ArticleThe Korean journal of thoracic and cardiovascular surgery2017
Location of Ruptured Bullae in Secondary Spontaneous Pneumothorax.
Article in The Korean journal of thoracic and cardiovascular surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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2 citing papers in PubMed, 5 citations in OpenAlex.
- Quantitative Measurement of Pneumothorax Using Artificial Intelligence Management Model and Clinical Application.Diagnostics (Basel, Switzerland) · 2022Article
- Effect of overhang and stiffness on accessibility of catheter tip to lung defects under surgical constraints.Annals of translational medicine · 2020Article
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Authors and funding
6 authors at 2 institutions in 1 country.
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Abstract
backgroundThe surgical treatment of secondary spontaneous pneumothorax (SSP) can be complicated by fragile lung parenchyma. The preoperative prediction of air leakage could help prevent intraoperative lung injury during manipulation of the lung. Common sites of bulla development and ruptured bullae were investigated based on computed tomography (CT) and intraoperative findings.
methodsThe study enrolled 208 patients with SSP who underwent air leak control through video-assisted thoracoscopic surgery (VATS). We retrospectively reviewed the sites of bulla development on preoperative CT and the rupture sites during VATS.
resultsOf the 135 cases of right-sided SSP, the most common rupture site was the apical segment (31.9%), followed by the azygoesophageal recess (27.4%). Of the 75 cases on the left side, the most common rupture site was the apical segment (24.0%), followed by the anterior basal segment (17.3%).
conclusionThe azygoesophageal recess and parenchyma along the cardiac border were common sites of bulla development and rupture. Studies of respiratory lung motion to measure the pleural pressure at the lung surface could help to determine the relationship between cardiogenic and diaphragmatic movement and bulla formation or rupture.
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