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Agafonov G.M.

Saint-Petersburg State University

Petrov A.S.

St. Petersburg State University;
St. Petersburg City Multi-Field Hospital No. 2

Novikova O.V.

St. Petersburg State University;
St. Petersburg City Multi-Field Hospital No. 2

Atyukov M.A.

St. Petersburg City Multi-Field Hospital No. 2

Yablonsky P.K.

Saint-Petersbursg Multi-Field Hospital No. 2;
Saint-Petersburg Research Institute of Phthisiopulmonology

Early complications after surgical treatment of spontaneous pneumothorax: risk factors analysis

Authors:

Agafonov G.M., Petrov A.S., Novikova O.V., Atyukov M.A., Yablonsky P.K.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2025;(3): 24‑32

DOI: 10.17116/hirurgia202503124

Read: 1529 times

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Table of contents

EARLY COMPLICATIONS AFTER SURGICAL TREATMENT OF SPONTANEOUS PNEUMOTHORAX: RISK FACTORS ANALYSIS
EARLY COMPLICATIONS AFTER SURGICAL TREATMENT OF SPONTANEOUS PNEUMOTHORAX: RISK FACTORS ANALYSIS

To cite this article:

Agafonov GM, Petrov AS, Novikova OV, Atyukov MA, Yablonsky PK. Early complications after surgical treatment of spontaneous pneumothorax: risk factors analysis. Pirogov Russian Journal of Surgery. 2025;(3):24‑32. (In Russ.)
https://doi.org/10.17116/hirurgia202503124

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

To study the risk factors of complications after wedge resection with subsequent pleurectomy.

MATERIAL AND METHODS

There were 454 patients diagnosed with spontaneous pneumothorax between 2018 and 2023. Surgical intervention was performed in 331 (72.9%) patients according to commonly accepted indications for prevention of recurrence. Risk factors were studied using regression analysis and directed acyclic graph (DAG) method to build predictive models.

RESULTS

The complication rate was 11.5% (n=38). The most common complications were intrapleural bleeding and prolonged air leak (3.9% and 3.6%, respectively). One-third of cases were classified as major complications according to the Clavien-Dindo classification in thoracic surgery and required pleural cavity drainage or debridement. Significant risk factors of postoperative complications were secondary pneumothorax (HR 4.009; 95% 1.147—14.013; p=0.030) and severe pleural adhesions (HR 4.258; 95% 1.134—15.991; p=0.032).

CONCLUSION

Secondary pneumothorax and severe pleural adhesions are independent risk factors of postoperative complications.

Keywords:

spontaneous pneumothorax
risk factors
complications

Authors:

Agafonov G.M.

Saint-Petersburg State University

Petrov A.S.

St. Petersburg State University;
St. Petersburg City Multi-Field Hospital No. 2

Novikova O.V.

St. Petersburg State University;
St. Petersburg City Multi-Field Hospital No. 2

Atyukov M.A.

St. Petersburg City Multi-Field Hospital No. 2

Yablonsky P.K.

Saint-Petersbursg Multi-Field Hospital No. 2;
Saint-Petersburg Research Institute of Phthisiopulmonology

Received:

15.05.2024

Accepted:

16.07.2024

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References:

