TY - JOUR
T1 - A total pleural covering technique in patients with intractable bilateral secondary spontaneous pneumothorax
T2 - Report of five cases
AU - Noda, Masafumi
AU - Okada, Yoshinori
AU - Maeda, Sumiko
AU - Sado, Tetsu
AU - Sakurada, Akira
AU - Hoshikawa, Yasushi
AU - Endo, Chiaki
AU - Kondo, Takashi
PY - 2011/10
Y1 - 2011/10
N2 - We herein present five cases of bilateral intractable secondary spontaneous pneumothorax associated with chronic severe lung diseases that were successfully treated with a modified form of a previously reported surgical procedure, the "total pleural covering technique," under video-assisted thoracic surgery. We performed the total pleural covering technique modified with a preceding coverage of air-leak points with polyglycolic acid sheets. In this series, the median length of surgery was 106 min (range: 67-220 min) on the unilateral side (10 sides). No significant surgical complications were observed, but one patient died on day 23 after the operation, due to respiratory insufficiency on the basis of the underlying lung disease. The remaining four patients have been followed up regularly (mean followup time: 23 months; range: 1-54 months) and there has been no recurrences of pneumothorax. We believe that the total pleural covering technique is a useful method; however, special attention should be paid to the underlying disease in order to identify patients who would be most likely to benefit from the procedure.
AB - We herein present five cases of bilateral intractable secondary spontaneous pneumothorax associated with chronic severe lung diseases that were successfully treated with a modified form of a previously reported surgical procedure, the "total pleural covering technique," under video-assisted thoracic surgery. We performed the total pleural covering technique modified with a preceding coverage of air-leak points with polyglycolic acid sheets. In this series, the median length of surgery was 106 min (range: 67-220 min) on the unilateral side (10 sides). No significant surgical complications were observed, but one patient died on day 23 after the operation, due to respiratory insufficiency on the basis of the underlying lung disease. The remaining four patients have been followed up regularly (mean followup time: 23 months; range: 1-54 months) and there has been no recurrences of pneumothorax. We believe that the total pleural covering technique is a useful method; however, special attention should be paid to the underlying disease in order to identify patients who would be most likely to benefit from the procedure.
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U2 - 10.1007/s00595-010-4427-5
DO - 10.1007/s00595-010-4427-5
M3 - Article
C2 - 21922367
AN - SCOPUS:80855124880
SN - 0941-1291
VL - 41
SP - 1414
EP - 1417
JO - Surgery Today
JF - Surgery Today
IS - 10
ER -