ArticleJournal of thoracic disease2018
New bullae formation in the staple line increases the risk of recurrent pneumothorax following video-assisted thoracoscopic surgery bullectomy for primary spontaneous pneumothorax.
Article in Journal of thoracic disease, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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Who cites it
24 citing papers in PubMed, 28 citations in OpenAlex.
- Long-term recurrence after surgery for recurrent primary spontaneous pneumothorax: pleural intervention versus surgical access.Updates in surgery · 2026Article
- Outcomes of Pleural Sealant Application in Pneumothorax Surgery: A Comparative Analysis.Journal of chest surgery · 2026Article
- Video-assisted thoracoscopy with two-lung ventilation and COJournal of thoracic disease · 2025Article
- Mechanical stress in a solid ellipsoid model of the lung after thoracoscopic surgery for spontaneous pneumothorax.Journal of thoracic disease · 2025Article
- Comparison of early recurrence in young-onset primary spontaneous pneumothorax following surgery using different covering methods.General thoracic and cardiovascular surgery · 2025Article
- From diagnostic biopsy to bullectomy: A case of progressive complications in pulmonary langerhans cell histiocytosis.Respiratory medicine case reports · 2025Article
- CT features associated with contralateral recurrence of spontaneous pneumothorax.QJM : monthly journal of the Association of Physicians · 2024Article
- A Rare Type of Pneumothorax Recurrence After Surgery, Caused by a Lung Laceration Next to the Adhesion.Cureus · 2024Article
- Evaluation of the nonstapling bullectomy by manual suturing for young men with primary spontaneous pneumothorax.Journal of thoracic disease · 2024Article
- Incidence and risk factors for recurrent primary spontaneous pneumothorax after video-assisted thoracoscopic surgery: a systematic review and meta-analysis.Journal of thoracic disease · 2024Article
- Non-stapling thoracoscopic surgery for spontaneous pneumothorax in young patients.General thoracic and cardiovascular surgery · 2024Article
- Population-based study on surgical care for primary spontaneous pneumothorax.European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery · 2024Article
- Oxidized Regenerated Cellulose versus Polyglycolic Acid for Pleural Coverage in Pneumothorax Surgery.Journal of clinical medicine · 2023Article
- The effect of polyglycolic acid sheet in preventing postoperative recurrent pneumothorax: a prospective cohort study.Journal of cardiothoracic surgery · 2023Article
- Video-assisted subtotal parietal pleurectomy: an effective procedure for recurrent refractory pneumothorax.BMC surgery · 2022Article
- Early Postoperative Pneumothorax Might Not Be 'True' Recurrence.Journal of clinical medicine · 2021Article
- Feasibility of application of an absorbable topical collagen hemostat sheet (INTEGRANJournal of thoracic disease · 2021Article
- Clinicopathological significance of staple line coverage with an oxidized regenerated cellulose sheet after bullectomy for primary spontaneous pneumothorax.General thoracic and cardiovascular surgery · 2020Article
- Is it time to reconsider the need for bullectomy in the surgical management of primary spontaneous pneumothorax?Journal of thoracic disease · 2020Article
- Should We Consider the Resected Lung Volume in Primary Spontaneous Pneumothorax?World journal of surgery · 2020Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe study aimed to investigate the association between the recurrence of pneumothorax following video-assisted thoracoscopic surgery (VATS) for primary spontaneous pneumothorax (PSP) and the formation of new bullae.
methodsThis retrospective review examined patients who underwent VATS for PSP between April 2009 and December 2014. Of the 415 operated lungs, high-resolution computed tomography (HRCT) scans of 85 were analyzed.
resultsOf the 85 HRCT scans examined, 21 (24.7%) were diagnosed with recurrent pneumothorax and 60 new bullae were found. In total, 39 new bullae were located in the staple line, 38 were at other sites far from the staplers, and 17 were concurrent in the stapling and non-stapling areas. The group with new bullae in staple line exhibited significantly higher recurrence rate following VATS than the groups with no new bullae in the staple line (P=0.000, log-rank test). Cox regression analysis revealed that new bullae formation in the staple line [hazard ratio (HR), 26.664; P=0.003] and the volume of a resected pathology specimen (HR, 1.032; P=0.020) were independent risk factors for pneumothorax recurrence.
conclusionsNew bullae formation in the staple line increases the risk of recurrent pneumothorax following VATS. Thus, the current concept of VATS bullectomy-resect with sufficient margin-warrants reconsideration.
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