Non-stapling thoracoscopic surgery for spontaneous pneumothorax in young patients

Objectives Spontaneous pneumothorax in young patients has a high recurrence rate, even after surgical treatment, and bulla neogenesis around stapled lesions has been reported as a cause of postoperative recurrence. We investigate the clinical safety and long-term outcome of non-stapling thoracoscopi...

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Bibliographic Details
Published in:General thoracic and cardiovascular surgery 2024-06, Vol.72 (6), p.395-400
Main Authors: Suzuki, Hirofumi, Tsunezuka, Hiroaki, Okada, Satoru, Shimomura, Masanori, Ishihara, Shunta, Inoue, Masayoshi
Format: Article
Language:English
Subjects:
Ablation
Adolescent
Adult
Anesthesia
Body mass index
Cardiac Surgery
Cardiology
Decision making
Female
Hospitals
Humans
Length of Stay
Ligation
Male
Medicine
Medicine & Public Health
Operative Time
Original Article
Ostomy
Patients
Pneumothorax
Pneumothorax - surgery
Recurrence
Retrospective Studies
Surgeons
Surgical Oncology
Suture Techniques
Thoracic Surgery
Thoracic Surgery, Video-Assisted - adverse effects
Thoracoscopy - adverse effects
Thoracoscopy - methods
Time Factors
Treatment Outcome
Young Adult
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Summary:Objectives Spontaneous pneumothorax in young patients has a high recurrence rate, even after surgical treatment, and bulla neogenesis around stapled lesions has been reported as a cause of postoperative recurrence. We investigate the clinical safety and long-term outcome of non-stapling thoracoscopic surgery for spontaneous pneumothorax in young patients. Methods Twenty-seven non-stapling thoracoscopic surgeries for pneumothorax in 24 patients younger than 25 years were retrospectively reviewed. The non-stapling surgical techniques used to treat bullae included thoracoscopic suture plication, soft-coagulation, covering, and ligation. Long-term follow-up was conducted by telephone or by a mailed questionnaire. Results In 22 (81.5%) operations, suture plication, soft-coagulation, and covering procedures were used in combination. The median number of bullae treated in one operation was 2 (range, 0–6). The median operative time was 97 min, and the median postoperative drainage and postoperative hospital stay periods were 1 and 3 days, respectively. No complications of grade 2 or higher were observed. Patients were followed for at least 30 (median, 37) months. The postoperative recurrence rate was 3.7%, with one case of recurrence due to bulla neogenesis at a distant site. Conclusion Non-stapling thoracoscopic surgery with covering procedure for pneumothorax in young patients might reduce postoperative recurrence.
ISSN:1863-6705
1863-6713
DOI:10.1007/s11748-023-01992-x