ArticleGeneral thoracic and cardiovascular surgery2015
Relationship between postoperative bulla neogenesis at the staple line and the resected lung volume in primary spontaneous pneumothorax.
Article in General thoracic and cardiovascular surgery, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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12 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.
- Effects of Different Treatment Regimens on Primary Spontaneous Pneumothorax: A Systematic Review and Network Meta-Analysis.Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia · 2022Pooled it
- Mechanical stress in a solid ellipsoid model of the lung after thoracoscopic surgery for spontaneous pneumothorax.Journal of thoracic disease · 2025Article
- Evaluation of the nonstapling bullectomy by manual suturing for young men with primary spontaneous pneumothorax.Journal of thoracic disease · 2024Article
- Non-stapling thoracoscopic surgery for spontaneous pneumothorax in young patients.General thoracic and cardiovascular surgery · 2024Article
- Prospective Observation Study for Primary Spontaneous Pneumothorax: Incidence of and Risk Factors for Postoperative Neogenesis of Bullae.Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia · 2024Observational
- Should We Consider the Resected Lung Volume in Primary Spontaneous Pneumothorax?World journal of surgery · 2020Article
- New bullae formation in the staple line increases the risk of recurrent pneumothorax following video-assisted thoracoscopic surgery bullectomy for primary spontaneous pneumothorax.Journal of thoracic disease · 2018Article
- Pneumothorax in teenagers: reducing recurrence through resection of superior segment of lower lobe.Journal of thoracic disease · 2018Article
- Influence of lung resection volume on risk of primary spontaneous pneumothorax recurrence.Journal of thoracic disease · 2018Article
- Association between postoperative bulla neogenesis at the staple line and resected lung weight for primary spontaneous pneumothorax: a retrospective study using the inverse-probability of treatment weighted method in patients grouped according to age.Journal of thoracic disease · 2016Article
- Air leakage on the postoperative day: powerful factor of postoperative recurrence after thoracoscopic bullectomy.Journal of thoracic disease · 2016Article
- Etiology of primary spontaneous pneumothorax.Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e TisilogiaArticle
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Authors and funding
6 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeIn patients with primary spontaneous pneumothorax (PSP), bullae are generally resected using autosutures under video-assisted thoracoscopic surgery (VATS). However, postoperative bulla neogenesis (POBN) along the staple line is not rare and is a factor promoting PSP recurrence. POBN is attributed to tension along the staple line, and we surmise that the resected lung volume affects this tension. Therefore, in this study, we retrospectively examined the relationship between POBN and the resected lung volume in patients who underwent surgical treatment of PSP.
methodsBetween February 2011 and May 2015, 70 lung resection sites in 56 PSP patients who underwent primary VATS at our hospital were evaluated. POBN was diagnosed on high-resolution computed tomography 1 year postoperatively in principle.
resultsPOBN was detected at 26 of 70 (37.1 %) sites. On univariate analysis, lung weight ≥1.5 g, lung length ≥4.0 cm, resected site: apical, age <25 years old and non-smoking habit were identified as significant, and the POBN rates for cases with lung weight ≥1.5 g or lung length ≥4.0 cm were 47.9 % (P = 0.004) and 44.1 % (P < 0.001), respectively. On multivariate analysis, lung weight ≥1.5 g was only significant factor for POBN (P = 0.043).
conclusionA resected lung weight ≥1.5 g was only significant risk factor of POBN in patients with PSP.
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