Surgical treatment for elderly patients with secondary spontaneous pneumothorax

2016 ◽  
Vol 64 (5) ◽  
pp. 267-272 ◽  
Author(s):  
Hitoshi Igai ◽  
Mitsuhiro Kamiyoshihara ◽  
Takashi Ibe ◽  
Natsuko Kawatani ◽  
Kimihiro Shimizu
Keyword(s):  
Surgical Treatment ◽  
Elderly Patients ◽  
Spontaneous Pneumothorax ◽  
Secondary Spontaneous Pneumothorax

Surgical treatment for secondary spontaneous pneumothorax: a risk factor analysis

Surgery Today ◽  
2021 ◽  
Author(s):  
Norikazu Kawai ◽  
Takeshi Kawaguchi ◽  
Motoaki Yasukawa ◽  
Takashi Tojo ◽  
Noriyoshi Sawabata ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Risk Factor ◽  
Surgical Treatment ◽  
Spontaneous Pneumothorax ◽  
Risk Factor Analysis ◽  
Secondary Spontaneous Pneumothorax

Efficacy and safety of surgery for spontaneous pneumothorax in elderly patients

2019 ◽  
Author(s):  
Shunichi Nagata ◽  
Mitsugu Omasa ◽  
Kosuke Tokushige ◽  
Takao Nakanishi ◽  
Hideki Motoyama
Keyword(s):  
Risk Factors ◽  
Surgical Treatment ◽  
Postoperative Complications ◽  
Elderly Patients ◽  
Spontaneous Pneumothorax ◽  
Performance Status ◽  
Multivariable Analysis ◽  
Efficacy And Safety ◽  
Air Leaks ◽  
Grade 3

Abstract OBJECTIVES There is no clear consensus on the surgical indications for spontaneous pneumothorax in elderly patients. In this study, we aimed to assess the efficacy and safety of surgical treatment of spontaneous pneumothorax in patients aged ≥70 years. We also sought to identify the risk factors for postoperative prolonged air leaks and complications in such patients. METHODS Data pertaining to 104 elderly patients who underwent surgery out of 206 patients (aged ≥70 years) who were diagnosed with spontaneous pneumothorax at our institution between 1994 and 2018 were retrospectively reviewed. The incidences of postoperative persistent air leaks (≥2 days) and postoperative complications (≥grade 3; Clavien–Dindo classification) were analysed for efficacy and safety assessment, respectively. RESULTS Median postoperative air leaks continued for 0 days (range 0–25); 14.4% patients developed ≥grade 3 postoperative complications. On the basis of results of multivariable analysis, it was observed that a higher PaCO2 level was significantly associated with prolonged postoperative air leaks [odds ratio (OR) 1.08, 95% confidence interval (CI) 1.00–1.17; P = 0.047]. Poorer performance status was associated with a significantly increased risk of postoperative complications, as assessed by multivariable analysis (OR 6.13, 95% CI 1.38–27.3; P = 0.017). The recurrence rate was 4.8%; mortality rate of patients was 2.9%. Three-year survival rate after surgery was 73.8%. CONCLUSIONS Surgical treatment of spontaneous pneumothorax may be effective and safe in selected elderly patients. Moreover, higher PaCO2 and poorer performance status were independent risk factors for postoperative persistent air leaks and complications, respectively.

scholarly journals Chemical pleurodesis with Viscum album L. extract for secondary spontaneous pneumothorax in elderly patients

2020 ◽  
Vol 12 (10) ◽  
pp. 5440-5445
Author(s):  
Jong Duk Kim ◽  
Jae Won Choi ◽  
Hyun Oh Park ◽  
Chung Eun Lee ◽  
In Seok Jang ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Spontaneous Pneumothorax ◽  
Viscum Album ◽  
Chemical Pleurodesis ◽  
Secondary Spontaneous Pneumothorax

scholarly journals Total pleurectomy as the surgical treatment for recurrent secondary spontaneous pneumothorax in a child with severe pulmonary Langerhans cells histiocytosis

2011 ◽  
Vol 2011 (nov28 1) ◽  
pp. bcr0920114734-bcr0920114734 ◽  
Author(s):  
D. A. Abdul Aziz ◽  
N. A. Abdul Rahman ◽  
S. F. Tang ◽  
H. Abdul Latif ◽  
F. Mohd Zaki ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Langerhans Cells ◽  
Spontaneous Pneumothorax ◽  
Secondary Spontaneous Pneumothorax

scholarly journals Results of surgical treatment for secondary spontaneous pneumothorax according to underlying diseases

2015 ◽  
Vol 49 (4) ◽  
pp. 1132-1136 ◽  
Author(s):  
Junji Ichinose ◽  
Kazuhiro Nagayama ◽  
Haruaki Hino ◽  
Jun-ichi Nitadori ◽  
Masaki Anraku ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Spontaneous Pneumothorax ◽  
Secondary Spontaneous Pneumothorax ◽  
Underlying Diseases

scholarly journals Management of secondary spontaneous pneumothorax in elderly patients by flexible silastic drains

2013 ◽  
Vol 27 (4) ◽  
pp. 428-434
Author(s):  
Hiroshi Tsukada ◽  
Noriko Saito ◽  
Yasuhiro Tezuka ◽  
Sayaka Mitsuda ◽  
Shunsuke Endo
Keyword(s):  
Elderly Patients ◽  
Spontaneous Pneumothorax ◽  
Secondary Spontaneous Pneumothorax

scholarly journals Efficacy of Pleurodesis with an Autologous Blood Patch for Secondary Spontaneous Pneumothorax in Elderly Patients

2014 ◽  
Vol 64 (3) ◽  
pp. 237-242
Author(s):  
Susumu Kadowaki ◽  
Toshiro Ogata ◽  
Kiyomi Igarashi ◽  
Daichi Noda ◽  
Akihiko Inoue ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Spontaneous Pneumothorax ◽  
Autologous Blood ◽  
Secondary Spontaneous Pneumothorax ◽  
Blood Patch
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