Is there a benefit of awake thoracoscopic surgery in patients with secondary spontaneous pneumothorax?

Masafumi Noda, Yoshinori Okada, Sumiko Maeda, Tetsu Sado, Akira Sakurada, Yasushi Hoshikawa, Chiaki Endo, Takashi Kondo

Research output: Contribution to journalArticle

36 Citations (Scopus)

Abstract

Objectives: The purpose of the present study was to retrospectively compare the outcomes of video-assisted thoracic surgery in awake and anesthetized patients in the treatment of secondary spontaneous pneumothorax. Methods: A total of 57 consecutive patients who underwent video-assisted thoracic surgery for secondary spontaneous pneumothorax was retrospectively analyzed. Of these patients, 15 underwent surgery under epidural and/or local anesthesia (ELA) and 42 under general anesthesia. Using propensity score matching, we identified comparable patient groups: the ELA group and general anesthesia group (n = 8 each). We compared the duration of operating room stay, operating time, postoperative hematologic data on postoperative day 1, postoperative complications, duration of hospital stay, and the incidence of hospital death between the ELA and general anesthesia groups. Results: After propensity score matching, the duration of operating room stay was significantly shorter in the ELA group (P = .006). The incidence of postoperative respiratory complications, including pneumonia and acute respiratory distress syndrome, was lower in the ELA group (P = .02). The duration of postoperative hospital stay and the incidence of hospital death were not different between the 2 groups. Conclusions: The ELA group had a lower incidence of postoperative respiratory complications. Awake video-assisted thoracic surgery can be performed with an acceptable overall morbidity for patients with secondary spontaneous pneumothorax.

Original languageEnglish
Pages (from-to)613-616
Number of pages4
JournalJournal of Thoracic and Cardiovascular Surgery
Volume143
Issue number3
DOIs
Publication statusPublished - 01-03-2012

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Thoracoscopy
Epidural Anesthesia
Pneumothorax
Local Anesthesia
Video-Assisted Thoracic Surgery
General Anesthesia
Propensity Score
Incidence
Operating Rooms
Length of Stay
Adult Respiratory Distress Syndrome
Pneumonia
Morbidity

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine
  • Surgery
  • Pulmonary and Respiratory Medicine

Cite this

Noda, Masafumi ; Okada, Yoshinori ; Maeda, Sumiko ; Sado, Tetsu ; Sakurada, Akira ; Hoshikawa, Yasushi ; Endo, Chiaki ; Kondo, Takashi. / Is there a benefit of awake thoracoscopic surgery in patients with secondary spontaneous pneumothorax?. In: Journal of Thoracic and Cardiovascular Surgery. 2012 ; Vol. 143, No. 3. pp. 613-616.
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Is there a benefit of awake thoracoscopic surgery in patients with secondary spontaneous pneumothorax? / Noda, Masafumi; Okada, Yoshinori; Maeda, Sumiko; Sado, Tetsu; Sakurada, Akira; Hoshikawa, Yasushi; Endo, Chiaki; Kondo, Takashi.

In: Journal of Thoracic and Cardiovascular Surgery, Vol. 143, No. 3, 01.03.2012, p. 613-616.

Research output: Contribution to journalArticle

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AU - Noda, Masafumi

AU - Okada, Yoshinori

AU - Maeda, Sumiko

AU - Sado, Tetsu

AU - Sakurada, Akira

AU - Hoshikawa, Yasushi

AU - Endo, Chiaki

AU - Kondo, Takashi

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N2 - Objectives: The purpose of the present study was to retrospectively compare the outcomes of video-assisted thoracic surgery in awake and anesthetized patients in the treatment of secondary spontaneous pneumothorax. Methods: A total of 57 consecutive patients who underwent video-assisted thoracic surgery for secondary spontaneous pneumothorax was retrospectively analyzed. Of these patients, 15 underwent surgery under epidural and/or local anesthesia (ELA) and 42 under general anesthesia. Using propensity score matching, we identified comparable patient groups: the ELA group and general anesthesia group (n = 8 each). We compared the duration of operating room stay, operating time, postoperative hematologic data on postoperative day 1, postoperative complications, duration of hospital stay, and the incidence of hospital death between the ELA and general anesthesia groups. Results: After propensity score matching, the duration of operating room stay was significantly shorter in the ELA group (P = .006). The incidence of postoperative respiratory complications, including pneumonia and acute respiratory distress syndrome, was lower in the ELA group (P = .02). The duration of postoperative hospital stay and the incidence of hospital death were not different between the 2 groups. Conclusions: The ELA group had a lower incidence of postoperative respiratory complications. Awake video-assisted thoracic surgery can be performed with an acceptable overall morbidity for patients with secondary spontaneous pneumothorax.

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