  1. Hallifax RJ, Goldacre R, Landray MJ, Rahman NM, Goldacre MJ. Trends in the Incidence and Recurrence of Inpatient-Treated Spontaneous Pneumothorax, 1968-2016. JAMA. 2018;320(14):1471-1480. https://doi.org/10.1001/jama.2018.14299
  2. Cattran A, Meganathan K, Gupta N. Epidemiology and Healthcare Utilization of Spontaneous Pneumothorax and Diffuse Cystic Lung Diseases in the United States. Annals of the American Thoracic Society. 2021;18(3):534-536.  https://doi.org/10.1513/AnnalsATS.202006-648RL
  3. Muhetaer M, Paerhati K, Sun Q, Li D, Zong L, Zhang H, Zhang L. Effects of Different Treatment Regimens on Primary Spontaneous Pneumothorax: A Systematic Review and Network Meta-Analysis. Annals of Thoracic and Cardiovascular Surgery. 2022;28(6):389-402.  https://doi.org/10.5761/atcs.oa.22-00113
  4. Onuki T, Ueda S, Yamaoka M, Sekiya Y, Yamada H, Kawakami N, Araki Y, Wakai Y, Saito K, Inagaki M, Matsumiya N. Primary and Secondary Spontaneous Pneumothorax: Prevalence, Clinical Features, and In-Hospital Mortality. Canadian Respiratory Journal. 2017;2017:6014967. https://doi.org/10.1155/2017/6014967
  5. Yablonsky PK, Atyukov MA, Pishchik VG, Bulyanitsa AL. Vybor lechebnoj taktitki i vozmozhnosti prognozirovaniya retsidivov u bol’nykh s pervym epizodom spontannogo pnevmotoraksa. Vesthik Sankt-Peterburgskogo universiteta. Meditsina. 2010;(1):118-129. (In Russ.).
  6. Weeden D, Smith GH. Surgical experience in the management of spontaneous pneumothorax, 1972-82. Thorax. 1983;38(10):737-743.  https://doi.org/10.1136/thx.38.10.737
  7. Brown SGA, Ball EL, Perrin K, Asha SE, Braithwaite I, Egerton-Warburton D, Jones PG, Keijzers G, Kinnear FB, Kwan BCH, Lam KV, Lee YCG, Nowitz M, Read CA, Simpson G, Smith JA, Summers QA, Weatherall M, Beasley R; PSP Investigators. Conservative versus Interventional Treatment for Spontaneous Pneumothorax. New England Journal of Medicine. 2020;382(5):405-415.  https://doi.org/10.1056/nejmoa1910775
  8. Ocakcioglu I, Kupeli M. Surgical Treatment of Spontaneous Pneumothorax: Pleural Abrasion or Pleurectomy? Surgical Laparoscopy, Endoscopy & Percutaneous Techniques. 2019;29(1):58-63.  https://doi.org/10.1097/sle.0000000000000595
  9. Hallifax RJ, Yousuf A, Jones HE, Corcoran JP, Psallidas I, Rahman NM. Effectiveness of chemical pleurodesis in spontaneous pneumothorax recurrence prevention: a systematic review. Thorax. 2017;72(12):1121-1131. https://doi.org/10.1136/thoraxjnl-2015-207967
  10. Chang J, Ratnaraj V, Fu V, Jiang M, Peri V, Nguyenhuy M, Antippa P. Pleural abrasion versus apical pleurectomy for primary spontaneous pneumothorax: a systematic review and Meta-analysis. Journal of Cardiothoracic Surgery. 2023;18(1):105.  https://doi.org/10.1186/s13019-023-02207-3
  11. Ng C, Maier HT, Kocher F, Jud S, Lucciarini P, Öfner D, Schmid T, Augustin F. VATS Partial Pleurectomy Versus VATS Pleural Abrasion: Significant Reduction in Pneumothorax Recurrence Rates After Pleurectomy. World Journal of Surgery. 2018;42(10):3256-3262. https://doi.org/10.1007/s00268-018-4640-8
  12. Isaka M, Asai K, Urabe N. Surgery for secondary spontaneous pneumothorax: risk factors for recurrence and morbidity. Interactive Cardiovascular and Thoracic Surgery. 2013;17(2):247-52.  https://doi.org/10.1093/icvts/ivt221
  13. Değirmenci M. Morbidity, mortality, and surgical treatment of secondary spontaneous pneumothorax. Ulusal Travma ve Acil Cerrahi Dergisi. 2023;29(8):909-919.  https://doi.org/10.14744/tjtes.2023.20566
  14. Fung S, Kivilis M, Krieg A, Schauer A, Rehders A, Dizdar L, Knoefel WT. Video-Assisted Thoracoscopic Surgery with Bullectomy and Partial Pleurectomy versus Chest Tube Drainage for Treatment of Secondary Spontaneous Pneumothorax — A Retrospective Single-Center Analysis. Medicina. 2022;58(3):354.  https://doi.org/10.3390/medicina58030354
