| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
J Thorac Cardiovasc Surg 1994;107:1410-1415
© 1994 Mosby, Inc.
GENERAL THORACIC SURGERY |
Berne, Switzerland
From the Department of Thoracic and Cardiovascular Surgery, University of Berne, Berne, Switzerland.
Received for publication Aug.10, 1993. Accepted for publication Nov. 24, 1993. Address for reprints: R. Inderbitzi, MD, Head of the Department of Surgery, Spital Limmattal, 8952 Schlieren-Zurich, Switzerland.
Abstract
In a prospective study (June 1990 to June 1993), 79 patients were treated for spontaneous pneumothorax by video-assisted thoracoscopic methods with regular follow-up. The observation time was from 3 to 36 months (mean 19.6 months) and was more than 24 months in 27 patients. In 57 patients spontaneous pneumothorax was primary and in 22 secondary. The 53 male and 26 female patients were aged between 17 and 87 years (mean 37 years). Twenty-one patients were treated thoracoscopically for first episode, 22 for persistent pneumothorax (>7 days), and 36 for a recurrence. Endoscopic examination failed to reveal any lung alteration in four patients (5.1%), and treatment then consisted of simple drainage. Leaks were sealed 26 times by means of a Roeder loop with local anesthesia and 14 times by wedge resection with endotracheal anesthesia and one-lung ventilation; 34 patients were treated by pleurectomy. No deaths occurred. Surgical morbidity was 3.8%, and the postoperative complication rate was 5.1%. One patient was excluded from the follow-up study after conversion to a thoracotomy for control of arterial bleeding. We noted six recurrences; four occurred in the first 21 days and three after ligation of the leak with a Roeder loop. We conclude that video-assisted thoracoscopic treatment of spontaneous pneumothorax by wedge resection and pleurectomy has a recurrence-free rate of 93.8% (45/48) and is therefore an effective treatment for all forms of spontaneous pneumothorax. (J THORAC CARDIOVASC SURG 1994;107:1410-5)
This article has been cited by other articles:
|
|
 |
|
  R. Kawachi, H. Takei, Y. Koshi-ishi, and T. Goya Novel method for bulla detection with video-assisted thoracoscopic surgery in patients with spontaneous pneumothorax. Eur. J. Cardiothorac. Surg., July 1, 2008; 34(1): 212 - 213. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 O. Rena, F. Massera, E. Papalia, C. Della Pona, M. Robustellini, and C. Casadio Surgical pleurodesis for Vanderschueren's stage III primary spontaneous pneumothorax Eur. Respir. J., April 1, 2008; 31(4): 837 - 841. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. Gotoh, Y. Yamamoto, H. Igai, S. Chang, C. Huang, and H. Yokomise Clinical application of infrared thoracoscopy to detect bullous or emphysematous lesions of the lung. J. Thorac. Cardiovasc. Surg., December 1, 2007; 134(6): 1498 - 1501. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
E. Pompeo, F. Tacconi, D. Mineo, and T. C. Mineo The role of awake video-assisted thoracoscopic surgery in spontaneous pneumothorax J. Thorac. Cardiovasc. Surg., March 1, 2007; 133(3): 786 - 790. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J-M. Tschopp, R. Rami-Porta, M. Noppen, and P. Astoul Management of spontaneous pneumothorax: state of the art. Eur. Respir. J., September 1, 2006; 28(3): 637 - 650. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. R. Katlic Video-assisted thoracic surgery utilizing local anesthesia and sedation. Eur. J. Cardiothorac. Surg., September 1, 2006; 30(3): 529 - 532. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. R. Kuester, S. Frese, R. M. Stein, T. Roth, M. Beshay, and R. A. Schmid Treatment of primary spontaneous pneumothorax in Switzerland: results of a survey Interactive CardioVascular and Thoracic Surgery, April 1, 2006; 5(2): 139 - 144. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J.-S. Chen, H.-H. Hsu, R. J. Chen, S.-W. Kuo, P.-M. Huang, P.-R. Tsai, J.-M. Lee, and Y.