Staple Line Coverage with a Polyglycolic Acid Patch and Fibrin Glue without Pleural Abrasion after Thoracoscopic Bullectomy for Primary Spontaneous Pneumothorax
The Korean Journal of Thoracic and Cardiovascular Surgery
; : 85-91, 2016.
Article
in En
| WPRIM
| ID: wpr-16385
Responsible library:
WPRO
ABSTRACT
BACKGROUND:
This study was conducted to determine the efficacy of staple line coverage using a polyglycolic acid patch and fibrin glue without pleural abrasion to prevent recurrent postoperative pneumothorax.METHODS:
A retrospective analysis was carried out of 116 operations performed between January 2011 and April 2013. During this period, staple lines were covered with a polyglycolic acid patch and fibrin glue in 58 cases (group A), while 58 cases underwent thoracoscopic bullectomy only (group B).RESULTS:
The median follow-up period was 33 months (range, 22 to 55 months). The duration of chest tube drainage was shorter in group A (group A 2.7±1.2 day vs. group B 3.9±2.3 day, p=0.001). Prolonged postoperative air leakage occurred more frequently in group B than in group A (43% vs. 19%, p=0.005). The postoperative recurrence rate of pneumothorax was significantly lower in group A (8.6%) than in group B (24.1%) (p=0.043). The total cost of treatment during the follow-up period, including the cost for the treatment of postoperative recurrent pneumothorax, was not significantly different between the two groups (p=0.43).CONCLUSION:
Without pleural abrasion, staple line coverage with a medium-sized polyglycolic acid patch and fibrin glue after thoracoscopic bullectomy for primary spontaneous pneumothorax is a useful technique that can reduce the duration of postoperative pleural drainage and the postoperative recurrence rate of pneumothorax.Key words
Full text:
1
Index:
WPRIM
Main subject:
Pneumothorax
/
Polyglycolic Acid
/
Recurrence
/
Fibrin
/
Chest Tubes
/
Fibrin Tissue Adhesive
/
Drainage
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Retrospective Studies
/
Follow-Up Studies
Type of study:
Observational_studies
/
Prognostic_studies
Language:
En
Journal:
The Korean Journal of Thoracic and Cardiovascular Surgery
Year:
2016
Type:
Article