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A different approach in primary spontaneous pneumothorax surgery: Lateral pleurectomy technique and results

Yıl 2022, Cilt 3, Sayı 3, 174 - 180, 30.09.2022

Öz

Background: Primary Spontaneous Pneumothorax is a disease with a frequent recurrence rate. The uniportal videothoracoscopic surgery approach is the standard treatment for air leak and recurrence prevention. In common practice, apical pleurectomy is used after apical wedge resection. Our study aims to examine the results, especially the recurrence rate, of the lateral pleurectomy and apical pleural abrasion combination technique applied as an alternative to this technique.

Methods: A total of 50 patients who underwent uniportal videothoracoscopic surgery for primary spontaneous pneumothorax between November 2018 and May 2021 were included in the study. The follow-up period for recurrence of the patients was 12-42 months. Age, gender, pneumothorax side, operation indication, Body Mass Index, smoking history, incision length and location, air leakage and tube thoracostomy duration, Verbal Numeric Pain Scores, post-operative length of hospital stay, complications, and recurrence data were recorded.

Results: Of the 50 patients, 44 (88%) were male, and 6 (12%) were female, with a mean age of 22.3±5.9 years. Surgery was performed from the existing drain site in 32 (64%) cases and the former drain scar in 11 (22%) cases. The mean duration of tube thoracostomy was 2.7±0.97 days, and the mean length of hospital stay was 3.6±0.89 days. Complications developed in 2 (4%) cases, and recurrence was observed in 2 (4%) cases.

Conclusions: Lateral pleurectomy with the apical pleural abrasion technique is easy to apply and reduces the possibility of undesired hemorrhagic drainage. We believe that the lateral pleurectomy technique is safe, easily applicable, and less risky in terms of hemorrhage.

Kaynakça

  • 1. Caecilia NG, Maier HT, Kocher F, Jud S, Lucciarini P, Ofner D, et al. VATS Partial Pleurectomy Versus VATS Pleural Abrasion: Significant Reduction in Pneumothorax Recurrence Rates After Pleurectomy. World J Surg. 2018;42(10):3256-62.
  • 2. Hallifax RJ, Goldacre R, Landray MJ, Rahman NM, Goldacre MJ. Trends in the Incidence and Recurrence of Inpatient-Treated Spontaneous Pneumothorax, 1968-2016. JAMA. 2018;320(14):1471-80.
  • 3. Savitsky E, Oh SS, Lee JM. The Evolving Epidemiology and Management of Spontaneous Pneumothorax. JAMA. 2018;320(14):1441-43.
  • 4. MacDuff A, Arnold A, Harvey J; BTS Pleural Disease Guideline Group. Management of spontaneous pneumothorax: British Thoracic Society Pleural Disease Guideline 2010. Thorax. 2010;2:18-31.