-C. Lee Additional Minocycline Pleurodesis after Thoracoscopic Surgery for Primary Spontaneous Pneumothorax Am. J. Respir. Crit. Care Med., March 1, 2006; 173(5): 548 - 554. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. K. Ayed, C. Chandrasekaran, and M. Sukumar Video-assisted thoracoscopic surgery for primary spontaneous pneumothorax: clinicopathological correlation Eur. J. Cardiothorac. Surg., February 1, 2006; 29(2): 221 - 225. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. Bobbio, L. Ampollini, E. Internullo, D. Caporale, L. Cattelani, S. Bettati, P. Carbognani, and M. Rusca Thoracoscopic parietal pleural argon beam coagulation versus pleural abrasion in the treatment of primary spontaneous pneumothorax Eur. J. Cardiothorac. Surg., January 1, 2006; 29(1): 6 - 8. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
N. Sawabata, S.-I. Takeda, M. Inoue, M. Koma, T. Tokunaga, and H. Maeda M-tip electro-ablation of pneumo-cysts for treatment of spontaneous pneumothorax as a secondary method to stapling: a confirmation study Interactive CardioVascular and Thoracic Surgery, December 1, 2005; 4(6): 614 - 617. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 N.-Y. Hsu, C.-S. Shih, C.-P. Hsu, and P.-R. Chen Spontaneous Hemopneumothorax Revisited: Clinical Approach and Systemic Review of the Literature Ann. Thorac. Surg., November 1, 2005; 80(5): 1859 - 1863. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
F. Leo, J. Dellamonica, N. Venissac, D. Pop, and J. Mouroux Can chest ultrasonography assess pleurodesis after VATS for spontaneous pneumothorax? Eur. J. Cardiothorac. Surg., July 1, 2005; 28(1): 47 - 49. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Czerny, A. Salat, T. Fleck, W. Hofmann, D. Zimpfer, F. Eckersberger, W. Klepetko, E. Wolner, and M.-R. Mueller Lung wedge resection improves outcome in stage I primary spontaneous pneumothorax Ann. Thorac. Surg., May 1, 2004; 77(5): 1802 - 1805. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. Guillem, I. Papachristos, C. Peillon, and J.-P. Triboulet Etilefrine use in the management of post-operative chyle leaks in thoracic surgery Interactive CardioVascular and Thoracic Surgery, March 1, 2004; 3(1): 156 - 160. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. A. Fernandez, R. Robles, F. Acosta, T. Sansano, and P. Parrilla Cardiovascular changes during drainage of pericardial effusion by thoracoscopy Br. J. Anaesth., January 1, 2004; 92(1): 89 - 92. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J.-S. Chen, H.-H. Hsu, S.-W. Kuo, P.-R. Tsai, R. J. Chen, J.-M. Lee, and Y.-C. Lee Effects of Additional Minocycline Pleurodesis After Thoracoscopic Procedures for Primary Spontaneous Pneumothorax Chest, January 1, 2004; 125(1): 50 - 55. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P.-E. Falcoz, C. Binquet, F. Clement, D. Kaili, C. Quantin, S. Chocron, and J.-P. Etievent Management of the second episode of spontaneous pneumothorax: a decision analysis Ann. Thorac. Surg., December 1, 2003; 76(6): 1843 - 1848. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Margolis, F. Gharagozloo, B. Tempesta, G. D. Trachiotis, N. M. Katz, and E. P. Alexander Video-assisted thoracic surgical treatment of initial spontaneous pneumothorax in young patients Ann. Thorac. Surg., November 1, 2003; 76(5): 1661 - 1664. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. K. Ayed Suction versus water seal after thoracoscopy for primary spontaneous pneumothorax: prospective randomized study Ann. Thorac. Surg., May 1, 2003; 75(5): 1593 - 1596. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M Henry, T Arnold, and J Harvey BTS guidelines for the management of spontaneous pneumothorax Thorax, May 1, 2003; 58(90002): ii39 - 52. [Full Text]
|
|
|
|
|
|
L. Lang-Lazdunski, O. Chapuis, P.-M. Bonnet, F. Pons, and R. Jancovici Videothoracoscopic bleb excision and pleural abrasion for the treatment of primary spontaneous pneumothorax: long-term results Ann. Thorac. Surg., March 1, 2003; 75(3): 960 - 965. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
