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
Hauptverfasser: JHINGOOK KIM, KWHANMIEN KIM, SHIM, Y. M, CHANG, W. I, PARK, K.-H, JUN, T.-G, PARK, P. W, HURN CHAE, LEE, K. S
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container_end_page 1293
container_issue 11
container_start_page 1290
container_title Surgical endoscopy
container_volume 12
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
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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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