  15. Dżeljilji A, Karuś K, Kierach A, Kazanecka B, Rokicki W, Tomkowski W. Efficacy and safety of pleurectomy and wedge resection versus simple pleurectomy in patients with primary spontaneous pneumothorax. Journal of Thoracic Disease. 2019;11(12):5502-5508. https://doi.org/10.21037/jtd.2019.11.28
  16. Kapicibasi HO. Uniportal VATS technique for primary spontaneous pneumothorax: An analysis of 46 cases. Pakistan Journal of Medical Sciences. 2020;36(2):224-228.  https://doi.org/10.12669/pjms.36.2.1556
  17. Akopov AL, Agishev AS. Videothoracoscopic costal pleurectomy for primary and secondary spontaneous pneumothorax. Pirogov Russian Journal of Surgery. 2012;11:15-18. (In Russ.).
  18. Shrier I, Platt RW. Reducing bias through directed acyclic graphs. BMC Medical Research Methodology. 2008;8:70.  https://doi.org/10.1186/1471-2288-8-70
  19. Campos LR, Petroli M, Sztajnbok FR, da Costa ES, Brandão LR, Land MGP. Risk factors for the development of hospital-acquired pediatric venous thromboembolism-Dealing with potentially causal and confounding risk factors using a directed acyclic graph (DAG) analysis. PLoS One. 2020;15(11):e0242311. https://doi.org/10.1371/journal.pone.0242311
  20. Roberts ME, Rahman NM, Maskell NA, Bibby AC, Blyth KG, Corcoran JP, Edey A, Evison M, de Fonseka D, Hallifax R, Harden S, Lawrie I, Lim E, McCracken D, Mercer R, Mishra EK, Nicholson AG, Noorzad F, Opstad KS, Parsonage M, Stanton AE, Walker S. British Thoracic Society Guideline for pleural disease. Thorax. 2023;78(11):1143-1156. https://doi.org/10.1136/thorax-2023-220304
  21. Akopov AL, Korymasov EA, Parshin VD, Porkhanov VA, Sigal EI, Razumovsky AYu, Yablonsky PK, Cassivi S, Massard M, Ruffini E, Varela G. National clinical guidelines for the treatment of spontaneous pneumothorax. 2014. (In Russ.). Accessed May 15, 2024. https://www.thoracic.ru
  22. Cardillo G, Ricciardi S, Rahman N, Walker S, Maskell NA. Primary spontaneous pneumothorax: time for surgery at first episode? Journal of Thoracic Disease. 2019;11(Suppl 9):S1393-S1397. https://doi.org/10.21037/jtd.2019.03.22
  23. Kawai N, Kawaguchi T, Yasukawa M, Tojo T, Sawabata N, Taniguchi S. Surgical treatment for secondary spontaneous pneumothorax: a risk factor analysis. Surgery Today. 2021;51(6):994-1000. https://doi.org/10.1007/s00595-020-02206-0
  24. Drobyazgin EA, Chikinev YuV, Shcherbina KI, Litvintsev AYu. Comparative assessment of various methods of influencing bullous-altered lung tissue in patients with bullous pulmonary emphysema. Endoscopic Surgery. 2020;26(3):19-23. (In Russ.). https://doi.org/10.17116/endoskop20202603119
  25. Cattoni M, Rotolo N, Mastromarino MG, Cardillo G, Nosotti M, Mendogni P, Rizzi A, Raveglia F, Siciliani A, Rendina EA, Cagini L, Matricardi A, Filosso PL, Passone E, Margaritora S, Vita ML, Bertoglio P, Viti A, Imperatori A. Analysis of pneumothorax recurrence risk factors in 843 patients who underwent videothoracoscopy for primary spontaneous pneumothorax: results of a multicentric study. Interactive Cardiovascular and Thoracic Surgery. 2020;31(1):78-84.  https://doi.org/10.1093/icvts/ivaa064
  26. Voskresenskiy OV, Gasanov AM, Tarabrin EA. Postoperative lung leakage in patients with spontaneous pneumothorax. Surgery. 2016;8:18-24. (In Russ.). https://doi.org/10.17116/hirurgia2016818-24
  27. Dipper A, Jones HE, Bhatnagar R, Preston NJ, Maskell N, Clive AO. Interventions for the management of malignant pleural effusions: a network meta-analysis. Cochrane Database and Systematic Reviews. 2020;4(4):CD010529. https://doi.org/10.1002/14651858.CD010529.pub3
  28. Mishra DR, Bhatta N, Koirala P, Shah B, Bista B, Shah N. Success of Using Iodopovidone as a Sclerosing Agent for Chemical Pleurodesis in a Tertiary Care Center: A Descriptive Cross-Sectional Study. Journal of the Nepal Medical Association. 2021;59(233):69-73.  https://doi.org/10.31729/jnma.6033
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