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Published in:

01-05-2009

Bullae Ablation in Primary Spontaneous Pneumothorax

Authors: Yun-Hen Liu, Yin-Kai Chao, Yi-Chen Wu, Ming-Ju Hsieh, Ching-Yang Wu, Ming-Shian Lu, Chien-Ying Liu, Po-Jen Ko, Hui-Ping Liu

Published in: World Journal of Surgery | Issue 5/2009

Abstract

Background

The benefit of bullae ablation for the management of primary spontaneous pneumothorax (PSP) has been established. However, various modalities for bullae ablation have been reported from different centers.

Objective

The present study aimed to assess whether endoloop ligation of bullae was as effective as staple bullectomy for preventing the recurrence of pneumothorax.

Methods

Between January 1993 and December 2003, 226 patients (203 men and 23 women) with PSP were recorded and retrospectively reviewed. One hundred thirty (57.5%) patients were treated with endoloop ligation of bullae and the other 96 (42.5%) were treated with staple bullectomy. Mechanical abrasion was performed in all patients after bullae ablation.

Results

The recurrence rate of pneumothorax was 6.2% (8 patients) in the endoloop ligation group and 17.7% (17 patients) in the staple bullectomy group (p = 0.006). The postoperative complication rate was 14.6 and 20.8% in the endoloop ligation and staple bullectomy groups, respectively (p = 0.221). The long-term chest discomfort rate after endoloop ligation and staple bullectomy was 14.6 and 13.5%, respectively (p = 0.819)

Conclusions

Endoloop ligation of bullae is as effective as mechanical staple bullectomy for the management of bullae in primary spontaneous pneumothorax.

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Title: Bullae Ablation in Primary Spontaneous Pneumothorax
Authors: Yun-Hen Liu
Yin-Kai Chao
Yi-Chen Wu
Ming-Ju Hsieh
Ching-Yang Wu
Ming-Shian Lu
Chien-Ying Liu
Po-Jen Ko
Hui-Ping Liu
Publication date: 01-05-2009
Publisher: Springer-Verlag
Published in: World Journal of Surgery / Issue 5/2009
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI: https://doi.org/10.1007/s00268-009-9928-2

At a glance: The STEP trials

Springer Medicine

Bullae Ablation in Primary Spontaneous Pneumothorax

Abstract

Background

Objective

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Objective

Methods

Results

Conclusions

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