Latest treatments for spontaneous pneumothorax

被引：64

作者：

Kurihara M. ^{[1
]}

Kataoka H. ^{[1
]}

Ishikawa A. ^{[1
]}

Endo R. ^{[1
]}

机构：

[1] Pneumothorax Research Center, Thoracic Surgery Division, Nissan Tamagawa Hospital, Setagaya-ku, Tokyo 156-0095

来源：

General Thoracic and Cardiovascular Surgery | 2010年 / 58卷 / 3期

关键词：

Bullae neogenesis; Covering technique; Interventional radiotherapy; Pneumothorax; Thoracoscopic surgery;

D O I：

10.1007/s11748-009-0539-5

中图分类号：

学科分类号：

摘要：

Objective. Currently, the treatment of pneumothorax varies among hospitals. Three factors account for the differences. First, pneumothorax expresses the state of disease instead of the disease itself. Some pneumothoraces heal on their own but patients with pneumothorax due to chronic diseases may need further intervention. The decision for the choice of treatment is up to the physician. Second, it is insuffi cient to treat pneumothorax with current treatment guidelines. Third, prognosis and follow-up after pneumothorax treatment is not well documented. Therefore, verifi cation/assessment of treatment and its effect is insuffi cient. Methods. To prevent postoperative bulla neogenesis, the "covering technique" is most effective. Chemical pleurodesis has shown a great number of recurrences and has led to inconveniences, such as various results among individuals. Therefore, it should not be the recommended therapy. Results and conclusion. Intractable pneumothorax in elderly patients has been increasing year after year. Interventional treatments such as endobronchial Watanabe spigot embolization and the thoracographic fi brin glue sealing method are expected to become more common in the future, keeping some patients from undergoing surgery. Causes are still unknown for certain pneumothoraces in women, and there are still numerous cases of postoperative recurrence among young males. Further studies in this fi eld are expected in future. © 2010 The Japanese Association for Thoracic Surgery.

引用

页码：113 / 119

页数：6

共 33 条

[1]

Japanese Association for Thoracic Surgery, 2006, (2006)

[2]

Bauman M.H., Strange C., Heffner J.E., Light R., Kirby T.J., Klein J., Luketich J.D., Panacek E.A., Sahn S.A., Management of spontaneous pneumothorax: An American College of Chest Physicians Delphi Consensus Statement, Chest, 119, 2, pp. 590-602, (2001)

[3]

Miller A.C., Harvey J.E., Guidelines for the management of spontaneous pneumothorax: Standards of Care Committee, British Thoracic Society, BMJ, 307, pp. 114-116, (1993)

[4]

The Japan Society for Pneumothorax and Cystic Lung Diseases, pp. 44-47, (2009)

[5]

Kurihara M., Strategy of primary and secondary spontaneous pneumothorax treatment (postgraduate course), 60th Annual Meeting of the Japanese Association for Thoracic Surgery, pp. 96-103, (2007)

[6]

Naunheim K.S., MacK M.J., Hazelrigg S.R., Ferguson M.K., Ferson P.F., Boley T.M., Et al., Safety and effi cacy of video-assisted thoracic surgical techniques for the treatment of spontaneous pneumothorax, J Thorac Cardiovasc Surg, 109, pp. 1198-203, (1995)

[7]

Ohno K., Miyoshi S., Minami M., Akashi A., Maeda H., Nakagawa K., Et al., Ipsilateral recurrence frequency after video-assisted thoracoscopic surgery for primary spontaneous pneumothorax Jpn, J Thorac Cardiovasc Surg, 48, pp. 757-760, (2000)

[8]

Sawada S., Watanabe Y., Moriyama S., Video-assisted thoracoscopic surgery for primary spontaneous pneumothorax: Evaluation of indications and long-term outcome compared with conservative treatment and open thoracotomy, Chest, 127, 6, pp. 2226-2230, (2005)

[9]

Horio H., Nomori H., Kobayashi R., Naruke T., Suemasu K., Impact of additional pleurodesis in video-assisted thoracoscopic bullectomy for primary spontaneous pneumothorax, Surgical Endoscopy, 16, 4, pp. 630-634, (2002)

[10]

Kurihara M., Isaka Y., Takeno Y., The results of thoracoscopic surgery for spontaneous pneumothorax, J Jpn Soc Endosc Surg, 2, pp. 185-190, (1997)

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