Primary spontaneous pneumothorax: reassessing the role of chest CT in surgical decision-making.

ABSTRACT:

Purpose

Primary spontaneous pneumothorax (PSP) is a common condition managed either conservatively or surgically. This study investigated whether specific chest X-ray or computed tomography (CT) characteristics can predict the need for surgical intervention and clarified the role of each imaging modality in surgical planning.

Methods

We retrospectively reviewed records of all PSP patients at a university hospital from 2013 to 2024. Only patients with available imaging were included in the analysis. Radiographic characteristics, clinical data, and outcomes were collected. Univariate analysis and logistic regression were performed to identify predictors of surgical intervention.

Results

Ninety-one patients were included, with 35 (38.5%) undergoing surgical intervention.

SUBMITTER: El Hija MA 

PROVIDER: S-EPMC12450138 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature