7 240

Cited 16 times in

Efficacy of polyglycolic acid sheet after thoracoscopic bullectomy for spontaneous pneumothorax

Authors
 Seokkee Lee  ;  Seong Yong Park  ;  Mi Kyung Bae  ;  Jin Gu Lee  ;  Dae Joon Kim  ;  Kyung Young Chung  ;  Chang Young Lee 
Citation
 Annals of Thoracic Surgery, Vol.95(6) : 1919-1923, 2013 
Journal Title
 Annals of Thoracic Surgery 
ISSN
 0003-4975 
Issue Date
2013
MeSH
Adult ; Cohort Studies ; Combined Modality Therapy ; Female ; Follow-Up Studies ; Humans ; Kaplan-Meier Estimate ; Male ; Pleurodesis/methods* ; Pneumothorax/diagnostic imaging ; Pneumothorax/surgery* ; Polyglycolic Acid/pharmacology* ; Radiography ; Reference Values ; Retrospective Studies ; Risk Assessment ; Secondary Prevention ; Severity of Illness Index ; Thoracic Surgery, Video-Assisted/methods* ; Treatment Outcome ; Young Adult
Keywords
Adult ; Cohort Studies ; Combined Modality Therapy ; Female ; Follow-Up Studies ; Humans ; Kaplan-Meier Estimate ; Male ; Pleurodesis/methods* ; Pneumothorax/diagnostic imaging ; Pneumothorax/surgery* ; Polyglycolic Acid/pharmacology* ; Radiography ; Reference Values ; Retrospective Studies ; Risk Assessment ; Secondary Prevention ; Severity of Illness Index ; Thoracic Surgery, Video-Assisted/methods* ; Treatment Outcome ; Young Adult
Abstract
BACKGROUND: Various procedures have been performed to decrease the incidence of recurrent postoperative pneumothorax after thoracoscopic bullectomy. The purpose of this study was to determine the efficacy of a polyglycolic acid (PGA) sheet and pleural abrasion for prevention of recurrent postoperative pneumothorax. METHODS: From January 2009 to August 2011, 257 patients underwent thoracoscopic bullectomy for primary spontaneous pneumothorax. In group A, 128 patients underwent pleural abrasion. These patients were compared with 129 patients (group B) who underwent a procedure to cover stable lines with an absorbable PGA sheet in addition to pleural abrasion. RESULTS: There was no difference in preoperative demographics, although the age of patients in group A was statistically higher than that of patients in group B (23.67 ± 6.54 versus 21.69 ± 5.65; p = 0.010). In group A, prolonged postoperative air leaks (≥ 3 days) occurred more frequently (7.8% versus 2.3%; p = 0.045). A Kaplan-Meier curve showed that recurrence-free rates were higher in group B (p = 0.047). CONCLUSIONS: Coverage with PGA sheet and pleural abrasion after thoracoscopic bullectomy is effective for preventing prolonged postoperative air leaks and reducing postoperative recurrence rates.
Full Text
http://www.sciencedirect.com/science/article/pii/S0003497513005158
DOI
10.1016/j.athoracsur.2013.03.011
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Dae Joon(김대준)
Park, Seong Yong(박성용)
Bae, Mi Kyung(배미경)
Lee, Seok Kee(이석기)
Lee, Jin Gu(이진구)
Lee, Chang Young(이창영)
Chung, Kyung Young(정경영)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/87632
사서에게 알리기
  feedback

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse