Absence of postoperative pulmonary impermeability in patients with spontaneous pneumothorax

Voskresensky O.V.; Gasanov A.M.; Tarabrin E.A.

doi:https://doi.org/10.17116/hirurgia2016818-24

Voskresensky O.V.

Nauchno-issledovatel'skiĭ institut skoroĭ pomoshchi im. N.V. Sklifosovskogo, Moskva

Gasanov A.M.

Tarabrin E.A.

Nauchno-issledovatel'skiĭ institut skoroĭ pomoshchi im. N.V. Sklifosovskogo, Moskva

Absence of postoperative pulmonary impermeability in patients with spontaneous pneumothorax

Authors:

Voskresensky O.V., Gasanov A.M., Tarabrin E.A.

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Journal: Pirogov Russian Journal of Surgery. 2016;(8): 18‑24

DOI: 10.17116/hirurgia2016818-24

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Voskresensky OV, Gasanov AM, Tarabrin EA. Absence of postoperative pulmonary impermeability in patients with spontaneous pneumothorax. Pirogov Russian Journal of Surgery. 2016;(8):18‑24. (In Russ.)
https://doi.org/10.17116/hirurgia2016818-24

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)

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Abstract:

Aim. To improve treatment of patients with spontaneous pneumothorax who had not postoperative pulmonary impermeability. Material and methods. 87 patients with spontaneous pneumothorax underwent videothoracoscopy (VTS), lung resection supplemented by pleurodesis (parietal pleurectomy or pleural abrasion). Absence of pulmonary impermeability was observed in 5 (5.7%) patients. Results and discussion. Re-operation was performed in 2 patients (Vanderschuren 2 and 3) namely re-thoracoscopy and thoracotomy with additional ligation of air origins. Drainage tubes were removed in 4 and 17 days postoperatively in patient without/with emphysema respectively. In patient (Vanderschuren 1) who underwent thoracoscopic resection and parietal pleural abrasion valve bronchoblocation was performed in 9 days after VTS due to persistent pneumothorax. Pleural drainage tube was removed in 13 days (emphysema) after bronchial valve deployment. 2 patients (Vanderschuren 4) had heterogeneous pulmonary emphysema. One of them underwent video-assisted mini-thoracotomy, lung resection with reinforcement of seams with synthetic material. In other observation conversion to thoracotomy followed by atypical resection of bullous emphysema and manual suturing of lung was applied. In both cases bronchoblocation was performed intraoperatively with good results. Drainage tubes were removed in 13 and 17 days respectively. There were no complications. Conclusion. Intraoperative endoscopic bronchoblocation is advisable if air leakage is considerable in operating theater and complicates lung smoothing. Such approach reduces hospital-stay and improves outcomes.

Keywords:

spontaneous pneumothorax

postoperative impermeability

endoscopic bronсhoblоcation

Authors:

Voskresensky O.V.

Nauchno-issledovatel'skiĭ institut skoroĭ pomoshchi im. N.V. Sklifosovskogo, Moskva

Gasanov A.M.

Tarabrin E.A.

Nauchno-issledovatel'skiĭ institut skoroĭ pomoshchi im. N.V. Sklifosovskogo, Moskva

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References:

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