an intervention of appropriate line of management.Conclusions: Tuberculosis is the common cause for secondary spontaneous pneumothorax in India and it should be looked for, in all cases of spontaneous pneumothorax.

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Video‐assisted thoracic surgery for spontaneous haemopneumothorax

Abstract: SHP complicated by severe bleeding is a surgical emergency. VATS is a reasonable treatment for patients with SHP.

Cited by 30 publications

References 21 publications

Video-assisted thoracoscopic surgery (VATS) for bilateral primary spontaneous pneumothorax

Video-assisted thoracoscopic surgery (VATS) for bilateral primary spontaneous pneumothorax

Video-assisted thoracic surgery—The past, present status and the future

Clinical profile and treatment outcome of patients with spontaneous pneumothorax

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