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Necessity of Multi-Step Surgical Treatment for Patients with Interstitial Lung Disease and a Pneumothorax

Purpose: A pneumothorax occurs in 3%–8% of patients with idiopathic pulmonary fibrosis. A pneumothorax may predict a poor outcome in patients with interstitial lung disease (ILD), and it is difficult to treat patients with ILD and a pneumothorax. Patients and Methods: We retrospectively studied data...

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Autores principales: Iyoda, Akira, Azuma, Yoko, Sakai, Takashi, Koezuka, Satoshi, Otsuka, Hajime, Sano, Atsushi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Editorial Committee of Annals of Thoracic and Cardiovascular Surgery 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9585332/
https://www.ncbi.nlm.nih.gov/pubmed/35922909
http://dx.doi.org/10.5761/atcs.oa.22-00087
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author Iyoda, Akira
Azuma, Yoko
Sakai, Takashi
Koezuka, Satoshi
Otsuka, Hajime
Sano, Atsushi
author_facet Iyoda, Akira
Azuma, Yoko
Sakai, Takashi
Koezuka, Satoshi
Otsuka, Hajime
Sano, Atsushi
author_sort Iyoda, Akira
collection PubMed
description Purpose: A pneumothorax occurs in 3%–8% of patients with idiopathic pulmonary fibrosis. A pneumothorax may predict a poor outcome in patients with interstitial lung disease (ILD), and it is difficult to treat patients with ILD and a pneumothorax. Patients and Methods: We retrospectively studied data from all 12 patients with ILD and a pneumothorax who underwent surgical treatment at Toho University Omori Medical Center Hospital between 2009 and 2021. Results: Of the 12 patients, 2 had home oxygen therapy preoperatively and were classified with grade IV interstitial pneumonia (IP). Six patients had preoperative pleurodesis and two had postoperative one using auto-blood. Three patients (25%) had multi-step surgery ≥2, and 5 patients had surgical resection of bullae. No patients had postoperative acute exacerbations and all were discharged from the hospital in a stable condition. The 5-year overall survival rate for all patients was 70.0%. The median survival time was not reached. One patient with unclassified IP was doing well 116 months after surgery. Conclusion: Patients with ILD and a pneumothorax were shown to require multi-step surgical treatment and can anticipate long-term survival.
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spelling pubmed-95853322022-11-03 Necessity of Multi-Step Surgical Treatment for Patients with Interstitial Lung Disease and a Pneumothorax Iyoda, Akira Azuma, Yoko Sakai, Takashi Koezuka, Satoshi Otsuka, Hajime Sano, Atsushi Ann Thorac Cardiovasc Surg Original Article Purpose: A pneumothorax occurs in 3%–8% of patients with idiopathic pulmonary fibrosis. A pneumothorax may predict a poor outcome in patients with interstitial lung disease (ILD), and it is difficult to treat patients with ILD and a pneumothorax. Patients and Methods: We retrospectively studied data from all 12 patients with ILD and a pneumothorax who underwent surgical treatment at Toho University Omori Medical Center Hospital between 2009 and 2021. Results: Of the 12 patients, 2 had home oxygen therapy preoperatively and were classified with grade IV interstitial pneumonia (IP). Six patients had preoperative pleurodesis and two had postoperative one using auto-blood. Three patients (25%) had multi-step surgery ≥2, and 5 patients had surgical resection of bullae. No patients had postoperative acute exacerbations and all were discharged from the hospital in a stable condition. The 5-year overall survival rate for all patients was 70.0%. The median survival time was not reached. One patient with unclassified IP was doing well 116 months after surgery. Conclusion: Patients with ILD and a pneumothorax were shown to require multi-step surgical treatment and can anticipate long-term survival. The Editorial Committee of Annals of Thoracic and Cardiovascular Surgery 2022-08-02 2022 /pmc/articles/PMC9585332/ /pubmed/35922909 http://dx.doi.org/10.5761/atcs.oa.22-00087 Text en ©2022 Annals of Thoracic and Cardiovascular Surgery https://creativecommons.org/licenses/by-nc-nd/4.0/This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives International License (https://creativecommons.org/licenses/by-nc-nd/4.0/)
spellingShingle Original Article
Iyoda, Akira
Azuma, Yoko
Sakai, Takashi
Koezuka, Satoshi
Otsuka, Hajime
Sano, Atsushi
Necessity of Multi-Step Surgical Treatment for Patients with Interstitial Lung Disease and a Pneumothorax
title Necessity of Multi-Step Surgical Treatment for Patients with Interstitial Lung Disease and a Pneumothorax
title_full Necessity of Multi-Step Surgical Treatment for Patients with Interstitial Lung Disease and a Pneumothorax
title_fullStr Necessity of Multi-Step Surgical Treatment for Patients with Interstitial Lung Disease and a Pneumothorax
title_full_unstemmed Necessity of Multi-Step Surgical Treatment for Patients with Interstitial Lung Disease and a Pneumothorax
title_short Necessity of Multi-Step Surgical Treatment for Patients with Interstitial Lung Disease and a Pneumothorax
title_sort necessity of multi-step surgical treatment for patients with interstitial lung disease and a pneumothorax
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9585332/
https://www.ncbi.nlm.nih.gov/pubmed/35922909
http://dx.doi.org/10.5761/atcs.oa.22-00087
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