Risk factors for recurrence of primary spontaneous pneumothorax after thoracoscopic surgery

被引:19
作者
Asano, Hisatoshi [1 ]
Ohtsuka, Takashi [1 ]
Noda, Yuki [1 ]
Kato, Daiki [1 ]
Mori, Shohei [1 ]
Nakada, Takeo [1 ]
Matsudaira, Hideki [1 ]
机构
[1] Jikei Univ, Sch Med, Dept Surg, Div Thorac Surg, Tokyo, Japan
基金
日本学术振兴会;
关键词
Spontaneous pneumothorax; thoracoscopic surgery; recurrence; BULLECTOMY; PREDICT; IMPACT;
D O I
10.21037/jtd.2019.04.105
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
Background: Recurrence of pneumothorax after thoracoscopic surgery is a concerning issue for thoracic surgeons. In this study, we aimed to determine the risk factors for recurrence of spontaneous pneumothorax after thoracoscopic surgery. Methods: A total of 192 patients with spontaneous pneumothorax aged <50 years who underwent thoracoscopic surgery from January 2010 to December 2016 were included in this study. Pre- and post-operative characteristics were obtained from medical records, and recurrent and non-recurrent cases were compared. Results: Fourteen patients (7.3%) experienced pneumothorax recurrence. Pneumothorax recurrence was observed more frequently in patients aged <20 years (P=0.041) and those in whom bullae were not identified on preoperative computed tomography (CT) (P=0.049). The use of polyglycolic acid (PGA) sheets during surgery significantly decreased the recurrence rate (P=0.031). A history of ipsilateral pneumothorax before surgery was a significant risk factor for recurrence after thoracoscopic surgery (P=0.001). In the multivariate analysis, a history of ipsilateral pneumothorax and identification of bullae on CT were identified as significant risk factors for recurrence. Conclusions: A history of ipsilateral pneumothorax, and inability to identify bullae on preoperative CT were risk factors for postoperative recurrence of pneumothorax.
引用
收藏
页码:1940 / 1944
页数:5
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