  • 5. Kapicibasi HO. Uniportal VATS technique for primary spontaneous pneumothorax: An analysis of 46 cases. Pak J Med Sci. 2020;36(2):224-8.
  • 6. Vuong NL, Elshafay A, Thao LP, Abdalla AR, Mohyeldin IA, Elsabaa K, et al. Efficacy of treatments in primary spontaneous pneumothorax: A systematic review and network meta-analysis of randomized clinical trials. Respir Med. 2018;152-66.
  • 7. Ocakcioglu I, Kupeli M. Surgical Treatment of Spontaneous Pneumothorax: Pleural Abrasion or Pleurectomy? Surg Laparosc Endosc Percutan Tech. 2019;29(1):58-63.
  • 8. Patterson KN, Lawrence AE, Beyene TJ, Aldrink JH, Michalsky M, Minneci PC. Recurrence Rates After Video-Assisted Thoracoscopic Surgery for Spontaneous Pneumothorax. J Laparoendosc Adv Surg Tech A. 2021;31(12):1424-30.
  • 9. Dadas E, Ozkan B, Sabuncu T, Tanju S, Toker A, Dilege S. Video-Assisted Thoracoscopic Pleurectomy in Spontaneous Pneumothorax Surgery. Turk Thorac J. 2015;16(1):22-7.
  • 10. Xu W, Wang Y, Song J, Mo L, Jiang T. One-port video-assisted thoracic surgery versus three-port video-assisted thoracic surgery for primary spontaneous pneumothorax: a meta-analysis. Surg Endosc. 2017;31(1):17-24.
  • 11. Qin SL, Huang JB, Yang YL, Xian L. Uniportal versus three-port videoassisted thoracoscopic surgery for spontaneous pneumothorax: a meta-analysis. J Thorac Dis. 2015;7(12):2274-87.
  • 12. Yang Y, Dong J, Huang Y. Single-incision versus conventional threeport video-assisted surgery in the treatment of pneumothorax: a systematic review and meta-analysis. Interact Cardiovasc Thorac Surg. 2016;23(5):722-8.
  • 13. Masmoudi H, Etienne H, Sylvestre R, Evrard D, Ouede R, Le Roux M, et al. Three Hundred Fifty-One Patients With Pneumothorax Undergoing Uniportal (Single Port) Video-Assisted Thoracic Surgery. Ann Thorac Surg. 2017;104(1):254-60.
  • 14. Huh U, Kim YD, Cho JS, I H, Lee JG, Lee JH. The Effect of Thoracoscopic Pleurodesis in Primary Spontaneous Pneumothorax: Apical Parietal Pleurectomy versus Pleural Abrasion. Korean J Thorac Cardiovasc Surg. 2012;45(5):316-9.
  • 15. Lin Z, Zhang Z, Wang Q, Li J, Peng W, Ge G. A systematic review and meta-analysis of video-assisted thoracoscopic surgery treating spontaneous pneumothorax. J Thorac Dis. 2021;13(5):3093-104.
  • 16. Ciriaco P, Rossetti F, Carretta A, Sant’Angelo M, Arrigoni G, Negri G. Spontaneous pneumothorax in cocaine users. QJM. 2019;112(7):519-22.
  • 17. Wakefield CJ, Seder CW, Arndt AT, Geissen N, Liptay MJ, Karush JM. Cannabis Use Is Associated With Recurrence After Primary Spontaneous Pneumothorax. Front Surg. 2021;8:668588.
  • 18. Bertolaccini L, Pardolesi A, Brandolini J, Solli P. Uniportal videoassisted thoracic surgery for pneumothorax and blebs/bullae. J Vis Surg. 2017;3:107.

