Uniportal thoracoscopic bullectomy with improved parietal pleurectomy for primary spontaneous pneumothorax
Abstract Introduction Parietal pleurectomy with bullectomy has been established as an effective method for preventing the recurrence of primary spontaneous pneumothorax (PSP). Our center introduced enhanced technical measures in uniportal thoracoscopic parietal pleurectomy with bullectomy for patien...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2023-12-01
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| Series: | The Clinical Respiratory Journal |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/crj.13722 |
| _version_ | 1797385472152961024 |
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| author | Ningning Kang Hao Zheng Wei Ge Jin‐Xiu Hu Wen Liu Ren‐Quan Zhang |
| author_facet | Ningning Kang Hao Zheng Wei Ge Jin‐Xiu Hu Wen Liu Ren‐Quan Zhang |
| author_sort | Ningning Kang |
| collection | DOAJ |
| description | Abstract Introduction Parietal pleurectomy with bullectomy has been established as an effective method for preventing the recurrence of primary spontaneous pneumothorax (PSP). Our center introduced enhanced technical measures in uniportal thoracoscopic parietal pleurectomy with bullectomy for patients with PSP, aiming to document our initial experience and assess the procedure's effectiveness in preventing the recurrence of PSP. Methods We analyzed the clinical data of 86 patients with PSP who underwent the improved uniportal thoracoscopic parietal pleurectomy with bullectomy between July 2019 and August 2022. During the procedure, the parietal pleura above the second intercostal space was stripped but not removed. Instead, it was retained in the thoracic cavity using a piece of pedunculated pleura. Subsequently, the stumps of the lung were covered by the preserved parietal pleura. Results The results of the study showed that the mean operative time was 59.87 ± 16.93 min, and the postoperative drainage duration averaged 3.94 ± 2.17 days. The mean intraoperative blood loss was 24.33 ± 48.91 ml, and the mean postoperative drainage volume was 289.00 ± 170.03 ml. Prolonged air leakage for more than 5 days was observed in five patients (5.81%), but no other postoperative complications were recorded. During the follow‐up, one patient (1.16%) experienced a recurrence of pneumothorax. Conclusions The perioperative results of bullectomy with the improved pleurectomy technique are deemed satisfactory. The various technical steps attempted at our center are found to be feasible and safe, and they may contribute to reducing the rates of recurrence in PSP. |
| first_indexed | 2024-03-08T21:54:42Z |
| format | Article |
| id | doaj.art-15e1cdc7bd934621a0bbf6d0ee450c47 |
| institution | Directory Open Access Journal |
| issn | 1752-6981 1752-699X |
| language | English |
| last_indexed | 2024-03-08T21:54:42Z |
| publishDate | 2023-12-01 |
| publisher | Wiley |
| record_format | Article |
| series | The Clinical Respiratory Journal |
| spelling | doaj.art-15e1cdc7bd934621a0bbf6d0ee450c472023-12-20T03:33:59ZengWileyThe Clinical Respiratory Journal1752-69811752-699X2023-12-0117121341134810.1111/crj.13722Uniportal thoracoscopic bullectomy with improved parietal pleurectomy for primary spontaneous pneumothoraxNingning Kang0Hao Zheng1Wei Ge2Jin‐Xiu Hu3Wen Liu4Ren‐Quan Zhang5Department of Thoracic Surgery First Affiliated Hospital of Anhui Medical University Hefei ChinaDepartment of Thoracic Surgery First Affiliated Hospital of Anhui Medical University Hefei ChinaDepartment of Thoracic Surgery First Affiliated Hospital of Anhui Medical University Hefei ChinaDepartment of Thoracic Surgery First Affiliated Hospital of Anhui Medical University Hefei ChinaDepartment of Thoracic Surgery First Affiliated Hospital of Anhui Medical University Hefei ChinaDepartment of Thoracic Surgery First Affiliated Hospital of Anhui Medical University Hefei ChinaAbstract Introduction Parietal pleurectomy with bullectomy has been established as an effective method for preventing the recurrence of primary spontaneous pneumothorax (PSP). Our center introduced enhanced technical measures in uniportal thoracoscopic parietal pleurectomy with bullectomy for patients with PSP, aiming to document our initial experience and assess the procedure's effectiveness in preventing the recurrence of PSP. Methods We analyzed the clinical data of 86 patients with PSP who underwent the improved uniportal thoracoscopic parietal pleurectomy with bullectomy between July 2019 and August 2022. During the procedure, the parietal pleura above the second intercostal space was stripped but not removed. Instead, it was retained in the thoracic cavity using a piece of pedunculated pleura. Subsequently, the stumps of the lung were covered by the preserved parietal pleura. Results The results of the study showed that the mean operative time was 59.87 ± 16.93 min, and the postoperative drainage duration averaged 3.94 ± 2.17 days. The mean intraoperative blood loss was 24.33 ± 48.91 ml, and the mean postoperative drainage volume was 289.00 ± 170.03 ml. Prolonged air leakage for more than 5 days was observed in five patients (5.81%), but no other postoperative complications were recorded. During the follow‐up, one patient (1.16%) experienced a recurrence of pneumothorax. Conclusions The perioperative results of bullectomy with the improved pleurectomy technique are deemed satisfactory. The various technical steps attempted at our center are found to be feasible and safe, and they may contribute to reducing the rates of recurrence in PSP.https://doi.org/10.1111/crj.13722parietal pleurectomy with bullectomypreserved parietal pleuraprimary spontaneous pneumothoraxrecurrencethoracoscopicuniportal |
| spellingShingle | Ningning Kang Hao Zheng Wei Ge Jin‐Xiu Hu Wen Liu Ren‐Quan Zhang Uniportal thoracoscopic bullectomy with improved parietal pleurectomy for primary spontaneous pneumothorax The Clinical Respiratory Journal parietal pleurectomy with bullectomy preserved parietal pleura primary spontaneous pneumothorax recurrence thoracoscopic uniportal |
| title | Uniportal thoracoscopic bullectomy with improved parietal pleurectomy for primary spontaneous pneumothorax |
| title_full | Uniportal thoracoscopic bullectomy with improved parietal pleurectomy for primary spontaneous pneumothorax |
| title_fullStr | Uniportal thoracoscopic bullectomy with improved parietal pleurectomy for primary spontaneous pneumothorax |
| title_full_unstemmed | Uniportal thoracoscopic bullectomy with improved parietal pleurectomy for primary spontaneous pneumothorax |
| title_short | Uniportal thoracoscopic bullectomy with improved parietal pleurectomy for primary spontaneous pneumothorax |
| title_sort | uniportal thoracoscopic bullectomy with improved parietal pleurectomy for primary spontaneous pneumothorax |
| topic | parietal pleurectomy with bullectomy preserved parietal pleura primary spontaneous pneumothorax recurrence thoracoscopic uniportal |
| url | https://doi.org/10.1111/crj.13722 |
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