Video-assisted thoracic surgery as a primary therapy for primary spontaneous pneumothorax : Decision making by the guideline of high-resolution computed tomography
Because blebs are confirmed in most of the patients undergoing thoracotomy, identification of blebs by high-resolution computed tomography (HRCT) can be proposed as a surgical indication in primary spontaneous pneumothorax (PSP). If an apical bleb is identified, we treat the patient by video-assiste...
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Veröffentlicht in: | Surgical endoscopy 1998-11, Vol.12 (11), p.1290-1293 |
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container_title | Surgical endoscopy |
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creator | JHINGOOK KIM KWHANMIEN KIM SHIM, Y. M CHANG, W. I PARK, K.-H JUN, T.-G PARK, P. W HURN CHAE LEE, K. S |
description | Because blebs are confirmed in most of the patients undergoing thoracotomy, identification of blebs by high-resolution computed tomography (HRCT) can be proposed as a surgical indication in primary spontaneous pneumothorax (PSP). If an apical bleb is identified, we treat the patient by video-assisted thoracic surgery (VATS).
From May 1995 to September 1997, 61 patients (21.9 +/- 4.6 years) were seen for initial episodes of PSP. Only seven showed bullae on simple chest radiography. However, by HRCT, 48 had sizable blebs (>5 mm), and 45 were treated surgically by VATS.
The mean duration of chest tube use after surgery was 3.2 +/- 1.9 days, and the mean hospital stay was 4.5 +/- 1.9 days. Only one recurrence developed 5 weeks after VATS.
Our protocol is effective in controlling an initial episode of PSP. It shortens the observation time before definitive surgical treatment, shortens the hospital stay, and decreases the likelihood of recurrence. |
doi_str_mv | 10.1007/s004649900842 |
format | Article |
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From May 1995 to September 1997, 61 patients (21.9 +/- 4.6 years) were seen for initial episodes of PSP. Only seven showed bullae on simple chest radiography. However, by HRCT, 48 had sizable blebs (>5 mm), and 45 were treated surgically by VATS.
The mean duration of chest tube use after surgery was 3.2 +/- 1.9 days, and the mean hospital stay was 4.5 +/- 1.9 days. Only one recurrence developed 5 weeks after VATS.
Our protocol is effective in controlling an initial episode of PSP. It shortens the observation time before definitive surgical treatment, shortens the hospital stay, and decreases the likelihood of recurrence.</description><identifier>ISSN: 0930-2794</identifier><identifier>EISSN: 1432-2218</identifier><identifier>DOI: 10.1007/s004649900842</identifier><identifier>PMID: 9788848</identifier><identifier>CODEN: SUREEX</identifier><language>eng</language><publisher>New York, NY: Springer</publisher><subject>Adolescent ; Adult ; Biological and medical sciences ; Decision Making ; Endoscopy ; Female ; Humans ; Male ; Medical sciences ; Pneumothorax - surgery ; Retrospective Studies ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the respiratory system ; Thoracic Surgical Procedures - methods ; Tomography, X-Ray Computed ; Tropical medicine</subject><ispartof>Surgical endoscopy, 1998-11, Vol.12 (11), p.1290-1293</ispartof><rights>1999 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1585670$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9788848$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>JHINGOOK KIM</creatorcontrib><creatorcontrib>KWHANMIEN KIM</creatorcontrib><creatorcontrib>SHIM, Y. M</creatorcontrib><creatorcontrib>CHANG, W. I</creatorcontrib><creatorcontrib>PARK, K.-H</creatorcontrib><creatorcontrib>JUN, T.-G</creatorcontrib><creatorcontrib>PARK, P. W</creatorcontrib><creatorcontrib>HURN CHAE</creatorcontrib><creatorcontrib>LEE, K. S</creatorcontrib><title>Video-assisted thoracic surgery as a primary therapy for primary spontaneous pneumothorax : Decision making by the guideline of high-resolution computed tomography</title><title>Surgical endoscopy</title><addtitle>Surg Endosc</addtitle><description>Because blebs are confirmed in most of the patients undergoing thoracotomy, identification of blebs by high-resolution computed tomography (HRCT) can be proposed as a surgical indication in primary spontaneous pneumothorax (PSP). If an apical bleb is identified, we treat the patient by video-assisted thoracic surgery (VATS).
From May 1995 to September 1997, 61 patients (21.9 +/- 4.6 years) were seen for initial episodes of PSP. Only seven showed bullae on simple chest radiography. However, by HRCT, 48 had sizable blebs (>5 mm), and 45 were treated surgically by VATS.
The mean duration of chest tube use after surgery was 3.2 +/- 1.9 days, and the mean hospital stay was 4.5 +/- 1.9 days. Only one recurrence developed 5 weeks after VATS.
Our protocol is effective in controlling an initial episode of PSP. It shortens the observation time before definitive surgical treatment, shortens the hospital stay, and decreases the likelihood of recurrence.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Decision Making</subject><subject>Endoscopy</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Pneumothorax - surgery</subject><subject>Retrospective Studies</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. 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S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Video-assisted thoracic surgery as a primary therapy for primary spontaneous pneumothorax : Decision making by the guideline of high-resolution computed tomography</atitle><jtitle>Surgical endoscopy</jtitle><addtitle>Surg Endosc</addtitle><date>1998-11-01</date><risdate>1998</risdate><volume>12</volume><issue>11</issue><spage>1290</spage><epage>1293</epage><pages>1290-1293</pages><issn>0930-2794</issn><eissn>1432-2218</eissn><coden>SUREEX</coden><abstract>Because blebs are confirmed in most of the patients undergoing thoracotomy, identification of blebs by high-resolution computed tomography (HRCT) can be proposed as a surgical indication in primary spontaneous pneumothorax (PSP). If an apical bleb is identified, we treat the patient by video-assisted thoracic surgery (VATS).
From May 1995 to September 1997, 61 patients (21.9 +/- 4.6 years) were seen for initial episodes of PSP. Only seven showed bullae on simple chest radiography. However, by HRCT, 48 had sizable blebs (>5 mm), and 45 were treated surgically by VATS.
The mean duration of chest tube use after surgery was 3.2 +/- 1.9 days, and the mean hospital stay was 4.5 +/- 1.9 days. Only one recurrence developed 5 weeks after VATS.
Our protocol is effective in controlling an initial episode of PSP. It shortens the observation time before definitive surgical treatment, shortens the hospital stay, and decreases the likelihood of recurrence.</abstract><cop>New York, NY</cop><pub>Springer</pub><pmid>9788848</pmid><doi>10.1007/s004649900842</doi><tpages>4</tpages></addata></record> |
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subjects | Adolescent Adult Biological and medical sciences Decision Making Endoscopy Female Humans Male Medical sciences Pneumothorax - surgery Retrospective Studies Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the respiratory system Thoracic Surgical Procedures - methods Tomography, X-Ray Computed Tropical medicine |
title | Video-assisted thoracic surgery as a primary therapy for primary spontaneous pneumothorax : Decision making by the guideline of high-resolution computed tomography |
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