ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Giuseppe Cardillo
Massimo Martelli
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Cardillo, G.
Right arrow Articles by Martelli, M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Cardillo, G.
Right arrow Articles by Martelli, M.

Ann Thorac Surg 2000;69:357-361
© 2000 The Society of Thoracic Surgeons

Original Articles

Videothoracoscopic treatment of primary spontaneous pneumothorax: a 6-year experience

Giuseppe Cardillo, MDa, Francesco Facciolo, MDa, Roberto Giunti, MDa, Roberto Gasparri, MDa, Michele Lopergolo, MDa, Remo Orsetti, MDa, Massimo Martelli, MDa

a Department of Thoracic Surgery, Carlo Forlanini Hospital, Rome, Italy

Address reprint requests to Dr Cardillo, Department of Thoracic Surgery, C. Forlanini Hospital, Via Portuense 332, I-00149 Rome, Italy
e-mail: giucardil{at}tin.it

Presented at the Poster Session of the Thirty-fifth Annual Meeting of The Society of Thoracic Surgeons, San Antonio, TX, Jan 25–27, 1999.

Background. Timing and surgical approach in the treatment of primary spontaneous pneumothorax (PSP) are not well defined. The objective of this study is to propose a treatment protocol by videothoracoscopy (VATS) in PSP.

Methods. From July 1992 to May 1998, 432 patients underwent VATS treatment of PSP. Indications were: recurrent ipsilateral pneumothorax: 322 cases; persistent air leak following a first episode: 93 patients; recurrence following VATS: 16 cases; recurrence following thoracotomy: 1 patient. Vanderschueren’s classification was used for staging. Surgical indications were: stages I and II, subtotal pleurectomy or talc poudrage; stages III and IV, stapling or ligation of the bullae and subtotal pleurectomy or talc poudrage. Differences in recurrence rates were calculated to compare the specific procedures.

Results. No postoperative deaths occurred. Complication rate was 4.16%. Conversion rate was 2.3%. Mean follow-up was 38 months (2 to 72 months). Overall recurrence rate was 4.4%. Specific recurrence rates following stapling and talc poudrage were, respectively, 1.27% and 1.79%. Talc poudrage and stapling of the bullae are respectively superior to subtotal pleurectomy (p < 0.0001) and ligation (p < 0.0001).

Conclusions. Stapling of the bullae and talc poudrage by VATS represent the treatment of choice of PSP.




This article has been cited by other articles:


Home page
 Eur. J. Cardiothorac. Surg.Home page
A. Gaunt, A. E. Martin-Ucar, L. Beggs, D. Beggs, E. A. Black, and J. P. Duffy
Residual apical space following surgery for pneumothorax increases the risk of recurrence.
Eur. J. Cardiothorac. Surg., July 1, 2008; 34(1): 169 - 173.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
D. P. Nathan, N. E. Taylor, D. W. Low, D. Raymond, and J. B. Shrager
Thoracoscopic Total Parietal Pleurectomy for Primary Spontaneous Pneumothorax
Ann. Thorac. Surg., May 1, 2008; 85(5): 1825 - 1827.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
B. Marcheix, L. Brouchet, C. Renaud, Y. Lamarche, A. Mugniot, V. Benouaich, J. Berjaud, and M. Dahan
Videothoracoscopic silver nitrate pleurodesis for primary spontaneous pneumothorax: an alternative to pleurectomy and pleural abrasion?
Eur. J. Cardiothorac. Surg., June 1, 2007; 31(6): 1106 - 1109.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
G. Cardillo, F. Carleo, L. Carbone, M. Di Martino, L. Salvadori, A. Ricci, L. Petrella, and M. Martelli
Long-term lung function following videothoracoscopic talc poudrage for primary spontaneous recurrent pneumothorax
Eur. J. Cardiothorac. Surg., May 1, 2007; 31(5): 802 - 805.
[Abstract] [Full Text] [PDF]

Home page
 Eur Respir JHome page
J-M. Tschopp, R. Rami-Porta, M. Noppen, and P. Astoul
Management of spontaneous pneumothorax: state of the art.
Eur. Respir. J., September 1, 2006; 28(3): 637 - 650.
[Abstract] [Full Text] [PDF]

Home page
 Am. J. Respir. Crit. Care Med.Home page
J.-S. Chen, H.-H. Hsu, R. J. Chen, S.-W. Kuo, P.-M. Huang, P.-R. Tsai, J.-M. Lee, and Y.-C. Lee
Additional Minocycline Pleurodesis after Thoracoscopic Surgery for Primary Spontaneous Pneumothorax
Am. J. Respir. Crit. Care Med., March 1, 2006; 173(5): 548 - 554.
[Abstract] [Full Text] [PDF]

