Evaluation of the nonstapling bullectomy by manual suturing for young men with primary spontaneous pneumothorax.

ABSTRACT:

Background

Currently, surgery for primary spontaneous pneumothorax (PSP) is performed by bullectomy using a stapler with complete video-assisted thoracic surgery (cVATS). However, the postoperative recurrence rate (RR) of PSP is high in young men. The factors of postoperative PSP recurrence are the formation of postoperative bulla neogenesis (POBN) around the staple line, pleural injury caused by forceps for VATS, and bulla overlooked with a thoracoscope. We attempted nonstapling bullectomy with one-port-one-window (1p-1w) by using hybrid VATS (hVATS) to reduce postoperative RR. This study aimed to evaluate nonstapling bullectomy by manual suturing for young male patients with PSP compared with bullectomy by cVATS.

Methods

From January 2012 to December 2022, we retrospective

SUBMITTER: Suzuki K 

PROVIDER: S-EPMC11494564 | biostudies-literature | 2024 Sep

REPOSITORIES: biostudies-literature