ArticleBMJ open respiratory research2022
Comparison of the efficacy of novel two covering methods for spontaneous pneumothorax: a multi-institutional study.
Article in BMJ open respiratory research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 8 citations in OpenAlex.
- Staple line coverage with suture fixation of polyglycolic acid patch for primary spontaneous pneumothorax.Journal of thoracic disease · 2026Article
- Stratified and propensity score matching analysis of the effectiveness of fibrin glue in preventing postoperative bleeding after endoscopic submucosal dissection.Annals of medicine · 2025Article
- Larger polyglycolic acid sheet pleural covering to reduce postoperative recurrence of primary spontaneous pneumothorax.Journal of thoracic disease · 2025Article
- Role of intermediate water in alleviating postsurgical intrapericardial adhesion.Surgery today · 2025Article
- Evaluation of the nonstapling bullectomy by manual suturing for young men with primary spontaneous pneumothorax.Journal of thoracic disease · 2024Article
- In vivo comparative assessments on pleural adhesive effects of three commercially available sealants.JTCVS techniques · 2024Article
- Adhesion is a risk factor for postoperative recurrence of spontaneous pneumothorax.Journal of thoracic disease · 2023Article
- Oxidized Regenerated Cellulose versus Polyglycolic Acid for Pleural Coverage in Pneumothorax Surgery.Journal of clinical medicine · 2023Article
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Authors and funding
10 authors at 2 institutions in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
objectivesThe postoperative recurrence rate after thoracoscopic bullectomy for primary spontaneous pneumothorax (PSP) is not satisfactory. This retrospective study was conducted to elucidate an effective technique for improving the postoperative recurrence rate.
methodsThe present study included 373 patients who underwent thoracoscopic bullectomy for PSP at three hospitals from January 2013 to May 2020. We compared the recurrence rate according to two methods that were used to cover the staple line after thoracoscopic bullectomy. Group A (146 patients) was treated with an absorbable polyglycolic acid (PGA) sheet plus fibrin glue and oxidised regenerated cellulose (ORC). Group B (227 patients) was treated with ORC alone.
resultsThere was no significant difference in preoperative characteristics of the patients. The postoperative recurrence rate of pneumothorax was 3.4% (5/146) in Group A and 17.2% (39/227) in Group B, respectively. Among 23 patients (Group A, n=3 and Group B, n=20) who received reoperation for recurrent pneumothorax, the site of recurrence was around the stapler line of the first operation in 1 of 5 (20%) patients in Group A and 28 of 39 (71.8%) patients in Group B. The 1-year recurrence-free rate was 97.4% (median follow-up period, 73 days (range, 2-3952 days)) in Group A and 80.9% (median follow-up period, 71 days (range 2-2648 days)) in Group B.
conclusionsCoverage with a PGA sheet may prevent the postoperative recurrence of PSP. A large-scale prospective randomised study should be conducted to clarify the most effective treatment for PSP.
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