A total pleural covering technique in patients with intractable bilateral secondary spontaneous pneumothorax: Report of five cases

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

研究成果: Article査読

9 被引用数 (Scopus)

抄録

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.

本文言語English
ページ(範囲)1414-1417
ページ数4
ジャーナルSurgery Today
41
10
DOI
出版ステータスPublished - 10-2011
外部発表はい

All Science Journal Classification (ASJC) codes

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