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Effectiveness of Video-Assisted Thoracoscopic Surgery with Bullectomy and Partial Pleurectomy in the Treatment of Primary Spontaneous Pneumothorax—A Retrospective Long-Term Single-Center Analysis

Background: Video-assisted thoracoscopic surgery (VATS) with bullectomy and partial pleurectomy (VBPP) is an increasingly used and well-established surgical treatment for primary spontaneous pneumothorax (PSP). However, reports on its effectiveness and long-term outcomes are limited. The aim of this...

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Autores principales: Fung, Stephen, Ashmawy, Hany, Safi, Sami-Alexander, Schauer, Matthias, Krieg, Andreas, Schauer, Anja, Kivilis, Marius, Ziayee, Farid, Rehders, Alexander, Dizdar, Levent, Knoefel, Wolfram-Trudo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8953604/
https://www.ncbi.nlm.nih.gov/pubmed/35326888
http://dx.doi.org/10.3390/healthcare10030410
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author Fung, Stephen
Ashmawy, Hany
Safi, Sami-Alexander
Schauer, Matthias
Krieg, Andreas
Schauer, Anja
Kivilis, Marius
Ziayee, Farid
Rehders, Alexander
Dizdar, Levent
Knoefel, Wolfram-Trudo
author_facet Fung, Stephen
Ashmawy, Hany
Safi, Sami-Alexander
Schauer, Matthias
Krieg, Andreas
Schauer, Anja
Kivilis, Marius
Ziayee, Farid
Rehders, Alexander
Dizdar, Levent
Knoefel, Wolfram-Trudo
author_sort Fung, Stephen
collection PubMed
description Background: Video-assisted thoracoscopic surgery (VATS) with bullectomy and partial pleurectomy (VBPP) is an increasingly used and well-established surgical treatment for primary spontaneous pneumothorax (PSP). However, reports on its effectiveness and long-term outcomes are limited. The aim of this study was to assess and compare long-term recurrence rates following VBPP and chest tube (CT) treatment and to identify potential risk factors for disease recurrence in patients with PSP. Methods: A total of 116 patients treated either by VBPP or CT were included in this study. Long-term recurrence rates and associations between clinical parameters and recurrence of pneumothorax were analyzed. Results: Sixty-two patients (53.4%) underwent VBPP, whereas 54 (46.6%) patients underwent CT treatment only. During a median follow-up period of 76.5 months, VBPP patients experienced a significantly lower recurrence rate compared to CT patients (6/62 vs. 35/54; p < 0.0001). CT treatment (VBPP vs. CT; p < 0.001) and a large initial pneumothorax size (Collins < 4 vs. Collins ≥ 4; p = 0.018) were independent risk factors for pneumothorax recurrence. Conclusion: VBPP is an effective and safe surgical treatment for PSP. Therefore, patients with a large pneumothorax size might benefit from VBPP, as they are at high risk for disease recurrence.
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spelling pubmed-89536042022-03-26 Effectiveness of Video-Assisted Thoracoscopic Surgery with Bullectomy and Partial Pleurectomy in the Treatment of Primary Spontaneous Pneumothorax—A Retrospective Long-Term Single-Center Analysis Fung, Stephen Ashmawy, Hany Safi, Sami-Alexander Schauer, Matthias Krieg, Andreas Schauer, Anja Kivilis, Marius Ziayee, Farid Rehders, Alexander Dizdar, Levent Knoefel, Wolfram-Trudo Healthcare (Basel) Article Background: Video-assisted thoracoscopic surgery (VATS) with bullectomy and partial pleurectomy (VBPP) is an increasingly used and well-established surgical treatment for primary spontaneous pneumothorax (PSP). However, reports on its effectiveness and long-term outcomes are limited. The aim of this study was to assess and compare long-term recurrence rates following VBPP and chest tube (CT) treatment and to identify potential risk factors for disease recurrence in patients with PSP. Methods: A total of 116 patients treated either by VBPP or CT were included in this study. Long-term recurrence rates and associations between clinical parameters and recurrence of pneumothorax were analyzed. Results: Sixty-two patients (53.4%) underwent VBPP, whereas 54 (46.6%) patients underwent CT treatment only. During a median follow-up period of 76.5 months, VBPP patients experienced a significantly lower recurrence rate compared to CT patients (6/62 vs. 35/54; p < 0.0001). CT treatment (VBPP vs. CT; p < 0.001) and a large initial pneumothorax size (Collins < 4 vs. Collins ≥ 4; p = 0.018) were independent risk factors for pneumothorax recurrence. Conclusion: VBPP is an effective and safe surgical treatment for PSP. Therefore, patients with a large pneumothorax size might benefit from VBPP, as they are at high risk for disease recurrence. MDPI 2022-02-22 /pmc/articles/PMC8953604/ /pubmed/35326888 http://dx.doi.org/10.3390/healthcare10030410 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Fung, Stephen
Ashmawy, Hany
Safi, Sami-Alexander
Schauer, Matthias
Krieg, Andreas
Schauer, Anja
Kivilis, Marius
Ziayee, Farid
Rehders, Alexander
Dizdar, Levent
Knoefel, Wolfram-Trudo
Effectiveness of Video-Assisted Thoracoscopic Surgery with Bullectomy and Partial Pleurectomy in the Treatment of Primary Spontaneous Pneumothorax—A Retrospective Long-Term Single-Center Analysis
title Effectiveness of Video-Assisted Thoracoscopic Surgery with Bullectomy and Partial Pleurectomy in the Treatment of Primary Spontaneous Pneumothorax—A Retrospective Long-Term Single-Center Analysis
title_full Effectiveness of Video-Assisted Thoracoscopic Surgery with Bullectomy and Partial Pleurectomy in the Treatment of Primary Spontaneous Pneumothorax—A Retrospective Long-Term Single-Center Analysis
title_fullStr Effectiveness of Video-Assisted Thoracoscopic Surgery with Bullectomy and Partial Pleurectomy in the Treatment of Primary Spontaneous Pneumothorax—A Retrospective Long-Term Single-Center Analysis
title_full_unstemmed Effectiveness of Video-Assisted Thoracoscopic Surgery with Bullectomy and Partial Pleurectomy in the Treatment of Primary Spontaneous Pneumothorax—A Retrospective Long-Term Single-Center Analysis
title_short Effectiveness of Video-Assisted Thoracoscopic Surgery with Bullectomy and Partial Pleurectomy in the Treatment of Primary Spontaneous Pneumothorax—A Retrospective Long-Term Single-Center Analysis
title_sort effectiveness of video-assisted thoracoscopic surgery with bullectomy and partial pleurectomy in the treatment of primary spontaneous pneumothorax—a retrospective long-term single-center analysis
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8953604/
https://www.ncbi.nlm.nih.gov/pubmed/35326888
http://dx.doi.org/10.3390/healthcare10030410
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