Korean J Thorac Cardiovasc Surg.  2012 Oct;45(5):316-319. 10.5090/kjtcs.2012.45.5.316.

The Effect of Thoracoscopic Pleurodesis in Primary Spontaneous Pneumothorax: Apical Parietal Pleurectomy versus Pleural Abrasion

• Huh U
• Kim YD
• Cho JS
• I H
• Lee JG
• Lee JH

• KMID: 1433627
• DOI: http://doi.org/10.5090/kjtcs.2012.45.5.316

Abstract

BACKGROUND
The standard operative treatment of primary spontaneous pneumothorax (PSP) is thoracoscopic wedge resection, but necessity of pleurodesis still remains controversial. Nevertheless, pleural procedure after wedge resection such as pleurodesis has been performed in some patients who need an extremely low recurrence rate.
MATERIALS AND METHODS
From January 2000 to July 2010, 207 patients who had undergone thoracoscopic wedge resection and pleurodesis were enrolled in this study. All patients were divided into two groups according to the methods of pleurodesis; apical parietal pleurectomy (group A) and pleural abrasion (group B). The recurrence after surgery had been checked by reviewing medical record through follow-up in ambulatory care clinic or calling to the patients, directly until January 2011.
RESULTS
Of the 207 patients, the recurrence rate of group A and B was 9.1% and 12.8%, respectively and there was a significant difference (p=0.01, Cox's proportional hazard model). There was no significant difference in age, gender, smoking status, and body mass index between two groups.
CONCLUSION
This study suggests that the risk of recurrence after surgery in PSP is significantly low in patients who underwent thoracoscopic wedge resection with parietal pleurectomy than pleural abrasion.

Keyword

Pneumothorax; Pleurectomy; Thoracoscopy; Pleurodesis

MeSH Terms

Ambulatory Care
Body Mass Index
Follow-Up Studies
Humans
Medical Records
Pleurodesis
Pneumothorax
Recurrence
Smoke
Smoking
Thoracoscopy
Smoke