Abstract | OBJECTIVE: METHODS: From 1996 to 2002, we retrospectively reviewed all patients who were treated for a recurrent primary spontaneous pneumothorax after a previous talc pleurodesis. Data on the talc procedure and the recurrent pneumothorax, delay between both, and operative features were studied. Conversion rate to a thoracotomy and postoperative complications as well as long-term outcome were reported. RESULTS: We collected 39 patients (28 male) with a median age of 25 years (15-41 years). The initial procedure consisted of thoracoscopic talc poudrage in all cases. The median delay between the talc procedure and the recurrence was 23 months [10 days-13 years]. Size of recurrence involved 10-80% of the hemithorax. The VATS procedure was successfully achieved in 27 patients (69%) while 12 required conversion to a thoracotomy. The main cause for conversion was the presence of dense pleural adhesion at the mediastinal part of the pleural cavity. Postoperative morbidity was limited to pleural complications in the VATS group (n=6, 22%). Median follow-up was 26 months [10-38 months]. One patient treated by VATS developed a partial recurrent pneumothorax at 12 months with a favorable outcome without further surgery. CONCLUSIONS:
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Authors | Christophe Doddoli, Fabrice Barlési, Anne Fraticelli, Pascal Thomas, Philippe Astoul, Roger Giudicelli, Pierre Fuentes |
Journal | European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery
(Eur J Cardiothorac Surg)
Vol. 26
Issue 5
Pg. 889-92
(Nov 2004)
ISSN: 1010-7940 [Print] Germany |
PMID | 15519177
(Publication Type: Evaluation Study, Journal Article)
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Chemical References |
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Topics |
- Adolescent
- Adult
- Feasibility Studies
- Female
- Humans
- Male
- Pleurodesis
- Pneumothorax
(surgery, therapy)
- Recurrence
- Retrospective Studies
- Talc
(administration & dosage)
- Thoracic Surgery, Video-Assisted
(adverse effects)
- Time Factors
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