Primary Spontaneous Pneumothorax: Open Thoracotomy vs. Video-assisted Thoracoscopic Surgery: A Single-center Retrospective Cohort Study
Background: Primary spontaneous pneumothorax (PSP) is a spontaneous pneumothorax without underlying lung disease. The main goals of this study were to compare the outcomes of video-assisted thoracoscopic surgery (VATS) and open thoracotomy in patients with PSP. Methods: The current study is a retros...
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| Format: | Article |
| Language: | English |
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Shiraz University of Medical Sciences
2023-01-01
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| Series: | Iranian Journal of Medical Sciences |
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| Online Access: | https://ijms.sums.ac.ir/article_48659_184b02ebe120391bb05aab6dd216da2f.pdf |
| _version_ | 1811177167578464256 |
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| author | Saadat Mehrabi Mohammad Behgam Shadmehr Cambyz Irajie Mohammad Javad Yavari Barhaghtalab |
| author_facet | Saadat Mehrabi Mohammad Behgam Shadmehr Cambyz Irajie Mohammad Javad Yavari Barhaghtalab |
| author_sort | Saadat Mehrabi |
| collection | DOAJ |
| description | Background: Primary spontaneous pneumothorax (PSP) is a spontaneous pneumothorax without underlying lung disease. The main goals of this study were to compare the outcomes of video-assisted thoracoscopic surgery (VATS) and open thoracotomy in patients with PSP. Methods: The current study is a retrospective cohort study of patients who were admitted to the emergency department or general surgery ward at Dr. Masih Daneshvari Hospital (Tehran, Iran) with the diagnosis of PSP and underwent surgery by open or VATS approach from 2006 to 2012. The groups were compared in terms of the length of operation, the length of hospitalization, recurrence, and postoperative complications. Data were analyzed using SPSS version 18.0, and Student’s t test, analysis of variance (ANOVA), Chi square, and Fisher’s exact test were employed. P values less than 0.05 were considered statistically significant.Results: PSP was diagnosed in 90 patients who underwent surgery. Open thoracotomy and VATS procedures were performed in 65 (72.2%) and 25 (27.8%) patients, respectively. VATS was converted to open in seven cases (7.7%). Recurrent pneumothorax was the most common surgical indication for PSP. There was no significant difference between the two groups in terms of mean age, sex, smoking, side of the involved lung, previous pneumothorax history, mean length of hospitalization for recurrence, post-operation bleeding, and failure of lung expansion. However, the length of surgery (P=0.011) and air leakage (P=0.048) significantly differed between the two groups. Conclusion: When compared to open thoracotomy, VATS could be the primary treatment option in the surgical treatment of PSP due to the shorter length of surgery and decreased complications such as air leakage. |
| first_indexed | 2024-04-10T22:57:06Z |
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| institution | Directory Open Access Journal |
| issn | 0253-0716 1735-3688 |
| language | English |
| last_indexed | 2024-04-10T22:57:06Z |
| publishDate | 2023-01-01 |
| publisher | Shiraz University of Medical Sciences |
| record_format | Article |
| series | Iranian Journal of Medical Sciences |
| spelling | doaj.art-a13f7c00a0c14f33a4fa4d705f14a8df2023-01-14T06:21:07ZengShiraz University of Medical SciencesIranian Journal of Medical Sciences0253-07161735-36882023-01-01481495610.30476/ijms.2022.91422.226048659Primary Spontaneous Pneumothorax: Open Thoracotomy vs. Video-assisted Thoracoscopic Surgery: A Single-center Retrospective Cohort StudySaadat Mehrabi0Mohammad Behgam Shadmehr1Cambyz Irajie2Mohammad Javad Yavari Barhaghtalab3Department of General Surgery, Shahid Beheshti Hospital, Yasuj University of Medical Sciences, Yasuj, IranDepartment of Thoracic Surgery, Tracheal Diseases Research Center, Massih Daneshvari Hospital, Shahid Beheshti University of Medical Sciences, Tehran, IranDepartment of Medical Biotechnology, School of Advanced Medical Sciences and Technologies, Shiraz University of Medical Sciences, Shiraz, IranDepartment of General Surgery, Shahid Beheshti Hospital, Yasuj University of Medical Sciences, Yasuj, IranBackground: Primary spontaneous pneumothorax (PSP) is a spontaneous pneumothorax without underlying lung disease. The main goals of this study were to compare the outcomes of video-assisted thoracoscopic surgery (VATS) and open thoracotomy in patients with PSP. Methods: The current study is a retrospective cohort study of patients who were admitted to the emergency department or general surgery ward at Dr. Masih Daneshvari Hospital (Tehran, Iran) with the diagnosis of PSP and underwent surgery by open or VATS approach from 2006 to 2012. The groups were compared in terms of the length of operation, the length of hospitalization, recurrence, and postoperative complications. Data were analyzed using SPSS version 18.0, and Student’s t test, analysis of variance (ANOVA), Chi square, and Fisher’s exact test were employed. P values less than 0.05 were considered statistically significant.Results: PSP was diagnosed in 90 patients who underwent surgery. Open thoracotomy and VATS procedures were performed in 65 (72.2%) and 25 (27.8%) patients, respectively. VATS was converted to open in seven cases (7.7%). Recurrent pneumothorax was the most common surgical indication for PSP. There was no significant difference between the two groups in terms of mean age, sex, smoking, side of the involved lung, previous pneumothorax history, mean length of hospitalization for recurrence, post-operation bleeding, and failure of lung expansion. However, the length of surgery (P=0.011) and air leakage (P=0.048) significantly differed between the two groups. Conclusion: When compared to open thoracotomy, VATS could be the primary treatment option in the surgical treatment of PSP due to the shorter length of surgery and decreased complications such as air leakage.https://ijms.sums.ac.ir/article_48659_184b02ebe120391bb05aab6dd216da2f.pdfpneumothoraxthoracotomysurgeryvideo-assisted |
| spellingShingle | Saadat Mehrabi Mohammad Behgam Shadmehr Cambyz Irajie Mohammad Javad Yavari Barhaghtalab Primary Spontaneous Pneumothorax: Open Thoracotomy vs. Video-assisted Thoracoscopic Surgery: A Single-center Retrospective Cohort Study Iranian Journal of Medical Sciences pneumothorax thoracotomy surgery video-assisted |
| title | Primary Spontaneous Pneumothorax: Open Thoracotomy vs. Video-assisted Thoracoscopic Surgery: A Single-center Retrospective Cohort Study |
| title_full | Primary Spontaneous Pneumothorax: Open Thoracotomy vs. Video-assisted Thoracoscopic Surgery: A Single-center Retrospective Cohort Study |
| title_fullStr | Primary Spontaneous Pneumothorax: Open Thoracotomy vs. Video-assisted Thoracoscopic Surgery: A Single-center Retrospective Cohort Study |
| title_full_unstemmed | Primary Spontaneous Pneumothorax: Open Thoracotomy vs. Video-assisted Thoracoscopic Surgery: A Single-center Retrospective Cohort Study |
| title_short | Primary Spontaneous Pneumothorax: Open Thoracotomy vs. Video-assisted Thoracoscopic Surgery: A Single-center Retrospective Cohort Study |
| title_sort | primary spontaneous pneumothorax open thoracotomy vs video assisted thoracoscopic surgery a single center retrospective cohort study |
| topic | pneumothorax thoracotomy surgery video-assisted |
| url | https://ijms.sums.ac.ir/article_48659_184b02ebe120391bb05aab6dd216da2f.pdf |
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