Home page
 Postgrad. Med. J.Home page
C S H Ng, T W Lee, S Wan, and A P C Yim
Video assisted thoracic surgery in the management of spontaneous pneumothorax: the current status.
Postgrad. Med. J., March 1, 2006; 82(965): 179 - 185.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
A. K. Ayed, C. Chandrasekaran, and M. Sukumar
Video-assisted thoracoscopic surgery for primary spontaneous pneumothorax: clinicopathological correlation
Eur. J. Cardiothorac. Surg., February 1, 2006; 29(2): 221 - 225.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
G. Cardillo, F. Carleo, R. Giunti, L. Carbone, S. Mariotta, L. Salvadori, L. Petrella, and M. Martelli
Videothoracoscopic talc poudrage in primary spontaneous pneumothorax: A single-institution experience in 861 cases
J. Thorac. Cardiovasc. Surg., February 1, 2006; 131(2): 322 - 328.
[Abstract] [Full Text] [PDF]

Home page
 MMCTSHome page
C. S.H. Ng, G. Rocco, and A. P.C. Yim
Video-assisted thoracoscopic surgery (VATS) pleurodesis for pneumothorax
MMCTS, April 25, 2005; 2005(0425): 349.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
J. L. Freixinet, E. Canalis, G. Julia, P. Rodriguez, N. Santana, and F. R. de Castro
Axillary thoracotomy versus videothoracoscopy for the treatment of primary spontaneous pneumothorax
Ann. Thorac. Surg., August 1, 2004; 78(2): 417 - 420.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
D. Lardinois, P. Vogt, L. Yang, I. Hegyi, M. Baslam, and W. Weder
Non-steroidal anti-inflammatory drugs decrease the quality of pleurodesis after mechanical pleural abrasion
Eur. J. Cardiothorac. Surg., May 1, 2004; 25(5): 865 - 871.
[Abstract] [Full Text] [PDF]

Home page
 ChestHome page
J. E. Heffner and J. T. Huggins
Management of Secondary Spontaneous Pneumothorax: There's Confusion in the Air
Chest, April 1, 2004; 125(4): 1190 - 1192.
[Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
P.-E. Falcoz, C. Binquet, F. Clement, D. Kaili, C. Quantin, S. Chocron, and J.-P. Etievent
Management of the second episode of spontaneous pneumothorax: a decision analysis
Ann. Thorac. Surg., December 1, 2003; 76(6): 1843 - 1848.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
M. Margolis, F. Gharagozloo, B. Tempesta, G. D. Trachiotis, N. M. Katz, and E. P. Alexander
Video-assisted thoracic surgical treatment of initial spontaneous pneumothorax in young patients
Ann. Thorac. Surg., November 1, 2003; 76(5): 1661 - 1664.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
A. K. Ayed
Suction versus water seal after thoracoscopy for primary spontaneous pneumothorax: prospective randomized study
Ann. Thorac. Surg., May 1, 2003; 75(5): 1593 - 1596.
[Abstract] [Full Text] [PDF]

Home page
 J Intensive Care MedHome page
K. J. Woodside, E. vanSonnenberg, K. S. Chon, D. B. Loran, I. M. Tocino, and J. B. Zwischenberger
Pneumothorax in Patients With Acute Respiratory Distress Syndrome: Pathophysiology, Detection, and Treatment
J Intensive Care Med, January 1, 2003; 18(1): 9 - 20.
[Abstract] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
G. Cardillo, F. Facciolo, L. Carbone, M. Regal, F. Corzani, A. Ricci, M. Di Martino, and M. Martelli
Long-term follow-up of video-assisted talc pleurodesis in malignant recurrent pleural effusions
Eur. J. Cardiothorac. Surg., February 1, 2002; 21(2): 302 - 306.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
C. Casadio, O. Rena, R. Giobbe, and G. Maggi
Primary spontaneous pneumothorax. Is video-assisted thoracoscopy stapler resection with pleural abrasion the gold-standard?
Eur. J. Cardiothorac. Surg., October 1, 2001; 20(4): 897 - 898.
[Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
G. Cardillo, F. Facciolo, M. Regal, L. Carbone, F. Corzani, A. Ricci, and M. Martelli
Recurrences following videothoracoscopic treatment of primary spontaneous pneumothorax: the role of redo-videothoracoscopy
Eur. J. Cardiothorac. Surg., April 1, 2001; 19(4): 396 - 399.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 2000 by The Society of Thoracic Surgeons.