PMID- 26291746
OWN - NLM
STAT- MEDLINE
DCOM- 20170717
LR  - 20220408
IS  - 1439-1902 (Electronic)
IS  - 0171-6425 (Linking)
VI  - 65
IP  - 1
DP  - 2017 Jan
TI  - Thoracoscopic Bilateral Bullectomy for Simultaneously Developed Bilateral Primary 
      Spontaneous Pneumothorax: Ipsilateral Transmediastinal versus Bilateral 
      Sequential Approach.
PG  - 56-60
LID - 10.1055/s-0035-1562939 [doi]
AB  - Background Simultaneously developed bilateral primary spontaneous pneumothorax 
      (BPSP) is an indication for thoracic surgery of both sides. Recently, we have 
      reported a new technique for BPSP, which is ipsilateral apicoposterior 
      transmediastinal (TM) bullectomy of both sides using video-assisted thoracoscopic 
      surgery (VATS), and we compared this TM VATS with bilateral sequential (BS) VATS 
      for BPSP. Materials and Methods From June 2003 to May 2014, 11 and 14 patients 
      were performed VATS TM and BS bullectomy for BPSP, respectively. We reviewed the 
      medical records and compared the clinical data between the two groups. For TM 
      group, we first performed the right VATS bullectomy and approached through the 
      apicoposterior mediastinal region for contralateral VATS. In the other group, 
      conventional BS VATS bullectomy was performed in the lateral decubitus position 
      change. Results The mean follow-up was 62.0 +/- 32.6 months. No mortality and major 
      complications were observed. The operative time (68.18 +/- 24.93 vs. 96.07 +/- 37.73, 
      p = 0.046), duration of left pleural drainage (1.00 +/- 0.45 vs. 3.21 +/- 1.37, 
      p = 0.000), and length of hospital stay (3.82 +/- 1.54 vs. 4.93 +/- 1.07, p = 0.044) 
      were significantly shorter in the TM group than in the BS group. No significant 
      differences were seen in duration of general anesthesia, total number of wedge 
      resections and endostaplers used in both lungs, duration of right drainage, and 
      postoperative recurrence. Conclusion The TM VATS approach may be a safe and 
      feasible modality for BPSP. It may decrease the operative time, patients 
      inconvenience such as bilateral multiple wounds and longstanding placement of 
      chest tubes, and decrease the hospital stay compared with the BS VATS approach.
CI  - Georg Thieme Verlag KG Stuttgart . New York.
FAU - Cho, Deog Gon
AU  - Cho DG
AD  - Department of Thoracic and Cardiovascular Surgery, St. Vincent's Hospital, 
      College of Medicine, The Catholic University of Korea, Suwon, Republic of Korea.
FAU - Lee, Seok In
AU  - Lee SI
AD  - Department of Thoracic and Cardiovascular Surgery, St. Vincent's Hospital, 
      College of Medicine, The Catholic University of Korea, Suwon, Republic of Korea.
FAU - Chang, Yong Jin
AU  - Chang YJ
AD  - Department of Thoracic and Cardiovascular Surgery, St. Vincent's Hospital, 
      College of Medicine, The Catholic University of Korea, Suwon, Republic of Korea.
FAU - Cho, Kyu Do
AU  - Cho KD
AD  - Department of Thoracic and Cardiovascular Surgery, St. Vincent's Hospital, 
      College of Medicine, The Catholic University of Korea, Suwon, Republic of Korea.
FAU - Cho, Suk Kyu
AU  - Cho SK
AD  - Department of Thoracic and Cardiovascular Surgery, St. Vincent's Hospital, 
      College of Medicine, The Catholic University of Korea, Suwon, Republic of Korea.
LA  - eng
PT  - Comparative Study
PT  - Journal Article
DEP - 20150820
PL  - Germany
TA  - Thorac Cardiovasc Surg
JT  - The Thoracic and cardiovascular surgeon
JID - 7903387
SB  - IM
MH  - Adolescent
MH  - Blister/complications/diagnosis/*surgery
MH  - Chest Tubes
MH  - Drainage/instrumentation
MH  - Female
MH  - Humans
MH  - Length of Stay
MH  - Male
MH  - Operative Time
MH  - Patient Positioning
MH  - Pneumothorax/complications/diagnosis/*surgery
MH  - Retrospective Studies
MH  - Surgical Stapling
MH  - Thoracic Surgery, Video-Assisted/adverse effects/*methods
MH  - Time Factors
MH  - Treatment Outcome
MH  - Young Adult
EDAT- 2015/08/21 06:00
MHDA- 2017/07/18 06:00
CRDT- 2015/08/21 06:00
PHST- 2015/08/21 06:00 [pubmed]
PHST- 2017/07/18 06:00 [medline]
PHST- 2015/08/21 06:00 [entrez]
AID - 10.1055/s-0035-1562939 [doi]
PST - ppublish
SO  - Thorac Cardiovasc Surg. 2017 Jan;65(1):56-60. doi: 10.1055/s-0035-1562939. Epub 
      2015 Aug 20.