British Thoracic Society guidelines on respiratory aspects of fitness for diving Thorax, January 1, 2003; 58(1): 3 - 13. [Full Text] [PDF]
|
|
|
|
|
|
A. K. Ayed Bilateral Video-Assisted Thoracoscopic Surgery for Bilateral Spontaneous Pneumothorax Chest, December 1, 2002; 122(6): 2234 - 2237. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
N. Sawabata, M. Ikeda, A. Matsumura, H. Maeda, S. Miyoshi, and H. Matsuda New Electroablation Technique Following the First-Line Stapling Method for Thoracoscopic Treatment of Primary Spontaneous Pneumothorax Chest, January 1, 2002; 121(1): 251 - 255. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. Torresini, M. Vaccarili, D. Divisi, and R. Crisci Is video-assisted thoracic surgery justified at first spontaneous pneumothorax? Eur. J. Cardiothorac. Surg., July 1, 2001; 20(1): 42 - 45. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L. Lang-Lazdunski, X. de Kerangal, F. Pons, and R. Jancovici Primary spontaneous pneumothorax: one-stage treatment by bilateral videothoracoscopy Ann. Thorac. Surg., August 1, 2000; 70(2): 412 - 417. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. A. Hatz, M. F. Kaps, G. Meimarakis, F. Loehe, C. Muller, and H. Furst Long-term results after video-assisted thoracoscopic surgery for first-time and recurrent spontaneous pneumothorax Ann. Thorac. Surg., July 1, 2000; 70(1): 253 - 257. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. K. Ayed and H. J. Al-Din The Results of Thoracoscopic Surgery for Primary Spontaneous Pneumothorax Chest, July 1, 2000; 118(1): 235 - 238. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. Cardillo, F. Facciolo, R. Giunti, R. Gasparri, M. Lopergolo, R. Orsetti, and M. Martelli Videothoracoscopic treatment of primary spontaneous pneumothorax: a 6-year experience Ann. Thorac. Surg., February 1, 2000; 69(2): 357 - 361. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Suzuki, A. Kitami, S. Suzuki, Y. Kamio, Y. Hida, and G. Hori INFRARED OBSERVATION DURING THORACOSCOPIC SURGERY FOR BULLOUS DISEASE J. Thorac. Cardiovasc. Surg., January 1, 2000; 119(1): 182 - 184. [Full Text] [PDF]
|
|
|
|
|
|
L. Dernevik, G. Radberg, and A. Belboul Easy pleurectomy with winding up of pleural flaps Eur. J. Cardiothorac. Surg., October 1, 1999; 16(4): 480 - 481. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. Massard, P. Thomas, and J.-M. Wihlm Minimally invasive management for first and recurrent pneumothorax Ann. Thorac. Surg., August 1, 1998; 66(2): 592 - 599. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Mukaida, A. Andou, H. Date, M. Aoe, and N. Shimizu Thoracoscopic Operation for Secondary Pneumothorax Under Local and Epidural Anesthesia in High-Risk Patients Ann. Thorac. Surg., April 1, 1998; 65(4): 924 - 926. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
B. Passlick, C. Born, K. Haussinger, and O. Thetter Efficiency of Video-Assisted Thoracic Surgery for Primary and Secondary Spontaneous Pneumothorax Ann. Thorac. Surg., February 1, 1998; 65(2): 324 - 327. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. C. Bertrand, J.-F. Regnard, L. Spaggiari, J.-F. Levi, P. Magdeleinat, L. Guibert, and P. Levasseur Immediate and Long-Term Results After Surgical Treatment of Primary Spontaneous Pneumothorax by VATS Ann. Thorac. Surg., June 1, 1996; 61(6): 1641 - 1645. [Abstract] [Full Text]
|
|
|
|
|
|
K. H. Kim, H. K. Kim, J. Y. Han, J. T. Kim, Y. S. Won, and S. S. Choi Transaxillary Minithoracotomy Versus Video-Assisted Thoracic Surgery for Spontaneous Pneumothorax Ann. Thorac. Surg., May 1, 1996; 61(5): 1510 - 1512. [Abstract] [Full Text]
|
|
|
|
|
|
F. H. Cole Jr, F. H. Cole, A. Khandekar, J. M. Maxwell, J. W. Pate, and W. A. Walker Video-Assisted Thoracic Surgery: Primary Therapy for Spontaneous Pneumothorax? Ann. Thorac. Surg., October 1, 1995; 60(4): 931 - 933. [Abstract] [Full Text]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