Yıl 2022, Cilt 3, Sayı 3, 174 - 180, 30.09.2022

Öz

Kaynakça

  • 1. Caecilia NG, Maier HT, Kocher F, Jud S, Lucciarini P, Ofner D, et al. VATS Partial Pleurectomy Versus VATS Pleural Abrasion: Significant Reduction in Pneumothorax Recurrence Rates After Pleurectomy. World J Surg. 2018;42(10):3256-62.
  • 2. Hallifax RJ, Goldacre R, Landray MJ, Rahman NM, Goldacre MJ. Trends in the Incidence and Recurrence of Inpatient-Treated Spontaneous Pneumothorax, 1968-2016. JAMA. 2018;320(14):1471-80.
  • 3. Savitsky E, Oh SS, Lee JM. The Evolving Epidemiology and Management of Spontaneous Pneumothorax. JAMA. 2018;320(14):1441-43.
  • 4. MacDuff A, Arnold A, Harvey J; BTS Pleural Disease Guideline Group. Management of spontaneous pneumothorax: British Thoracic Society Pleural Disease Guideline 2010. Thorax. 2010;2:18-31.
  • 5. Kapicibasi HO. Uniportal VATS technique for primary spontaneous pneumothorax: An analysis of 46 cases. Pak J Med Sci. 2020;36(2):224-8.
  • 6. Vuong NL, Elshafay A, Thao LP, Abdalla AR, Mohyeldin IA, Elsabaa K, et al. Efficacy of treatments in primary spontaneous pneumothorax: A systematic review and network meta-analysis of randomized clinical trials. Respir Med. 2018;152-66.
  • 7. Ocakcioglu I, Kupeli M. Surgical Treatment of Spontaneous Pneumothorax: Pleural Abrasion or Pleurectomy? Surg Laparosc Endosc Percutan Tech. 2019;29(1):58-63.
  • 8. Patterson KN, Lawrence AE, Beyene TJ, Aldrink JH, Michalsky M, Minneci PC. Recurrence Rates After Video-Assisted Thoracoscopic Surgery for Spontaneous Pneumothorax. J Laparoendosc Adv Surg Tech A. 2021;31(12):1424-30.
  • 9. Dadas E, Ozkan B, Sabuncu T, Tanju S, Toker A, Dilege S. Video-Assisted Thoracoscopic Pleurectomy in Spontaneous Pneumothorax Surgery. Turk Thorac J. 2015;16(1):22-7.
  • 10. Xu W, Wang Y, Song J, Mo L, Jiang T. One-port video-assisted thoracic surgery versus three-port video-assisted thoracic surgery for primary spontaneous pneumothorax: a meta-analysis. Surg Endosc. 2017;31(1):17-24.
  • 11. Qin SL, Huang JB, Yang YL, Xian L. Uniportal versus three-port videoassisted thoracoscopic surgery for spontaneous pneumothorax: a meta-analysis. J Thorac Dis. 2015;7(12):2274-87.
  • 12. Yang Y, Dong J, Huang Y. Single-incision versus conventional threeport video-assisted surgery in the treatment of pneumothorax: a systematic review and meta-analysis. Interact Cardiovasc Thorac Surg. 2016;23(5):722-8.
  • 13. Masmoudi H, Etienne H, Sylvestre R, Evrard D, Ouede R, Le Roux M, et al. Three Hundred Fifty-One Patients With Pneumothorax Undergoing Uniportal (Single Port) Video-Assisted Thoracic Surgery. Ann Thorac Surg. 2017;104(1):254-60.
  • 14. Huh U, Kim YD, Cho JS, I H, Lee JG, Lee JH. The Effect of Thoracoscopic Pleurodesis in Primary Spontaneous Pneumothorax: Apical Parietal Pleurectomy versus Pleural Abrasion. Korean J Thorac Cardiovasc Surg. 2012;45(5):316-9.
  • 15. Lin Z, Zhang Z, Wang Q, Li J, Peng W, Ge G. A systematic review and meta-analysis of video-assisted thoracoscopic surgery treating spontaneous pneumothorax. J Thorac Dis. 2021;13(5):3093-104.
  • 16. Ciriaco P, Rossetti F, Carretta A, Sant’Angelo M, Arrigoni G, Negri G. Spontaneous pneumothorax in cocaine users. QJM. 2019;112(7):519-22.
  • 17. Wakefield CJ, Seder CW, Arndt AT, Geissen N, Liptay MJ, Karush JM. Cannabis Use Is Associated With Recurrence After Primary Spontaneous Pneumothorax. Front Surg. 2021;8:668588.
  • 18. Bertolaccini L, Pardolesi A, Brandolini J, Solli P. Uniportal videoassisted thoracic surgery for pneumothorax and blebs/bullae. J Vis Surg. 2017;3:107.

Ayrıntılar

Birincil Dil İngilizce
Konular Cerrahi
Bölüm ORIGINAL ARTICLE
Yazarlar

Barış HEKİMOĞLU> (Sorumlu Yazar)
Ordu University Faculty of Medicine, Department of Thoracic Surgery, Ordu, Turkey
0000-0002-1724-9836
Türkiye


Muhammet Ali BEYOGLU>
University of Health Science, Ankara City Hospital, Department of Thoracic Surgery
0000-0003-4038-630X
Türkiye

Yayımlanma Tarihi 30 Eylül 2022
Başvuru Tarihi 21 Mayıs 2022
Kabul Tarihi 22 Haziran 2022
Yayınlandığı Sayı Yıl 2022, Cilt 3, Sayı 3

Kaynak Göster

APA Hekimoğlu, B. & Beyoglu, M. A. (2022). A different approach in primary spontaneous pneumothorax surgery: Lateral pleurectomy technique and results . Archives of Current Medical Research , 3 (3) , 174-180 . Retrieved from https://dergipark.org.tr/tr/pub/acmr/issue/72847/1119609

Archives of Current Medical Research (ACMR) provides instant open access to all content, bearing in mind the fact that presenting research

free to the public supports a greater global exchange of knowledge.

http://www.acmronline.org/